National Physical Therapy Examination (NPTE) Practice Exam

What is the recommended therapeutic guideline for intermittent traction in lumbar disc herniation?

1. Utilize a fixed force, between 80 and 180 pounds

2. Utilize the highest tolerable force to alleviate symptoms

3. Utilize 75% of the patient's body weight

4. Utilize the lowest force possible to alleviate symptoms

The correct answer is: Utilize the lowest force possible to alleviate symptoms

The recommended approach for intermittent traction in cases of lumbar disc herniation emphasizes utilizing the lowest force possible to alleviate symptoms. This guideline is grounded in the principle of providing safe, effective treatment while minimizing discomfort and potential risk to the patient. Using a lower force helps to ensure that the patient remains comfortable during the session, which can enhance cooperation and the overall effectiveness of the treatment. For lumbar disc herniation, the goal of traction is to relieve pressure on the spinal structures, reduce nerve root irritation, and facilitate an environment conducive to healing. A lower traction force is more conducive to these objectives as it lessens the risk of exacerbating the condition or causing additional pain during treatment. This method aligns with clinical practices that prioritize patient safety and comfort. It allows for gradual adaptation to the treatment and can often result in better patient outcomes without significant negative effects. While using fixed or high forces can sometimes yield immediate reductions in symptoms, these approaches can also lead to increased discomfort, potential overstretching of structures, and a higher likelihood of adverse reactions. Therefore, starting with minimal effective force is generally advisable in clinical practice for managing conditions like lumbar disc herniation.