This device is used for loading and unloading to reestablish necessary motion in both the cervical and lumbar spine. Fat Traction is for patients with TMJ pain who cannot tolerate any pressure on the jaw or chin. The handle bar should be at shoulder height for the Standard Traction and at Chin height for the FAT Traction. Tall patients should tie a knot in the rope for proper positioning with the fabric doorstop (included) at home. Instructions for use and doorstop connection included.