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Run: Mechanical Traction Treatment Log

Track cervical or lumbar traction sessions with pre-treatment screening, traction settings, patient response, and follow-up in one structured log. Use it to ...

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Session Details

Treatment Date (required)

Clinician Name (required)

Traction Region (required)

Session Type (required)

Patient Identifier (required)

Use the medical record number or another approved identifier. Do not enter SSN or other unnecessary PII.

Pre-Treatment Screening

Pre-treatment screening completed (required)

Yes No N/A

Contraindications or precautions present? (required)

Describe contraindications or precautions (required)

Include the specific finding, symptom, or history item that affected treatment decision-making.

Screened items (required)

Traction Parameters

Traction Mode (required)

Traction Force (lbs) (required)

Enter the applied force in pounds. Use the unit required by your clinic protocol.

Traction Force (kg) (required)

Enter the applied force in kilograms. Use the unit required by your clinic protocol.

Traction Angle (degrees) (required)

Duration (minutes) (required)

Rest/On-Off Cycle Details

Example: 60 seconds on / 20 seconds off.

Patient Response and Follow-Up

Patient Tolerance (required)

Pain Response (required)

Neurologic Symptoms After Treatment

Adverse Effects or Complications

Document any adverse effect, interruption, or reason treatment was stopped early.

Follow-Up Plan (required)

Include any education provided, home instructions, or plan for next session.

Consent and Documentation

Treatment explained to patient (required)

Yes No N/A

Patient consent obtained (required)

Yes No N/A

Documentation complete and accurate (required)

Yes No N/A

Get your results

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Email (required)

Your name (optional)

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