Exam 1 Practical

Question 1

What are the cervical parameters for the localizations of traction?

Answer 1

0-5* C1-C2
10-20* C2-C5
25-30* C5-C7

Question 2

What are the Lumbar parameters for the localizations of traction?

Answer 2

75-90* L2-L4
60-75* L4-L5
45-60* L5-S1

Question 3

What are the initial and max settings used for cervical traction; disc protrusion?

Answer 3

Initial: 5lbs / 5-10min (static)
Max: 11-15lbs / 20-30min (Intermittent: 60/20)

Question 4

What are the initial and max settings used for cervical traction; facet distraction/stenosis?

Answer 4

Initial: 3.5% BW / 5-10min (static)
Max: 7% BW (20-30lbs Max) / 20-30min (Intermittent: 15/15)

Question 5

What are the initial and max settings used for lumbar traction; muscle spasm?

Answer 5

Initial: 12% BW / 5-10min (static)
Max: 25% BW / 20-30min (Intermittent: 5/5)

Question 6

What are the initial and max settings used for lumbar traction; disc protrusion?

Answer 6

Initial: 25% BW / 5-10min (static)
Max: 50% BW / 20-30min (Intermittent: 60/20)

Question 7

What are the initial and max settings used for lumbar traction; facet distraction/stenosis?

Answer 7

Initial: 25% BW / 5-10min (static)
Max: 50-60% BW / 20-30min (Intermittent: 15/15)

Question 8

What are the initial and max settings used for cervical traction; muscle spasms?

Answer 8

Initial: 5lbs / 5-10min (static)
Max: 11-15lbs / 20-30min (Intermittent: 5/5)

Question 12

What are the CONTRAINDICATIONS for the use of TRACTION

Answer 12

• Where motion is contraindicated
• Acute injury or inflammation
• Joint hypermobility or instability
• Peripheralization of symptoms with traction
• Uncontrolled hypertension

Question 12

What questions should you ask for the contraindication of “Acute Injury or Inflammation”?
What should we check for?

Answer 12

• When did your injury occur?
• When did your pain start?

• Palpate and inspect the area to detect signs of inflammation, including heat, redness, and swelling. (72 hours)

Question 13

What are the PRECAUTIONS/contraindications for the use of TRACTION?

Answer 13

• Structural diseases or conditions affecting the spine (e.g., tumor, infection, rheumatoid arthritis, osteoporosis, prolonged systemic steroid use)
• When pressure of the belts may be hazardous (e.g., with pregnancy, hiatal hernia, vascular compromise, osteoporosis)
• Displaced annular fragment (need MRI or contra)
• Medial disc protrusion (can further impinge nerve or contra)
• When severe pain fully resolves with traction (nerve block
• Claustrophobia or other psychological aversion to traction
• Inability to tolerate the prone or supine position (switch to positional)
• Disorientation (may move a lot, switch to positional)

Question 14

What is an example to why it’s a contraindication for a “Hypermobile or Unstable Joint”?

Answer 14

▪️May further increase the mobility of the area.

Question 14

What are the INDICATIONS for Traction?

Answer 14

▪️Disc Prolapse or Herniated Nucleus Pulposus
▪️Nerve Root Impingement 
▪️Joint Hypomobility
▪️Subacute/Chronic Joint Inflammation 
▪️Paraspinal Muscle Spasm

Question 14

What are the limitations of Traction?

Answer 14

▪️Not specific to level (effects whole region)
▪️Effects are temporary (must teach pt other interventions)
▪️No consistent protocols exist

Question 15

What should always be the 3rd treatment Hold/Release time for all dx for traction?

Answer 15

60/20

Question 16

How many steps for mechanical cervical?

Answer 16

2

Question 17

How many steps are used for Lumbar mechanical traction?

Answer 17

3 steps

Question 18

What should be asked when during cervical traction?

Answer 18

Do you have pain in the jaw joint?