(upbeat contemporary jazz music)
- Hi, I'm Bob Shrupp, Physical Therapist.
- And I'm Brad Heineck, Physical Therapist.
- What're we gonna talk about today, Brad?
- Well, Bob, you know, after the last session we had
we talked about cervical traction
on that nice Saunders unit, but wanna talk today,
Something about, a little more practical,
something you can use at home and if you are paying
for this unit on yourself, you don't have insurance,
there's some options and uh-
- This is an inexpensive unit.
- You interrupted me, Bob.
- I'm sorry, go ahead. Keep rollin.
You know, I get on a roll and then he's gotta get in on it,
but anyways, yeah, here we go.
The over the door, cervical traction unit.
Now, if you look at-
- Overdoor.
- Yeah, over, I like to say over the door.
- Okay.
- Yeah. Different therapists
have different ways of speaking.
(Bob laughing)
So anyways, this unit seriously is a nice unit.
If you just plan on using, or you need some
over the door traction, you need some cervical traction
for a short period of time to get through your symptoms,
this is the way to go.
How much you think this costs, Bob?
- I really don't know. I know they're inexpensive.
- How much would you guess,
considering it comes from a medical supply?
- (coughs) 30?
- Yeah. I would've guessed 30 to 45 at least.
We can get this for about $15 to $20.
- Wow. And that really is cheap.
- Yeah, it is.
- And granted it, it's not built to last forever
but it will get you through your symptoms
and if you don't need to spend $900
like the other one costs, it's a really good-
- It'll do the job.
- Exactly. So with traction again, cervical traction,
we're talking about the neck, neck traction.
Traction just means we're gonna pull
and distract the uh, Joan we gotta to have the spine.
(Bob claps)
Yep, the spine.
- Okay. Joanie, let's see your arm.
- We got a new person behind the camera today.
Go ahead with-
- She's just getting by.
- Go ahead.
- Ooh.
- Oh, wow.
- Got it.
Nice job.
All right, so we're talking about the cervical spine.
We got seven vertebra that consists of
of cervi- let's zoom right in on this.
Okay.
All right.
Now, Bob, why don't you turn the face that way
so we get a better view.
Yeah, the whole body.
The whole body.
Yeah.
Okay. So here, here we got Bob.
We're gonna take everything off but the spine, Okay?
Clothes, skin, flesh, the whole works,
and here's the spine.
Now, right here you have the occipital bone
and that's what we have on this model.
That's where part of the traction is gonna hook
up there and the other part's going underneath the jaw.
Okay. Are we in, zoomed in Joanie?
Stay there.
Okay. Now what we do,
now in the clinic, when I have someone I wanna see
if traction is gonna be a viable treatment,
first I'll do manual traction.
So I'll take my hands like this,
I'll instruct the patient.
Just relax,
bring your teeth together gently, Okay.
One hand goes under here and one goes on this back part,
on the occipital bone,
and I gently lift up
and I'll ask the patient,
Bob, did you have any relief in your symptoms from that?
- It actually felt better.
- If that's the response that may go a little harder,
That's on my discretion.
I don't expect anybody to do this at home,
this is for your therapist to do.
And if I go a little harder and the response is,
Bob was it, when I went a little bit more?
- Feels even better yet.
- It feels better, the symptoms went down,
the pain went down.
Okay. Red, that's a green light saying,
let's go to some mechanical traction.
Okay. Over the door traction.
We, when you get it out of that box
it comes apart and you have a water bag.
Okay, that's gonna be the weight for the traction.
Okay, you simply open up the red cover here,
Fill it up with water.
There's actually uh, it's gauged here
to tell you how many pounds of water.
I think starting at 10 pounds would be a good,
good weight to start at.
You'll see how that goes later. Then you have the strap
that goes around the chin, and the back side of the head
just where my hands were placed,
and that's gonna go like that.
It's very comfortable, a little more detail with that.
And finally, you have the actual
over the door unit
and you'll see there's two pulleys on there.
Okay. They have it pinched
on the metal arm so that the pulleys don't move.
You have to turn 'em sideways,
then let, 'em go down vertical like that,
and they'll be about a foot apart,
and that's where you want 'em.
Here is the hook for over the door.
Now, Bob, if you can bring it in here,
and it's very simple you just go over the top
of the door with it, pinch the name and there we have,
and you should be able to pull
down on one side like this, Okay.
The crossmember bar should be below the outside pulley,
and at that point you can close the door.
Don't pinch your fingers.
Here we go.
(door closes)
Okay.
Okay, here we are with the actual use
of the overdoor traction.
Bob's gonna be the patient here.
Can you move the for- chair forward just an inch?
Right there, Perfect. Perfect.
Okay. As we see, we have it set up.
You can let go of that, Bob.
It should be able to freely go up and down, step number one.
Okay, go ahead, hold on to that.
This is nice to do with two people,
it can be done with one person, but starting off,
two people I think, is the way to go.
You take your weight, okay.
Again, we have 10 pounds on there, according to the scale
on the bag, okay.
Okay. Now what we're gonna do, can, we're just gonna make
sure it goes up and down freely again.
That looks good.
Then you take
the harness that goes around
and this works really good
if you want to keep someone from talkin' too much.
Anyway, if they got a loud mouth, they talk a lot,
you put 'em in this, it gets two birds with one stone,
traction and a muzzle.
Okay. Just kidding about that,
but it's kind of true. Here we go.
- Well, it'd be nice if we could get one
for the Green Bay Packer fans.
(Brad laughing)
- I was gonna wear my Packer tie today, Bob
but that's all right.
I think you guys won last weekend.
- We did.
- Now there's Velcro straps here
and you can see they go right across there,
they don't have to be tight, you just have to put 'em on.
This is a part that takes two people.
It'll stay there.
Okay. You can let go of that, Bob.
And you'll see there's notches,
three on this side, three on this side,
wherever you put the ring, put it on the same on both sides.
So if you gonna put it on the outside one here,
put it on the outside one here.
I usually start it on the outside
and it's always worked good for me at that point.
Okay. Now we take it here.
Okay. Connect it there.
Can you see this Joanie on the, when you film?
- [Joanie] Yep.
- Okay, now Bob, I want you to lean forward a little bit.
Okay. Now how this lines up
with the neck is gonna vary from person to person.
Now what we've got, we call this, flexion.
The traction is pulling forward.
Okay. Now Bob, remember when I pulled on your neck
before manually, you said it decreased the symptoms.
Is that happening again?
Are there symptoms, the pain, being reduced
as a result of this?
- Yes Brad, it is.
- Okay. Very good.
The next thing I do, is I have my timer,
you can look at the clock, and I start the timer going.
Okay. Continue to speak.
Is there any pain, Bob?
That things are feeling good?
- Feels really good.
- You can breathe okay?
- I can breathe Okay.
- Okay. Don't put your tongue
between your teeth 'cause that'll get bit off, okay?
- Gotcha.
- I just like to make sure
that Bob's clear on all the safety factors
and he, cause he's got good posture here.
Now, what I'm gonna do now is,
Bob I'm gonna add a little more traction
by just manually pushing down on here,
it'd would be the same as if I added more water.
Now you let me know if this feels better, worse or the same.
If I give you a little more pre-
- Oh, I like that.
- That's better yet?
Okay. I'm gonna give it a little bit more.
If the pain starts to go up
or starts to feel even uncomfortable, you let me know.
- Still good.
- Still good?
- That's probably good right there.
- Okay. Now that's telling me,
I should add a little more water on there
and to get it so it's continually, decreases the symptoms.
Okay? All right.
So that you can do, I know we're at about 10 pounds.
I would take it off, go to the sink,
simply add in probably two more pounds of water.
Um, in the meantime, the first time you're doing that,
before you go through all that,
I'm just gonna go through a test period of five minutes
with it feeling good and comfortable,
after five minutes, then we're gonna take it off,
and to take it off,
it's the same way as putting it on.
Now, you can do it a couple ways.
You can just take the, the weight off here.
There you go, help each other out.
Go like this, and like this.
Now, when the weight comes off is the second question,
is right there, Bob how does it feel now
that the traction is released?
Is there, are the symptoms better, worse, or is it the same?
- It's about the same.
- Okay. Same as when or, when the pressure was on
or before we started?
- Ah, when the pressure was on.
- Okay. So we have positive results, Okay?
As a result of traction, symptoms have decreased.
That's good. Now we're gonna leave this for 24 hours.
Tomorrow, we're gonna come back and do this again.
We're gonna add a little more water to it for more weight,
and we're gonna go 10 minutes and then we're gonna progress
up to 15 minutes, adding five minutes per session.
And we're gonna find a point where the weight is adequate
but always having symptoms reduced, not increasing pain.
- Just one thing I wanna mention Brad,
ah, someone who has a TMJ problem,
temporomandibular joint issue,
you know problems with your jaw.
- Jaw issues, yes.
- You might feel that it might bother that,
so yeah, that's something you might be aware of.
Because it might be difficult to apply it
to something like that.
- Right, right. That's a good point.
Now the other thing is, as soon,
you notice how Bob started, started talking again,
as soon as he had the chance,
you got the thing, you know,
just another point about this.
And you got your spouse, likes to talk a lot and this helps,
(fingers snap) you know what, add another five minutes.
- (laughing) I'm not his spouse.
- Well, I know, but I'm just saying,
I knew you'd come up with something
- All right.