quiz #1 – spinal traction

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quiz #1 – spinal traction
2011-02-26 21:50:33

spinal traction
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  1. what is spinal traction
    use of distractive force to separate joint surfaces and stretch soft tissue
  2. what are the effects of spinal traction
    • separation of vertebral bodies
    • widen intervertebral foramen
    • glide and distract facet joints
    • stretch spinal musculature and connective tissue
    • straighten spinal curves
  3. what is the most common use of spinal traction
    reduce nerve root impingement
  4. what are the clinical indications for traction
    • relief pressure from herniated disc
    • correct vertebral malalignment
    • improve spinal mobility
    • relief spinal muscle spasm
    • immobilize patient
  5. name the five different types of traction
    • manual
    • positional distractions (opens vertebral foramen)
    • passive traction (gravity does the pulling)
    • gravity assisted traction
    • motorized traction
  6. what kind of traction is this
    manual cervical traction
  7. what are the two requirements for manual traction
    • requires strength
    • accurate position
  8. how long should you pull when performing manual traction
    pull < 2 minutes, repeated
  9. how long should positional traction last
    approximately 15 min.
  10. true or false – positional distraction is mainly a home treatment
  11. when doing positional distraction how do you open up the intervertebral foramen
    • sidelined over bolster
    • knees and hips flexed
    • shoulders rotated back on the table
  12. Who is a candidate for positional distraction?
    someone with a lumbar herniated disc (symptoms on 1 side)
  13. what kind of traction is this
    passive traction

    not always well tolerated by patients
  14. What is another purpose of passive traction to an individual that is bed bound?
    kind of remind them not to get up out of bed, and helps keep them immobilized if having acute neck and back pain
  15. How much weight is technically supposed to be used for passive traction and how much is recommended?
    • 1/2 body weight needed for actual distraction but don't do this much
    • approximately 10 pounds is used to pull head away from shoulder (*neck should be neutral or flexed to 25)
  16. what kind of traction is this
    continuous in bed traction

    weight is water – about 40 to 60% of body weight
  17. what kind of traction is this
    continuous in bed traction for the neck

    About 10 pounds to counter balance the weight of the head
  18. what kind traction is this
    home lumbar traction
  19. what kind of traction is this
    home cervical traction
  20. on the home cervical traction unit, how many degrees of flexion should there be in the neck
    approximately 25°
  21. what kind of traction is this

    What is wrong with this position?
    over the door cervical traction

    this position promotes more extension then flexion
  22. what are some precautions of over the door cervical flexion
    • pressure chin
    • TMJ problems
    • dentures
    • chewing gum
  23. how much weight should be used in over the door cervical traction
    10 – 20 pounds
  24. how long should over the door cervical traction last
    10 to 15 min.
  25. what kind of traction is this
    • gravity assisted traction
    • inversion table
  26. what are some of the basic principles of gravity assisted traction
    • force is gravity and body weight
    • separates vertebral bodies and widens inter-vertebral foramen
    • home treatment
  27. Who is not recommended for gravity assisted traction?
    someone with high BP
  28. what kind of traction is this
    motorized traction
  29. what are some of the basic characteristics of motorized traction
    • power source
    • strong forces, finer control
    • equipment – belts, motor, table/platform
  30. how long does motorized traction last
    5– 30 min.
  31. what is the main difference between the two pictures
    in the second picture there is no pressure being placed on the TMJ
  32. what are the contraindications of traction
    • osteoporosis– spinal (elderly, esp. females)
    • acute injury – spinal
    • cancer – spinal – fairly common
    • infection – spinal (can aggrevate infections)
    • rheumatoid arthritis – joints become loose and they could get messed up
    • recent fracture
    • hernia, hemorrhoids, hypertension, aortic aneurysm
    • pain gets worse- STOP TRACTION IMMEDIATELY