Immediate Effects of Manual Traction on Radiographically Determined Joint Space Width in the Hip Joint

Changes in joint space width during Kaltenborn traction according to traction grade in healthy adults

“…al. reported that JSW was increased significantly by 0.9 mm, from 3.86 to 3.95 mm, as a result of hip joint traction in the maximum relaxation position in the healthy adults 13 ) . However, Goker et al applied a 14-kg force, which is equivalent to the GH traction, to a healthy person for repair of the scapula, and the JSW was increased by approximately 0.3 mm 12 ) .…”

“…Gokeler et al reported that in the comparison of joint space width (JSW) between the humeral head and the glenoid fossa after applying a 14-kg load to the GH joint of the asymptomatic subjects during manual traction, JSW was widened by about 0.3 mm, but difference was not significant 12 ) . Meanwhile, in the research by Sato et al, JSWs were compared after applying traction to the point that the maximum resistance in the hip joint was detected in symptomatic subjects 13 ) . The results of the research indicated that JSW was widened by about 0.9 mm, with a significant difference.…”

Clinical relevance of the hip joint: Part II–Importance of joint distraction

“…[57][58][59][60][61] However, there are only a few reports that have studied whether joint distraction can occur as a result of manual traction. 11 In this study, the subjects' hip joints were loaded with 10% of their body weight before manual traction, resulting in a narrowed joint space. One study examined JSW in the glenohumeral joint of asymptomatic subjects following manual traction and reported no change in JSW.…”

“…OA of the hip (hip OA) can be treated using various conservative treatments. 11 9 With a better understanding of anatomy and clinical application of the anatomy to hip OA, OA may be managed better.…”

Ultrasound measurement of the effects of high, medium and low hip long-axis distraction mobilization forces on the joint space width and its correlation with the joint strain

“…Previous studies have reported that hip LADM results in a reduction of pain, increased hip range of motion (ROM) and improved physical function in patients with hip osteoarthritis (OA) (Estébanez-de-Miguel et al, 2019, 2018Hando et al, 2012;Hoeksma et al, 2004;de Luca et al, 2010;Vaarbakken and Ljunggren, 2007). Estébanez-de-Miguel et al (2019, 2018 suggested that these clinical effects might be related to the increase of the joint space width (JSW) reported by Arvidsson (1990) and Sato et al (2014), a decrease in intra-articular pressure, and changes in elasticity of the joint capsule during LADM.…”