• Lian Yun-Perng, Physiotherapist

CPR on Mechanical Traction and Exercise for Neck Pain


To predict neck pain patients that are likely to improve with cervical traction and exercise.


  1. Age > 55

  2. Positive shoulder abduction test

  3. Positive upper limb tension test A

  4. Symptom peripheralisation with central posterior–anterior motion testing at lower cervical (C4–7) spine

  5. Positive neck distraction test


CPR on Mechanical Traction and Exercise for Neck Pain

Treatment given: 2-3 times a week for 3 weeks


  • Angle of pull: 24 degrees if patient had full Cx flexion; otherwise it was set at 15 degrees

  • The on/off cycle was set to 60 secs of pull force and 20 secs of relaxation force. Traction force during the off time was set to 50% of pull force.

  • Initial pull force was set at 10–12 pounds then incrementally adjusted to ‘‘moderately strong to strong’’ feel without increasing symptoms.

  • Maximum pull force for the studay was 40lbs and average pull force was 23.2 lbs±5.6 lbs (range 12–38 lbs).

  • Each session lasted approximately 15 min.


Chin Tuck Exercise with Scapula Setting

  • Position: Sitting with natural lumbar lordosis.

  • Action: Retract and adduct scapulas and gently elongate Cx spine to achieve natural upright position

  • Repetitions: Hold minimum 10 secs and perform 2x per hour

Chin Tuck Exercise in Supine

  • Position: Supine

  • Action: Slow controlled cranio-cervical flexion with minimal effort and without contracting large superficial neck muscles

  • Repetitions: Hold for minimum 10 secs and perform 10x twice daily


Raney NH, et al. Development of a clinical prediction rule to identify patients with neck pain likely to benefit from cervical traction and exercise. Eur Spine J. 2009; 18(3): 382-91.

#Exercise #Pain #Cervical

24 views0 comments

Lian Yun-Perng  

UK Qualified Physiotherapist
Bachelor of Physiotherapy

Keele University, United Kingdom
Diploma in Physiotherapy

AIMST University, Malaysia

Taman Seputeh  Physiotherapy Clinic

(Near the Japanese Club)

27, Jalan Taman Seputeh,

58000, Kuala Lumpur,


t: +6014-9631371

e: info.acephysiotherapy@gmail.com

Useful Links

Home Visit Physiotherapy (Kuala Lumpur)

Petaling Jaya

KL Sentral/ Brickfields

Taman Desa/ Seputeh/ OUG

Bandar Utama



and other areas


 2020 Ace Physiotherapy. Proudly created by Ace Physiotherapy