208 traction quiz notes

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amills1
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257974
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208 traction quiz notes
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2014-01-22 22:33:19
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208 traction quiz notes
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208 traction quiz notes
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  1. Effects of spinal traction
    • joint distraction
    • reduction of disc protrusion
    • soft tissue stretching
    • muscle relax
    • joint mobilization
  2. what direction is traction performed to the plane of articulation?
    perpendicular
  3. may reduce _____ on articular surfaces, intraarticula structures, or spinal nerve roots
    pressure
  4. ______s intervertebral foramina
    widens
  5. ____% body weight for cervical
    7
  6. _____% of body weight for lumbar
    30-60
  7. soft tissue stretching may attribute to
    • spinal joint distraction
    • reduction of disc protrusion
    • increase in spinal ROM
  8. muscle relaxation due to
    reduced pressure on pain sensitive structures or gating by intermittent traction
  9. manual techniques are more
    localized
  10. clinical indications for spinal traction
    • disc bulge/herniation
    • nerve root impingement
    • joint hypomobility
    • subacute joint inflamm
    • paraspinal muscle spasm
  11. best applied to disc bulge/herniation...
    • soon after injury with protrusion of soft nuclear material
    • combined with techniques for reducing stressed on spine
  12. used for nerve root impingement with
    • bulge
    • ligament encroachment
    • foraminal stenosis
    • ostephytes
    • nerve root swelling
    • spondylolishtesis depending on severity
  13. increased trunk flexion localizes force to
    • lower thoracic
    • upper lumbar
  14. neutral/extension localizes forces to
    lower lumber
  15. traction is non______, affecting multiple joints
    specific
  16. traction can _____ and ____ spinal facets to increase mobility
    glide and distract
  17. for subacute joint inflam
    • reduces pressure on inflammed joint surfaces
    • small movements may gate pain
    • help maintain normal fluid exchange in joints
  18. static traction or low-load intermittent may interrupt ____ cycle for the paraspinals
    pain-spasm-pain cycle
  19. contras
    • if motion is contraindicated
    • acute injury/inflam
    • hypermob or instability
    • peripherialization
    • uncontrolled HTN
  20. 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
  21. cervical traction precautions
    • TMJ problems
    • dentures
  22. adverse effects of traction
    • if excessive may increase symptoms
    • rebounding increase in pain
    • lumbar radicular discomfort after cervical traction
  23. ____ to ____ degrees of pull to separate cervical interverebral foramina and disc spaces or to target below C2
    20 to 30
  24. _____ to target suboccipital region of spine and AO segment
    neutral
  25. mechanical traction advantages
    • force/duration more objective
    • doesn't require clinician to be present
    • allows static or intermittent
  26. mechanical traction disadvantages
    • expensive
    • time consuming set-up
    • lack of patient control/participation
    • generally uncomfortable
    • less specific targeting
  27. what to document
    • type of traction
    • area of body
    • patient position
    • type of halter
    • max force
    • treatment duration
    • patient response
  28. extra documentation considerations for intermittent traction
    • hold time
    • relax time
    • force during relax time
  29. minimal amount of lumbar traction %
    25% of body weight
  30. acute phase duration
    5-10min
  31. non-acute duration
    20-30
  32. muscle spasm/HA static or intermittent?
    static
  33. facet impingement intermittent or static
    • intermittent
    • 1:1 ration
  34. spondylosis/DDD/stenosis intermittent or static
    intermittent
  35. NRI/NRC nerve root impinge/compression intermittent or static
    • either or
    • 3:1 ratio
  36. herniated disc intermittent or static
    • both
    • 3:1 ratio

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