Difference between Traction and Distraction?
What is The Difference between Traction and Distraction?
In the field of physiotherapy, rehabilitation, and orthopedics, the terms traction and distraction are widely used when referring to the techniques that involve the application of external force to the musculoskeletal system.
Traction:
Traction refers to the application of a longitudinal pulling force along the axis of a bone, joint, or spinal column.
Goal of traction;
The goal of traction is to reduce pain, correct deformities, align the fractured bones, or relieve pressure on nerves and soft tissues.
Direction of force for Traction:
The force is applied longitudinally (in line with the long axis of the bone or spine).
Purpose of Traction;
- Reduce muscle spasm
- Align fractured bones
- Relieve nerve compression
- Correct or prevent deformity
Clinical Applications
Skeletal Traction: Using pins/wires inserted in bones to treat severe fractures and deformities.
Skin Traction: Using adhesive straps and weights
Cervical or lumbar spinal traction: Used for spondylosis or disc prolapse.
Example;
Apply cervical traction to relieve pressure on a cervical nerve root in a patient with cervical spondylosis.
Distraction:
It is the process of separating two articular surfaces or bony segments by applying force in the opposite direction, perpendicular to or away from the joint surface.
Goal of distraction;
The goal of distraction is to reduce compression, to facilitate mobilization, and to increase the joint space.
Direction of force for Distraction:
Force is applied to separate joint surfaces, usually perpendicular to the articular plane.
Purpose of Distraction;
- To reduce joint stiffness
- Increased joint mobility
- Decompress articular cartilage
- Facilitate surgical or orthopedic procedure
Clinical applications
- Arthrokinematics in manual therapy to relieve compression.
- Ilizarov technique in orthopedics for bone lengthening.
- Manual joint distraction in physiotherapy for mobilization.
Example;
Performing hip joint distraction in physiotherapy to increase joint mobility after mobilization.
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