October 30, 2017

(1) Application of a force to mildly and temporarily release pressure from a joint. This tractioning of a joint space is for the purpose of releasing entrapped soft tissues, such as the joint capsule or spinal nerve roots. This may be performed manually, by application of weight, or mechanically; (2) An orthopedic test wherein the examiner places his/her hands under the chin/jaw and gently pulls up. This maneuver may relieve pressure from the nerve roots and discs. If the patient feels relief of symptoms, the test is “positive”; or (3) The diversion of a patient’s attention from the primary activity being performed during physical examination.