User’s Guide

for Clinicians and User

Made In U.S.A.
U.S. PATENT NUMBERS 5,957,876, 6,113,563 AND OTHERS PENDING

IMPORTANT CAUTION: Follow the recommended treatment prescribed by your health care provider. Exceeding the prescribed limits provided by your health care provider may aggravate your injury or cause another injury.

The Background of CycleTrac: • CylceTrac was invented by a mechanical engineer who was diagnosed with an acute central
herniated (C4-C5) disc injury. He was told by his neuro surgeon that surgery was the only way to resolve his disc problem. He invented CycleTrac and developed a treatment regimen that allowed him to effectively treat and recover from his injury (see www.cycletrac.com for The Inventors Background).

What is CylceTrac: • CylceTrac is the first home intermittent cervical traction unit, with case study proven results (see •
• www.cycletrac.com for Case Study details) which will effectively treat certain cervical disc related injuries. CylceTrac, can be an alternative to cervical disc surgery. CylceTrac is a portable, lightweight (6 3/4 lbs.), easy to use, home cervical traction unit capable of safely intermittently cycling up to 35 lbs. of traction force.

The Advantages and Description of Cy cleT rac : • CylceTrac offers the patient an affordable, easy to use, case study proven, intermittent home •
cervical traction unit, which can be used in conjunction with in office therapy. CylceTrac offers the physician and Health Care Provider a case study proven treatment option, based on a peer-reviewed case study. (See “Synopsis of the Case Study Protocol” on page 15) Which was published in the Physical Therapy Case Report , dated July 1999. To reinforce its findings, PT Products is completing a multiple patient (6 patients) case study which will be published soon. (see www.cycletrac.com for Case Study details) The patient can stay out of pain while recovering. The patient can return to normal sleeping habits.

• •

• • •

CylceTrac can give the patient an alternative to drugs and disc surgery, when used with the treatment regimen proven effective by the case study protocol. (See “Synopsis of the Case Study Protocol” on page 15) The patient can quickly and easily get in and out of the CylceTrac Unit without assistance.
The traction therapy is performed in the supine position to reduce neck muscle activity. While cycling the load during intermittent traction therapy with CylceTrac, the upper body muscles are not used so this portion of the body can remain in a totally relaxed state for maximum traction benefit on the cervical spine or upper neck region. CylceTrac’s patented system gives a safe and controlled intermittent traction therapy that returns the load in a gradual manner. CylceTrac directs the traction force toward the occiput region (back of the head), thereby preventing compression of the jaw region and eliminating the possibility of TMJ. CylceTrac comes with a User’s Guide and a cassette tape to guide the patient through an intermittent cervical traction therapy session.

• • •

Insurance Billing Code:

The insurance billing code for CylceTrac is E0855, Cervical traction equipment not requiring additional stand or frame. CylceTrac was assigned this billing code by the Statistical Analysis Durable Medical Equipment Regional Carrier, which is a division of the Health Care Finance Administration. This code must be filled with a description of the product as stated above. 2

WARNING TO USERS:
The sale of CycleTrac is restricted to individuals who have a prescription from their licensed health care provider. The instructions provided in this User’s Guide and by your health care provider must be followed exactly. While some sensation or discomfort may be felt during treatment, traction should never cause pain. Pain may be caused by improper application of traction or the use of excessive weight. Either of these may also aggravate an existing condition or cause additional injury. If you experience: pain in the neck, upper back, or arms, dizziness, nausea or any other type of pain during or after a traction session, stop using this device immediately and consult your health care provider. CycleTrac does not use uncomfortable head strap restraint making it more efficient than units that do. The increase in efficiency is due to no loss of energy applied at the head strap. Therefore the entire load applied goes directly to the patient’s occiput. Because of this highly efficient transfer of force to the occiput, during the initial use of CycleTrac the patient may experience some discomfort where the V-Blocks contact the occiput. If this discomfort occurs, it is usually gone by the third or forth day of treatment.

Important Note: Do not make any modifications to the CycleT rac unit. Any modification of the unit will void the warranty and could result in injury.

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Which patients are candidates for using CycleTrac?
Cervical traction can be used to treat the following patients: • Patients who have a positive response to in office manual or mechanical cervical traction therapy. • Patients with a prescription from their physician for a home traction unit.

INDICATIONS FOR USE:
• Cervical herniated discs • Degenerative joint disease • Muscle spasms (knots in shoulder girdle) • Chronic migraine headaches • Chronic neck pain • Cervical radiculopathy • Cervical nerve root compression • Referred arm pain (pinched nerve in the neck) • Osteoarthritis • Cervical spondylosis • Joint stiffness • Other similar injuries Traction should NOT be used to treat the following conditions: CONTRAINDICATIONS FOR USE: • • • • • • • • Fracture Rheumatoid arthritis Infections and inflammatory diseases Malignancy Spinal cord compression Spinal instability Any other conditions that may be made worse by movement Any patient without a prescription

This material is protected by copyright. Copying or reproduction in any manner is prohibited by law. 4

TABLE OF CONTENTS
Section A. B. C. D. E. F. G.
H.

Page No.

CycleTrac Parts Lists:
Assembly and set up instructions: Operational instructions: Troubleshooting: Cleaning: Optional Wall Mount Instructions for Home Unit Wall Mount Instructions for the In-Office Unit Table Mount Set Up Instructions for In-Office Unit In-Office Traction Set Up Instructions Synopsis of the Case Study Protocol: Warranty Information:

5 6 9 12 12 13 15 17 18 19 20

I. J. K.

Important: To be Read Prior to Using CycleTrac
• •
• You must have a prescription from your physician prior to using CycleTrac. You must keep CycleTrac out of the reach of small children at all times. CycleTrac contains ropes, which can be dangerous to children. You must follow the instructions given to you by your health care provider for the following: 1. the amount of traction weight used during therapy 2. the length of each traction therapy treatment 3. number of treatments per day 4. number of treatment days per week You must be sure to read and follow all of the “Important 5, 9, and 10).

• •

Notes” in this User’s Guide (pages 3,

You must place long hair in a way as to not interfere or make it uncomfortable during traction therapy.You must remove any jewelry, necklace, earrings, etc. that may interfere during your traction therapy. Avoid wearing any clothing that may 5

A. CycleTrac Parts List
Item Number 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

interfere with your traction therapy, such as large shirt/sweater collars, scarves, hats, and ties.

Product Description

Quantity 2 1 1 2 1 1 1 1 1 1 2 1 1 1 1

Adjustable V-Blocks and Boots* Foot Strap (Blue) * Traction Cord (rope)* Rope Slider * Head Rest Assembly * Detent Pin* Spring Force Assembly Pulley Assembly Door Strap (Black) * Adjusting Linkage Upper Linkage Pull Force Assembly * Instructional Video Tape * Operation Audio Cassette Tape* Screw Hook * (optional wall mount) See View on Page 13 * Can be purchased as replacement parts

Assembly Number or Part Number 001105 001108 001109 009109 A-001100 001301 001302 A-001200 001207 001303 001304 A-001300 009401 009501 009208

12 1 11 10 6 5 4 3 2

9 8 7

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B. ASSEMBLY AND SET UP INSTRUCTIONS:
In order to set up your CycleTrac Home Traction Unit, you will need a bed located 4 to 15 feet from a door.

Important Note: The Cy cleT rac traction therapy is performed on the floor and the headrest assembly must be on carpet, a rug, or any soft cloth surface. This cloth surface allows the headrest assembly to slide freely during traction therapy.

The following steps lead you through the set up of your CycleTrac Home Intermittent Traction Unit.

1. The headrest assembly has two V-Blocks, which must be adjusted for your own personal
comfort. First, be sure to position the V-Blocks as shown in the diagram below. Outer edge of the Headrest Track

For maximum comfort, position the tapered surface of the V-Blocks as shown. Note: this diagram does not show the removable V-Block Boots. You must show the boots in the photo

2. Now, simply lift the V-Blocks from the headrest assembly and reattach them symmetrically to
the headrest assembly at the spacing that feels best to you. A good starting point would be with the bottom edge of the V-Blocks even or slightly in (about 1/8 inch) from the outer edge the headrest track. The markings on the black foam head pad can be used to help you mount the V-Blocks symmetrically. When you received the unit from your health care provider this adjustment may have been reviewed with you. 3. To set pull force recommended by your health care provider, position the hole of the clevis at the end of the gas spring in line with the hole on the adjusting linkage. Place the detent pin through the gas spring clevis and the adjusting linkage.

Detent Pin 7

Adjusting Linkage with pull force scale

Gold Clevis
4. Open the bedroom door, slip the rope loop attached to the black door strap over the doorknob. Tighten the loop around the doorknob as shown in the figure in step 6 below.

5. Hold the metal snap attached to the black door strap. Place the black door strap from the pulley
assembly just above the door latch. Make sure the black stop clears the door jam. If the black stop does not clear the door jam it will prevent the door from latching. Once the door latch is engaged, pull the black door strap down towards the latch and out.

Black Door Strap

CAUTION: While holding the black door strap in place with one hand and while keeping your fingers out of the way, use your other hand to carefully close the door. Make sure the door latch engages. It may take a firm push with your hip to engage the door latch.

6. When the door is closed the rope loop and the door strap stop ends up outside of the room as
shown below. This safety rope loop keeps the pulley assembly with the door in the event that the door is opened during your therapy.

Black Door Strap Stop

Safety Warning Label

DO NOT REMOVE

Door Knob Rope Loop 7. Attach the pulley assembly to the metal snap located on the black door strap, or onto the
optional Home Wall Mount screw hook shown on page 9.
Eye Hook at top of Pulley Assembly Black Door Strap and Clip

Door Mount

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Eye Hook at the Top of the Pulley Assembly Screw Hook

Home Wall Mount
8. Place the headrest assembly on the bed where you will be lying during your traction therapy.
The headrest assembly must have a soft cloth below it (i.e. bed spread or bed sheet). Position the headrest assembly on the edge of the bed nearest the door with the pulley assembly attached. The bed can be up to 15 feet from the door. Return to the pulley assembly hanging from the door.

9. Adjust the rope length between the headrest assembly and the door by pulling on the knot
located below the adjusting linkage. Pull the rope to move the headrest assembly until it is located on the edge of the bed, which is closest to the door. The rope between the headrest assembly and the door must be taut when the headrest assembly is on the edge of the bed. Once you have the headrest assembly in the proper position, tie a slipknot at the point in the rope where it comes out of the end of the adjusting linkage (where the original knot was).

Pull on this knot to set up the length from the door to the bed.

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Wrap excess rope with Velcro tie wrap Slip Knot 10. Use the rope slider located between the headrest assembly and the pulley to make any minor
rope adjustments. This can easily be done by sliding the rope through the two holes of the rope slider. Do not untie the knot at the rope slider. Once again, when the headrest assembly is properly positioned on the edge of the bed, the rope between the headrest assembly and the door will be taut (i.e., no slack).

Traction Cord (rope)

Rope Slider
11. Adjust the length of the rope attached to the blue foot strap using the slider nearest the foot
strap. When this length is adjusted properly you should be able to gently extend your leg to transfer the load from your head to your foot. When your leg is retracted, the load gradually returns to your head and the rope attached to the foot strap will no longer be taut (i.e. will have slack).

C. OPERATIONAL INSTRUCTIONS:
The following steps take you through the operation of the CycleTrac Traction Unit. 1. To position your body on the bed for a traction session, lay down on the bed so that your body is in line with the rope running from the door to the headrest assembly. The top of your head must be positioned such that it is touching the foam boots on the V-Blocks.

Body in line with rope running to door

Top of head touches the foam boots

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2. Slip the foot strap over your toes and onto either your left or right foot. CAUTION: A shoe must be
worn on the foot accepting the foot strap. When the foot strap is located properly, the strap position is located in the arch area of the shoe just above your heel.
Traction Cord (rope) Blue Foot Strap

3. To place your head in the headrest assembly, slowly and gently extend your leg until you feel or hear
the pulley assembly bottom out. While keeping your leg extended reach back with both hands, lift your head, and slide the headrest assembly toward your neck. Once the V-Blocks are in your neck region and the rope is taut, lower your head and neck into position on the headrest assembly. Let Slide headrest assembly the back of your head lie on the black head pad. and reach into position and lower your Lift head head into the headrest back for headrest

Extend your leg

If the rope is not taut when you have the V-Blocks in the proper neck position, move your body away from the door to take up the slack in the rope. If you have the V-Blocks positioned properly they will contact the skull area just below your ears. Once you’ve got the proper body position on the bed make a mental note of that position. Use that same position for future traction sessions. 4. To start your traction session, slowly retract your leg (both knees bent) and allow the load to be gradually transferred back to your neck.

Retract your leg, both knees bent

Operational Notes: During your traction therapy keep your head tilted back and look straight up at the ceiling. Your head may start to slip out from the two V-Blocks. The blocks may need a minor adjustment. If the problem persists gently lay your right or left hand (palmHandyour forehead. The weight of up) on on your hand will help to keep your head from slipping out. After a few minutes you will begin to feel Forehead comfortable and you can remove your hand from your forehead.

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To increase your comfort level you can also change the angle of the traction pull. This can be done by placing a small rolled towel or small pillow (approximately 2 inches thick) between the bed cover and the bottom of the headrest assembly. Sliding this in and out will modify the traction pull angle.

5. To cycle the traction unit, just slowly extend your leg until you feel the load transfer from the neck
to the leg. Only extend your leg enough to release the pull from your neck. In most cases it is not necessary to extend your leg more than a few inches. Slowly retract or bend your knee and the gas spring within the pulley assembly system will gradually return the load to your neck region.

Extend your Leg

Retract your leg, both knees bent
Operational Note: When extending your leg do not fully extend your leg or use excessive force. Gently extend your leg and you will feel the weight release from your head. Fully extending your leg may drive your body and or the bed closer to the door, which may decrease the effectiveness of the system.

6. When the CycleTrac Traction Unit is purchased your health care provider may instruct you with
the position your legs will be in during cervical traction therapy. A common leg position during cervical traction therapy is both knees comfortably bent.

7. To get out of your CycleTrac Traction Unit, just gently extend your leg to take the load off of your
neck. Once the load is off, lift your head out of the headrest assembly. Remove the foot strap and get out of the bed. Operational Note: If at any time during your traction therapy you feel an immediate need to remove yourself from traction, simply lift your head. 8. To leave the room, slowly open the door and remove the pulley assembly from the door knob

9. CycleTrac comes with an Operational Audio Cassette Tape. This tape will prompt you with vocal
commands. You will be prompted on when to gently extend your leg and when to retract or bend

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your leg. The load is applied to your neck when your leg is retracted. Extending your leg transfers the load from your neck to your leg. The cycle will consist of 50 seconds with the load applied to the neck region (legs bent) and 10 seconds with the load off the neck region (leg extended). This session will prompt you through 20 cycles in 20 minutes. The audio cassette tape will help you eliminate any unnecessary movements during your traction therapy. Keeping the arms, shoulders, and neck areas relaxed during therapy allows you to get the best possible cervical spine extension during your therapy and improve your chances of recovery. 10. To begin a your traction therapy simply turn on the your Operational Audio Cassette Tape and follow the vocal commands.

Important Notes:
• If at any time during or after a traction therapy you feel pain or unusual discomfort, stop your therapy immediately and contact your health care provider. If at any time the gas spring in the pulley assembly begins to leak oil, stop using CycleTrac and contact PT Products at 1-877-4TRACTION for a replacement. When storing CycleTrac or packing CycleTrac for travel the extended rod of the gas spring must be protected. Be sure to wrap the extended rod of the gas spring with a protective cover (i.e. plastic bubble wrap).

D. TROUBLESHOOTING:

During your traction therapy you may notice a decrease in the load to your neck. This is due to the fact that your body position has moved too close to the door. To maximize the load, you must reposition your body. Gently extend your leg. While keeping your leg extended, slide your body together with the headrest assembly away from the door to eliminate the slack in the rope. Now, to return the load to your neck, just retract your leg. During your traction therapy look straight up at the ceiling. Your head may start to slip out from the two V-Blocks. The blocks may need a minor adjustment. If the problem persists, gently lay your right or left hand (palm up) on your forehead. The weight of your hand will help to keep your head from slipping out. After a few minutes you will begin to feel comfortable and you can remove your hand from your forehead. If you encounter difficulties getting the door latch to engage, place the black door strap from the pulley assembly approximately 4 to 6 inches above the door latch and try again to latch the door. If you have any other questions, contact PT Products, LLC at 1-877-4TRACTION.


E. Cleaning:
• •
CycleTrac may be cleaned using a mild detergent.
Do not immerse any of the CylceTrac components in water.

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F. Optional Wall Mount Instructions for Home Unit:
As an option to the door strap mounting, a 5/16 x 4 inch Screw Hook has been included to allow the patient to wall mount the CycleTrac pulley assembly. Wall mounting will give the patient the following advantages over the door strap mounting. • • • Daily set up of the pulley assembly to the door is eliminated. The pulley assembly simply hangs from the Screw Hook. To set up for daily traction the patient simply places the headrest assembly and foot strap on their bed and their ready to begin traction therapy. If traction is required at a location other than your home, simply remove the pulley assembly from the Screw Hook and re-attach the door strap assembly.

Home Wall Mount Instructions:
Important Note: The Screw Hook wall mount set up (Model No. A001000) is for home use only and is not to be used for In-Office wall mounts. The In-Office wall mount unit (Model No. A001000W) is designed to endure daily repetitive In-Office usage. 1. Using a Stud Finder, locate a stud in the wall you intend to mount the your dampening assembly to. Suggestions: Mount the Screw Hook on the back wall of your closet, behind the clothing. This places your CycleTrac unit out of sight when not in use. Mount the Screw Hook on a wall behind an open door, which will hide the unit when not in use. 2. Mark a spot on the wall 36 inches above the floor and on the center of the stud. See the Home Unit Wall Mount Diagrams on the next page. 3. Important Note: The stud must be wood. This set up will not work on Metal Studs. DO NOT MOUNT THE SCREW HOOK INTO A METAL STUD. 4. Using a 3/16 (.1875) inch diameter drill, drill a hole at least 2 ½ (2.5) inches deep into the stud at the marked location on the wall. 5. Screw the Screw Hook into the hole until 1 ½ (1.5) inches of the Screw Hook is showing. This means that 2 ½ (2.5) inches of the Screw Hook will be engaged in the wall. 6. Remove the door strap and breech snap from the pulley assembly. Attach the eyebolt, located at the top of the pulley assembly, to the Screw Hook. Note: When mounted properly the black rubber stop at the end of the adjustment linkage will be touching the wall.

Screw Hook

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Black Rubber Stop

Home Wall Mount Diagrams

Mount the Screw Hook 36 Inches from the floor.

36 Inches

7. Continue the setup by following Part 4 of Section B (Assembly and Set Up Instructions), of the CycleTrac User’s Guide.

Wall Floor

Home Wall Mount Set Up

Wall to Bed 4 to 15 Feet

Edge of Bed

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G. Wall Mount Instructions for the In-Office Unit:
1. Using a Stud Finder locate a stud in the wall behind the head of the treatment table. See the Office Wall Mount Diagrams on the next page. In-

2. Table Alignment: The Table should be located between 2 and 7 Feet from the wall you intend to mount the CycleTrac wall mount plate on. Position the head of your treatment table such that it’s center is in line with the stud you have selected to mount the wall mount plate to. 3. The recommended range for the table height is 27 to 33 inches.

4. Use the following Chart to determine the dimension from the floor to the bottom of the CycleTrac wall mount plate.
- Table Height dimension from floor to top of treatment table. (inches) 27 28 29 30 31 32 33

( T )

- Dimension from the floor to bottom of CycleT rac wall mount plate (inches) 31 31 31 32 33 34 35

( P )

Approximate resultant Traction Angle (degrees)

13.5 12 10 10 10 10 10

5. Place the bottom of the wall mount plate to the dimension specified above. Use the plate as a template to mark the four (4) mounting hole locations on the wall. This can be done by inserting the screws through the holes in the mounting plate to mark the drill hole location on the wall. 6. Drill the four (4) holes into the stud using one of the following drill sizes.

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• •

For wood studs use a 3/32 (.09375) inch drill diameter for the wood screw mount. Use the No. 10 x 2 ½ inch wood screws. For metal studs first drill a small hole through the metal stud at the 4 marked locations (approximately 1/8 inch drill diameter ). Then use a 5/8 (.625) inch drill diameter to open the smaller holes for the anchor mount. Use the No. 10 x 4 inch Toggle Bolts. the head of the screws and the plate.

7. When mounting the CycleTrac wall plate to the wall, place the four (4) washers supplied between
8. For metal stud installation, screw the toggles to the ends of the four No. 10 x 4 inch screws. Collapse all four (4) toggles and insert them into the four (4) mounting holes. 9. Tighten screws until the wall mount plate is firmly against the wall. 10. If the wall mount is less than 3 feet from your table the Eye Screw Set Up must be used. See Section H, Step No. 7 of the Table Mount Set Up to install the Eye Screw.

11. Next, place a towel between the CycleT rac Headrest Assembly and the Treatment Table.
This must be done to allow the Headrest Assembly to slide freely on the table.

12. Continue the setup by following Part 4 of Section B (Assembly and Set Up Instructions), of the
CycleTrac User’s Guide.

In-Office Wall Mount Set Up
Wall Mount Plate

P

T
Table to Wall 2 to 7 Feet

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Towel

Traction Angle

H. Table Mount Set Up Instructions:
Step No.1: Assemble the two legs to the V shaped tube. Step No. 4: Pull strap tight and attach the Velcro to the back side of the leg.

Step No.2: Wrap strap around tube and through the ring (soft side out).

Step No. 5: Repeat steps 1 through 4 at all positions shown below.

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Step No.3: Wrap strap around table leg and (soft side out) and back through the ring.

Step No. 6: Attach pull force assembly to the hook located between the CycleTrac logos.

Important Note: Be sure to place the headrest assembly on a towel as shown in Step No. 6.
Step No. 7: Drill a 3/32-inch diameter hole in the bottom of the table headboard. Center the drilled hole between the two table legs. Screw the eye screw into the hole. Feed the cord, attached to the blue pull force assembly, through the eye screw until the cord is taut or stretched tight. Tie a slipknot to keep the cord taunt and limit vertical movement of the blue pull force assembly as shown below. WALL MOUNT SET UP: This screw hook set up is also required for Wall Mounts that are less the 3 ft. from the table. It is not required for Wall Mounts great than 3 ft. from the table.

Taut Cord

Headboard

Eye Screw

Slipknot

Blue Pull Force Assembly

I. In-Office Traction Weight Set up Instructions
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Multiple Patient Case Study Traction Weight Set Up:
The starting weight for the patient’s first treatment was 15 lbs. for female patients and 17.5 lbs. for male patients. Typically it took 5 minutes before the patient could relax the upper body and feel the effectiveness of the pull. If after 5 minutes the patient did not feel any pull, then the traction weight was gradually increased by 2.5 pound increments until an effective traction pull was achieved. The following chart, based on the multiple patient case study, shows the effective traction pull weights used by these patients along with their respective body weights and stature. Male / Female Female Female Male Male Body Weight Pounds 90 lbs. 100 to 140 lbs. 140 to 160 lbs. 160 to 190 lbs. Stature Petite Normal Normal Normal Traction Weight Required 17.5 lbs. 20 to 22.5 lbs. 22.5 to 25 lbs. 25 to 27.5 lbs.

The above chart may be a useful reference for the health care provider. The traction weight for any patient MUST always be determined by the patient’s healthcare provider.

J. Synopsis of the Case Study Protocol:
• At least one traction session was performed immediately prior to the patient going to sleep. The patient was then able to sleep with reduced pain levels or pain-free, which helps the recovery process. By performing the traction before sleeping, the patient stayed in the supine or horizontal position throughout the night (approx. 8 hours). This allowed spinal separation to last much longer than daytime traction because immediately following such daytime traction, the patients tend to stand or walk in an upright, vertical position. In the vertical position, the force of gravity immediately begins to reverse the spinal separation achieved during traction therapy. • Daytime traction therapy was performed when the patient felt the pain returning. Depending on the severity of the disc injury, the patient performed traction 1 to 3 times per day. The number of times per day was dependent on the patient’s need to stay out of pain and the Health Care Provider’s recommendation. The starting weight was 15 to 17.5 pounds, or as otherwise set or instructed by the Health Care Provider.

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For all patients performing the CylceTrac therapy during the study, the weight was gradually increased to 22.5 –27.5 pounds. This increase in weight was approved by the Health Care Provider. The 22.5 – 27.5 pounds is supported by the Judovich study done in 1957. This study determined the amount of traction force required to overcome the resistant forces (eg, the weight of the head) by using radiographs. The study showed that in the supine position a range of 25 – 40 pounds of force was needed to create cervical vertebral separation. The author advises the clinician to use the force that is comfortable to the patient but in the therapeutic range. (Ref. Judovich, B., Nobel, G. Traction Therapy: A Study of Resistance Forces. Am J Surg 1957;84:446-456)

Each CycleTrac traction session lasted 20 minutes. An audiotape prompted the patient when to cycle the weight on and off. The patient was encouraged to relax their upper body for optimum treatment effectiveness and consistency in the CycleTrac therapy. The CycleTrac treatment protocol was performed for a minimum of 4 weeks. Depending on the severity of the injury, some patients continued daily treatment for an additional 2 to 8 weeks. Patients were able to gradually reduce the frequency of traction therapy sessions. The Health Care Provider subsequently moved the patients into an exercise rehab program.

IMPORTANT NOTE Some patients who used CycleTrac had dramatic improvement in a relatively short period of time ( 2 to 7 days ). Even though the pain symptoms were reduced, the patient was advised by the Health Care Provider that the disc would take more time to heal. Depending on the severity of the injury, the patient was advised against any lifting or working out with weights for 6 to 12 weeks or until the Health Care Provider gave approval. The patient also had to have approval from their Health Care Provider before beginning any muscle-strengthening program.

K. Warranty Information:
The original purchaser is entitled to a one-year warranty on workmanship and material defects in the product. The original purchaser is entitled to repair or replacement. This warranty begins on the date of purchase and is not transferable. The warranty will not apply if the product has been abused, misused, or neglected. This warranty does not cover customer instruction, installation or set up adjustments. The warranty is void if CycleTrac is not properly stored during transportation and home usage. This warranty is only valid in the United States. For warranty claims, the original purchaser must return the unit to the location of the original purchase where any warranty claim (repairs or returns) will be determined. For 21

any CycleTrac Unit purchased directly from PT Products, LLC, call 1-8774TRACTION for warranty information and return authorization. All postage, transportation, shipping, insurance, and delivery cost must be paid in advance.

Important Note: When packing a unit for return, the
pulley assemble must be wrapped repeatedly with a protective packaging material, i.e. plastic bubble wrap. This will protect the white headrest assembly from incurring damage during the shipping process. If there is damage to any of the CycleTrac components due to improper packaging the warranty is void.
REPAIR OR REPLACEMENT AS PROVIDED UNDER THIS WARRANTY IS THE EXCLUSIVE REMEDY OF THE PURCHASER. PT PRODUCTS, LLC SHALL NOT BE LIABLE FOR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES FOR BREACH OF ANY EXPRESS OR IMPLIED WARRANTY ON THIS PRODUCT. EXCEPT TO THE EXTENT PROHIBITED BY APPLICABLE LAW, ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE ON THIS PRODUCT IS LIMITED IN DURATION TO THE DURATION OF THIS WARRANTY.

Made in U.S.A.
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U.S. PATENT NUMBERS 5,957,876, 6,113,563 AND OTHERS PENDING

CycleTrac is a trademark of PT Products, LLC

Visit our Web Site at www.cycletrac.com

Revision Date: 012403

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