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PT Passive Care > Manual Therapies and Traction > Flashcards

Manual Therapies and Traction Flashcards

1
Q

What are some indications for massage?

A

superficial adhesions, circulatory stasis, congestions, edema, myalgia, tension headaches

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2
Q

What are some contraindications for massage?

A

arteriosclerosis, thrombosis/embolism, severe varicosities, cellulitis, synovitis, abscesses and skin infections, acute inflammatory conditions

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3
Q

Effleurage is performed ________ the orientation of the fibers of the targeted muscle tissue

A

in parallel with

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4
Q

Effleurage is applied with

A

palm of hand or flats of fingers

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5
Q

Long stroking motions is associated with what type of massage

A

eflleurage

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6
Q

Kneading the muscle with one or both hands is associated with what type of massage

A

petrissage

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7
Q

Tapotement is?

A

series of rapid blows (massage)

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8
Q

Manual vibration is performed _________ the orientation of the targeted muscle fibers

A

perpendicular

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9
Q

What are some types of mechanical vibratory devices

A

G5, Genie Rub, Thumber

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10
Q

What frequency mechanical vibration should be used to relax spasticity or decrease trigger points?

A

high

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11
Q

What frequency mechanical vibration should be used to decrease congestion, edema, or stasis?

A

low

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12
Q

What are the treatment times for vibratory massage for trigger points?

A

6-8 minutes (1 minute per point)

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13
Q

What is the treatment time for vibratory massage for muscle relaxation?

A

up to 10 minutes

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14
Q

What is the treatment time for vibratory massage for postural drainage

A

up to 15 minutes

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15
Q

What is the treatment time for vibratory massage for general body relaxation

A

5 minutes

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16
Q

What name is associated with cross-friction massage

A

James Cyriax

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17
Q

Cross-friction massage is used over

A

ligaments, tendons, muscles

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18
Q

What is cross-friction massage used to do

A

loosen scar tissue and adhesions, aid in absorption of local edema, mobilize ligaments, tendons, scars, restore mobility

19
Q

What are some examples of positional traction?

A

knee to chest, side lying on a roll to open an IVF

20
Q

What are the theoretical physiologic effects of traction?

A

encourages spinal mobility, enhances intersegmental mobility, change in overall spine length, change in intervertebral space, decrease pain, parasthesia, decrease pressure on structures

21
Q

What are the physiologic effects of traction on ligaments?

A

activation of proprioceptors to decrease pain, restoration of normal length

22
Q

What are the physiologic effects of traction on discs?

A

decreased discal pressure, imbibition of disc for proper nutrition, unstable reduction of herniation

23
Q

What are the physiologic effects of traction on facet joints?

A

increases separation, decompression, proprioceptive discharge may decrease pain

24
Q

What are the physiologic effects of traction on musculature?

A

stretching, improve blood flow, activation of proprioceptors

25
Q

What are the physiologic effects of traction on nerves?

A

decrease compression, improved blood supply to nerve tissue, decrease of inflammatory products

26
Q

What is more tolerable to the patient- intermittent or sustained traction?

A

intermittent, tolerable both at higher forces and for longer duration

27
Q

Which allows more decompression of disc- intermittent or sustained traction?

A

sustained

28
Q

Which has shorter treatment times- intermittent or sustained traction?

A

intermittent

29
Q

What is the traction phase for short phase intermittent traction?

A

less than 10 seconds

30
Q

What is the traction phase for long phase intermittent traction?

A

more than 10 seconds

31
Q

What are the indications for spinal traction?

A

disc protrusion, disc herniation/prolapse, nerve root impingement, spondylolisthesis, joint hypomobility, arthritis conditions of facet joints, mechanically produced muscle spasm, joint pain, scoliosis

32
Q

What are some contraindications for spinal traction?

A

fractures, joint instability or hypermobility, tumors, osteoporosis and osteomalacia, bone and joint infections, osteo and rheumatoid arthritis, vertebral artery occlucion, pregnancy (cervical is ok), hiatal hernia and abdominal hernia, displaced disc fragment and cord compression

33
Q

What are some precautions for spinal traction?

A

acute spinal conditions, hypertension and respiratory disease, spinal surgery, dentures (cervical pulley only), breathing problems (lumbar only)

34
Q

What is the patient position for mechanical lumbar traction?

A

2 harness, pelvic and thoracic, patient with hips/knees flexed

35
Q

How much force is used with mechanical lumbar traction?

A

30-60% of body weight

36
Q

What is the treatment time for mechanical lumbar traction?

A

10-30 min

37
Q

What is a Saunders device?

A

harness for mechanical cervical traction

38
Q

What should the head/neck angle be for cervical traction?

A

neutral to 30 degrees flexion

39
Q

How much force is used with cervical traction?

A

20-30% of body weight

40
Q

How much weight should you begin with for cervical traction?

A

15-25 pounds

41
Q

What is the max tolerance for cervical traction?

A

usually 40-50 pounds

42
Q

Is inversion recommended?

A

no

43
Q

What are the contraindications and precautions for inversion?

A

heart disease, hypertension, glaucoma, sinus infections and asthma, migraines, detached retina

PT Passive Care (8 decks)

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