Non-Systems_Traction

  1. Indications for spinal traction - 8
    • Jt stiffness - Hypomobility
    • Meniscoid blocking mm spasm
    • Degenerative disc
    • Disc protrusion - Herniated nucleus pulposus
    • Discogenic pain
    • Nerve root impingement
    • Subacute or chronic joint pain
    • Osteophyte formation
  2. Precautions for spinal traction - 9
    • Hietal hernia
    • Vascular compromise (e.g.,vertebral artery syndrome)
    • Pregnancy
    • Spinal tumors & infections
    • RA
    • Osteoporosis
    • TMJ w/use of halter
    • Impaired cognitive function
    • Very young and very old patients
  3. Contraindications for spinal traction - 9
    • Acute sprains/strains & inflammation
    • Spondylolisthesis
    • Fx
    • Postop spinal surgery
    • Jt instability or hypermobility
    • Spinal cord compression
    • INC peripheralization of pain/numbness/tingling
    • DEC myotomal strength
    • DEC reflex response
  4. Traction - Tx time - acute & disc protrusion; other conditions
    • Acute & disc protrusion - 5-10 min
    • Other conditions - 10-30 min
  5. Lumbar Traction - position for spinal stenosis
    • Supine
    • Hip/knee 90 flex
  6. Lumbar traction - spine position for posterior herniated disc
    Prone without pillow
  7. Lumbar traction - tx weight - for joint distraction - initial; after; not to exceed what?
    • Initial - 30-40 lbs
    • After - 50% body weight
    • Not to exceed - 50% body weight
  8. Traction - tx weight - for reduction of disc protrusion - cervical vs lumbar
    • Cervical - 12-15 lbs
    • Lumbar - 60-120 lbs or up to 50% body weight
  9. Lumbar traction - tx weight - soft tissue stretching; mm relaxation; disc; jt distraction
    • Soft tissue - 25% of body weight
    • MM relaxation - 25% body weight
    • Disc - 50% body weight
    • Jt distraction - 50 lbs or 50% body weight
  10. Lumbar traction - position for L3-L4 & L5-S1
    • L4-L5 - 75-90 hip flex
    • L5-S1 - 45-60 hip flex
  11. Cervical traction - position to INC intervertebral space for C1-C4; C5-C7
    • C1-C4 - 0=5 flex
    • C5-C7 - 20-30 flex
  12. Cervical traction - position for disc
    0 deg
  13. Cervical Traction - neck position w/cervical halter for disc dysfunction
    Neutral spine (approximately 20 deg of flexion)
  14. Cervical traction - jt distraction - initial; after; not to exceed what?
    • Initial - 8-10 lbs 
    • After - 20-30 lbs
    • Not to exceed - 7% body weight
  15. Cervical traction - tx weight - soft tissue stretching; mm relaxation; reduction of disc protrusion
    ALL - 12-15 lbs or 7-10% body weight
  16. Static traction - recommended for what? - 2
    • Disc protrusions
    • When symptoms are aggravated by motion
  17. Intermittent traction - recommended for what? - 3 w/what ratios
    • Disc protrusion - 3:1
    • Joint distraction - 3:1
    • Jt mobilization - 1:1
Author
Tanuisha
ID
327050
Card Set
Non-Systems_Traction
Description
Non-Systems_Traction
Updated