208 traction quiz notes

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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

257974

Card Set

208 traction quiz notes

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208 traction quiz notes

Updated

2014-01-23T03:33:19Z

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