Mechanical Traction Treatment Log

Log mechanical traction therapy sessions, including pre-treatment screening for contraindications, traction settings, duration, and patient response for cervical or lumbar traction.

Session Details

• Treatment Date
• Clinician Name
• Traction Region
• Session Type
• Patient Identifier
  Use the medical record number or another approved identifier. Do not enter SSN or other unnecessary PII.

Pre-Treatment Screening

• Pre-treatment screening completed
• Contraindications or precautions present?
• Describe contraindications or precautions
  Include the specific finding, symptom, or history item that affected treatment decision-making.
• Screened items

Traction Parameters

• Traction Mode
• Traction Force (lbs)
  Enter the applied force in pounds. Use the unit required by your clinic protocol.
• Traction Force (kg)
  Enter the applied force in kilograms. Use the unit required by your clinic protocol.
• Traction Angle (degrees)
• Duration (minutes)
• Rest/On-Off Cycle Details
  Example: 60 seconds on / 20 seconds off.

Patient Response and Follow-Up

• Patient Tolerance
• Pain Response
• Neurologic Symptoms After Treatment
• Adverse Effects or Complications
  Document any adverse effect, interruption, or reason treatment was stopped early.
• Follow-Up Plan
  Include any education provided, home instructions, or plan for next session.

Consent and Documentation

• Treatment explained to patient
• Patient consent obtained
• Documentation complete and accurate