The Kdt “bolster-less” leg support feature

Before traction can be transmitted to the spine, pelvic anterior rotation (and lordosis) must be reduced. The lumbar lordosis follows from the reduction of the anterior rotation of the pelvis.

On the Kdt Neural-flex we incorporated the leg and hip support (creating semi-fowler positioning) into the “bolster-less” leg feature. This eliminates the need for a separate tilting-piece and the clumsy and cumbersome knee bolsters…which offer zero variability.

The table-section however allows a near infinite degree of elevation and tilt. Some patients and conditions require greater elevation others less. The extent of leg/hip elevation is most typically based on patient comfort and convention i.e. approximately 30° for most. As to objective indicators there aren’t any absolutes. We recommend the table remain fully “down” for most supine treatments, but elevation will change the angle of incidence (as will the leg support section) so “playing” with both can help locate an optimum pull vector. In 1997 the DRS introduced the concept of “targeting” discs…L5 was 10°, L2/3 30° etc. Though not technically possible, IF a less than optimum response is seen with the typical 30° pull, table height and leg-elevation changes can often cater the pull more to the individual and potentially improve the outcome. However knowing the perfect angle prior to the treatment is doubtful.