Chiropractic Continuing Education: Exploring Spinal Decompression Tables - Table-Driven vs. Puller Systems Posted on Oct 16, 2023
Introduction
CCEDseminars | Your Prime Destination For Chiropractic Continuing Education!Non-surgical spinal decompression was pioneered by Allan Dyer, PhD, MD, in 1985. Since then, various kinds of non-surgical spinal decompression tables have been developed. The main debate among chiropractors is whether to use a table-driven or puller system. This article aims to provide an in-depth analysis of both systems, offering valuable insights for chiropractic continuing education.
The Debate: Methods of Force
Spinal decompression tables generally use a pelvic harness or belt for the application of a traction or decompressive force on the spine. The point of contention arises with tables that provide a distractive force by other means:
- Table-driven (Pushing) Tables: Where a gear elongates the lower half of the table.
- Inversion Tables: These do not utilize belting and rely on gravity.
The first generation of spinal decompression therapy tables were “table-driven” and are still being marketed today. Surprisingly, nearly 100% of physical therapists use traction units utilizing a pulling motor, making one question the reason behind manufacturers opting for “pushing” tables.
Variable Patient Positioning
Table-driven or “pushing” tables often limit patient positioning options. This is a significant drawback considering the years of research advocating for variable patient positioning for effective treatment.
Cost and Efficacy
It's perplexing that table-driven systems often cost two to three times more than puller systems, especially when there's no evidence suggesting they are clinically superior.
Manufacturer Harness Options
Puller systems generally offer more comfortable harness options for the patients, enhancing the overall treatment experience.
Excess Flexion and Position Guiding
Both methods require consideration for the amount of flexion or extension stress applied to the disc, which should be determined before the table's “pull” commences.
Rotation Risk
Rotation should be avoided in both methods due to the risk of re-injury when combined with distraction.
Expedite Patient Encounters
Efficiency is key in any medical practice. Utilize a belting system that allows the simultaneous application of other modalities during decompression.
Conclusion
The debate between table-driven and puller systems is crucial for anyone involved in chiropractic continuing education. Each system has its own merits and limitations. However, puller systems tend to offer more variable patient positioning and are generally more cost-effective. Before making a choice, chiropractors should consider various factors like cost, efficacy, and patient comfort to decide which system aligns best with their practice needs.
For further chiropractic continuing education, consider attending CCEDseminars, which offers a wide range of courses to help you stay at the forefront of chiropractic techniques and technologies.
For Chiropractic Continuing Education, Visit CCEDseminars
For a comprehensive and up-to-date range of courses that delve into the various aspects of chiropractic care, including spinal decompression tables, visit CCEDseminars. Stay educated. Stay ahead.
This blog post is intended to offer valuable information for those interested in chiropractic continuing education. Always consult appropriate clinical and professional guidelines when considering any new equipment or techniques. Click HERE to begin your chiropractic continuing education journey!
Resources:
https://ncbi.nlm.nih.gov/pmc/articles/PMC8924735/