Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Modalities > Exam 3: Traction > Flashcards

Exam 3: Traction Flashcards

1
Q

What are the 5 effects of spinal traction

A

joint distraction reduction of disc protrusion soft tissue stretching muscle relaxation joint mobilization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which effect of spinal traction can be described as the separation of two articular surfaces perpendicular to the plane of articulation

A

Joint distraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Joint distraction (increases/reduces) joint compression and (widens/narrows) intervertebral foramina

A

reduces; widens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Joint distraction may reduce pressure on ______ surfaces, ______ structures or spinal nerve roots

A

articular; intraarticular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Joint distraction requires enough force. What percentage of body weight is needed for lumbar and cervical joints

A

lumbar joints: 50% BW cervical joints: 7% BW

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Reduction of disc protrusion, which is an effect of spinal traction, requires sufficient force for the lumbar and cervical spine. What are the ranges of weight needed for reduction of disc production for the lumbar and cervical spine

A

Lumbar spine: 60-120 lbs or 30% to 60% of BW Cervical spine: 15 to 30 lbs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Soft tissue stretching and muscle relaxation are ___ ____ effects of spinal traction

A

soft tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which type of effect of spinal traction may contribute to spinal joint distraction, reduction of disc protrusion, or increase in spinal ROM

A

soft tissue stretching

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Soft tissue stretching may contribute to what three other effects of spinal traction

A

spinal joint distraction, reduction of disc protrusion, or increase in spinal ROM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which type of effect of spinal traction is due to reduced pressure on pain sensitive structures or gaiting by intermittent traction

A

muscle relaxation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Muscle relaxation is due to reduced pressure on ____ sensitive structures or gaiting by _______ traction

A

pain; intermittent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which effect of spinal traction occurs by high force traction or repetitive intermittent traction

A

joint mobilization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Joint mobilization mobilizes (one/many) joint(s) at a time

A

many

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Manual joint mobilization techniques are more _____

A

localized

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

_____ joint mobilization techniques are more localized

A

manual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are 5 clinical indications for traction

A

spinal disc bulge or herniation spinal nerve root impingement joint hypomobility subacute joint inflammation muscle spasm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Lumbar traction may (increase/decrease) the size of the herniated disc material by (increasing/decreasing) compression of spinal nerve roots

A

decreases; decreases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Are there more positive outcomes of improving disc bulge or herniation in lumbar traction or cervical traction

A

cervical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Spinal traction can be used in patients with nerve root impingements. What are 6 conditions that impingement is associated with and can be treated with spinal traction

A

disc bulge ligament encroachment, foraminal stenosis, osteophyte, nerve root swelling, or spondylolisthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Spinal traction can be used to treat patients with nerve root impingement and is best applied ____ after onset of symptoms and in patients with worse symptoms with spinal loading and decreased symptoms with decreased loading

A

shortly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

How can traction help treat a patient with joint hypomobility

A

traction can glide and distract spinal facet joints to increase mobility that affects multiple joints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

How does spinal traction treat patients with subacute joint inflammation

A
  1. The force reduces pressure on inflamed joint surfaces 2. Small movements may gate pain and help maintain normal fluid exchange in the joints
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

True or False: Studies show that there is great significant clinical benefit between the severity of a disc protrusion and the use of spinal traction to treat it

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are three causes of spinal nerve root compression?

A

bulging disc, bone spur/disc degeneration, and spondylolisthesis

25
Q

In patients with hypomobility, increased flexion localizes force to upper and lower _____. While neutral/extension localizes force to _____ lumbar

A

thoracic; lower

26
Q

Traction can be used to reduce muscle spasms. Which type of traction is used to interrupt pain-spasm-pain cycle

A

static or low-load intermittent traction

27
Q

What are the two types of traction that are used to reduce muscle spasms

A

static/low load intermittent traction and higher load traction

28
Q

Traction can be used to reduce muscle spasms. Which type of traction is used to reduce the underlying cause of pain

A

higher load traction

29
Q

What are the 5 contraindications of traction

A
  1. When motion is contraindicated 2. Acute injury/inflammation 3. Joint hypermobility or instability 4. Peripheralization of symptoms with traction 5. Uncontrolled hypertension
30
Q

What does peripheralization of symptoms with traction mean?

A

It means if you are performing traction, and their symptoms anywhere increase

31
Q

True or False: If you are performing traction, and a patient’s severe pain fully resolves during the treatment, it means you have found where the problem is and have helped heal it

A

False, it means you probably were holding a nerve with enough pressure to cause a nerve block

32
Q

What are different effects traction has on a lateral bulge versus a medial bulge

A

Traction will provide relief with a lateral bulge, but will aggravate a medial bulge

33
Q

What is another name for a lateral bulging disc

A

a shoulder bulge

34
Q

What is another name for a medial bulging disc

A

an axillary bulge

35
Q

What are some precautions for cervical traction

A

TMJ problems and dentures

36
Q

True or False: If a clinician is performing cervical traction on a patient with dentures, the patient should remove the dentures before traction begins

A

False, they need to leave them in

37
Q

What are three adverse effects of performing traction

A
  1. Excessive force may increase symptoms 2. rebounding increase in pain 3. Lumbar radicular discomfort after cervical traction
38
Q

What are some advantages of mechanical spinal traction

A

force and time is readily controlled, does not require continuous supervision, static devices are inexpensive and convenient

39
Q

What are some disadvantages of mechanical spinal traction

A

time consuming set up, lack of patient participation, restriction by belt, mobilizes broad regions, expensive electrical devices

40
Q

Self and positional spinal traction use ____ ____ to exert distractive force on the spine

A

body weight

41
Q

Is self and positional spinal traction used for the lumbar or cervical spine

A

lumbar

42
Q

When is self and positional spinal traction good to use?

A

on the lumbar spine and when low forces are required

43
Q

Which type of traction should a patient with hypertension definitely not use

A

inversion traction

44
Q

What is being depicted in this picture?

A

The of spinal traction to reduce a disc protrusion

45
Q

This picture is showing three causes of………..?

A

Causes of spinal nerve root compression

46
Q

Which one of the three causes of spinal nerve root compression is this picture showing?

A

bulging disc

47
Q

Which one of the three causes of spinal nerve root compression is this picture showing?

A

Bone spurs and disc degeration

48
Q

Which one of the three causes of spinal nerve root compression is this picture showing?

A

Spondylolisthesis

49
Q

Describe what is being depicted in this picture

A

In figure A, a lateral bulge is present but is relieved when traction is provided–seen in figure B.

Figure C shows a medial bulge that is aggravated even more when traction is performed

50
Q

What is this a picture of?

A

A mechanical lumbar traction machine

51
Q

What is this a picture of?

A

A mechanical lumbar traction machine

52
Q

What is this a picture of?

A

Lumbar traction belts/harness

53
Q

What is this a picture of?

A

mechanical cervical traction machine

54
Q

What is this a picture of?

A

Hip traction with resistance band

55
Q

What is this a picture of?

A

Hip traction with a hiptrac machine

56
Q

What is this picture showing?

A

A patient using self and poisitonal spinal traction to relieve pain

57
Q

What is this a picture of?

A

Manual traction for lumbar spine

58
Q

What is this a picture of?

A

Manual traction to the cervical spine

Modalities (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions