Dry needling

Question 1

Dry needling theory chemical? (2)

Answer 1

ACH levels restored
decreased inflammatory chemicals

Question 2

Dry needling theory electrical?

Answer 2

decreased spontaneous electrical activity

Question 3

dry needling theory mechanical? (3)

Answer 3

local twitch response
ROM increased
source of irritation is removed

Question 4

Absolute Contraindications for dry needling (4)

Answer 4

Needle phobia
Unwilling/fear
Unable to give consent
Lack of sensation

Question 5

Relative Contraindications for dry needling (9)

Answer 5

Abnormal bleeding/anticoagulants
Compromised immune system
Vascular disease
Diabetes (poor healing)
Pregnancy
Frail
Lymphedema
anatomic variations- (scoliosis)
Implanted device

Question 6

uses for Spinal traction (5)

Answer 6

Joint stiffness (hypomobility)
Muscle spasm
Disc protrusion
Joint pain
Nerve root impingementent

Question 7

contraindications for spinal traction (8)

Answer 7

Acute strains, sprains, and inflammation
Spondylolisthesis
Fractures
Increased peripheralization with traction
Increased nerve root symptoms with traction
Joint hypermobility or instability
Pregnancy (lumbar traction)
surgical stabilization or decompression, spine implants

Question 8

contraindications for traction (3)

Answer 8

Hiatal hernia
Impaired cognition
Any disease or condition that can compromise the structure of the spine (RA, prolonged steroid use, tumor, osteoporosis

Question 9

Joint distraction at lumbar

Answer 9

50% of patient’s body weight

Question 10

join distraction at cervical

Answer 10

7% of body weight
20-30 lbs in separation

Question 11

Disc protrusion lumbar

Answer 11

60-120 lbs or up to 50% patients body weight

Question 12

disc protrusion cervical

Answer 12

12-15 lbs

Question 13

Soft-tissue stretching lumbar

Answer 13

25% of BW

Question 14

soft-tissue stretching for cervical

Answer 14

12-15 lbs

Question 15

muscle relaxation lumbar

Answer 15

25% of BW

Question 16

muscle relaxation cervical

Answer 16

12-15 lbs

Question 17

disc protrusion cervical dosage

Answer 17

12-15 lbs
5-10 min
Intermittent 3:1 hold/rest ratio
or static traction

Question 18

cervical distraction dosage

Answer 18

20-30 lbs
15-30 min
1:1 hold/rest ratio

Question 19

what to look for after post traction

Answer 19

rebound effect- wait 5 min after treatment

Question 20

lumbar dosage for disc herniation

Answer 20

25% of BW
5-10 min

Question 21

lumbar dosage for joint distraction

Answer 21

50% of BW
10-30 min

Question 22

Lumbar traction produce postive results in?

Answer 22

nerve root compression symtoms