Cox® Technic
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Flexion-Distraction Is Decompression

February 24, 2010 04:17 by juliecoxcid

Cox® Technic Flexion-Distraction and Decompression Adjusting is doctor-administered and doctor-controlled spinal manipulation.  Certified chiropractic physicians in Cox® Technic are trained to treat patients using defined protocols which stem from carefully observed and documented  outcomes.

In federally funded research studies (conducted between chiropractic and medical research centers:

  • National University of Health Sciences
  • Palmer College of Chiropractic Research Center
  • Loyola Stritch School of Medicine
  • Auburn University (grad student)
  • University of Iowa
  • University of Illinois
  • Hines VA Hospital
  • etc.),

 flexion-distraction (F/D) has been shown to

  • drop intradiscal pressures to as low as -39mmHg to -192mmHg, and
  • increase the foraminal area by 28%.

F/D is a chiropractor-administered adjustment, delivered to the specific spinal level required. This is necessary to deliver the spinal decompression and chiropractic adjustment to the specific segment involved and to relieve the hypomobility and altered segmental dysfunction of disc herniation and spinal stenosis condition.

Consider this paper on "decompression traction" and compare to F/D clinical outcomes:

source: Schimmel, JJP; de Kleuver, M; Horsting, PP; Spruit, M; Jacobs, WCH; van Limbeek, J. No effect of traction in patients with low back pain: a single centre, single blind, randomized controlled trial of Intervertebral Differential Dynamics Therapy. EUROPEAN SPINE JOURNAL 18 (12). DEC 2009. P.1843-1850

Intervertebral Differential Dynamics Therapy (IDD therapy) was compared to sham treatment. IDD Therapy consists of intermittent traction sessions in the Accu-SPINA device (Steadfast Corporation Ltd, Essex, UK), an FDA approved, class II medical device. The intervertebral disc and facet joints are unloaded through axial distraction, positioning and relaxation cycles. In a single blind, single centre, randomized controlled trial; 60 consecutive patients were assigned to either the SHAM or the IDD Therapy. All subjects received the standard conservative therapeutic care (graded activity) and 20 sessions in the Accu-SPINA device. The traction weight in the IDD Therapy was systematically increased until 50% of a person's body weight plus 4.45 kg (10 lb) was reached. The SHAM group received a non-therapeutic traction weight of 4.45 kg in all sessions. The main outcome was assessed using a 100-mm visual analogue scale (VAS) for LBP. Secondary outcomes were VAS scores for leg pain, Oswestry Disability Index (ODI), Short-Form 36 (SF-36). All parameters were measured before and 2, 6 and 14 weeks after start of the treatment. Fear of (re)injury due to movement or activities (Tampa Scale for Kinesiophobia), coping strategies (Utrecht Coping List) and use of pain medication were recorded before and at 14 weeks. A repeated measures analysis was performed.

The two groups were comparable at baseline in terms of demographic, clinical and psychological characteristics, indicating that the random allocation had succeeded. VAS low back pain improved significantly from 61 (+/- 25) to 32 (+/- 27) with the IDD protocol and 53 (+/- 26) to 36 (+/- 27) in the SHAM protocol. Moreover, leg pain, ODI and SF-36 scores improved significantly but in both groups. The use of pain medication decreased significantly, whereas scores for kinesiophobia and coping remained at the same non-pathological level. None of the parameters showed a difference between both protocols. Both treatment regimes had a significant beneficial effect on LBP, leg pain, functional status and quality of life after 14 weeks. The added axial, intermittent, mechanical traction of IDD Therapy to a standard graded activity program has been shown not to be effective.


For more information on chiropractic, hands-on F/D Outcomes, please click

compiled with information from Dr. James Cox

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