Home
Flashcards
Preview
208 traction quiz notes
Home
Get App
Take Quiz
Create
Effects of spinal traction
joint distraction
reduction of disc protrusion
soft tissue stretching
muscle relax
joint mobilization
what direction is traction performed to the plane of articulation?
perpendicular
may reduce _____ on articular surfaces, intraarticula structures, or spinal nerve roots
pressure
______s intervertebral foramina
widens
____% body weight for cervical
7
_____% of body weight for lumbar
30-60
soft tissue stretching may attribute to
spinal joint distraction
reduction of disc protrusion
increase in spinal ROM
muscle relaxation due to
reduced pressure on pain sensitive structures or gating by intermittent traction
manual techniques are more
localized
clinical indications for spinal traction
disc bulge/herniation
nerve root impingement
joint hypomobility
subacute joint inflamm
paraspinal muscle spasm
best applied to disc bulge/herniation...
soon after injury with protrusion of soft nuclear material
combined with techniques for reducing stressed on spine
used for nerve root impingement with
bulge
ligament encroachment
foraminal stenosis
ostephytes
nerve root swelling
spondylolishtesis depending on severity
increased trunk flexion localizes force to
lower thoracic
upper lumbar
neutral/extension localizes forces to
lower lumber
traction is non______, affecting multiple joints
specific
traction can _____ and ____ spinal facets to increase mobility
glide and distract
for subacute joint inflam
reduces pressure on inflammed joint surfaces
small movements may gate pain
help maintain normal fluid exchange in joints
static traction or low-load intermittent may interrupt ____ cycle for the paraspinals
pain-spasm-pain cycle
contras
if motion is contraindicated
acute injury/inflam
hypermob or instability
peripherialization
uncontrolled HTN
precautions
start with low force
structural/conditions affecting spine
if belt pressure could be hazardous (pregnant)
displaced annular fragment
medial disc protrusion
when severe pain fully resolves with traction
claustrophobia
disorientation
intolerant of prone or supine
cervical traction precautions
TMJ problems
dentures
adverse effects of traction
if excessive may increase symptoms
rebounding increase in pain
lumbar radicular discomfort after cervical traction
____ to ____ degrees of pull to separate cervical interverebral foramina and disc spaces or to target below C2
20 to 30
_____ to target suboccipital region of spine and AO segment
neutral
mechanical traction advantages
force/duration more objective
doesn't require clinician to be present
allows static or intermittent
mechanical traction disadvantages
expensive
time consuming set-up
lack of patient control/participation
generally uncomfortable
less specific targeting
what to document
type of traction
area of body
patient position
type of halter
max force
treatment duration
patient response
extra documentation considerations for intermittent traction
hold time
relax time
force during relax time
minimal amount of lumbar traction %
25% of body weight
acute phase duration
5-10min
non-acute duration
20-30
muscle spasm/HA static or intermittent?
static
facet impingement intermittent or static
intermittent
1:1 ration
spondylosis/DDD/stenosis intermittent or static
intermittent
NRI/NRC nerve root impinge/compression intermittent or static
either or
3:1 ratio
herniated disc intermittent or static
both
3:1 ratio
Author
amills1
ID
257974
Card Set
208 traction quiz notes
Description
208 traction quiz notes
Updated
2014-01-23T03:33:19Z
Show Answers
Home
Flashcards
Preview