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Theory & Practice I > Mechanical Traction/Compression Therapy > Flashcards

Mechanical Traction/Compression Therapy Flashcards

1
Q

Define traction

A
  • a mechanical force applied to the body in a way that separates the joint surfaces & elongates the surrounding soft tissues
  • longitudinal pull
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2
Q

Define distraction

A
  • is applied at a right angle to the opposing joint surface
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3
Q

How do you applied more traction to the lower cervical spine

A
  • increase neck flexion
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4
Q

Indications for mechanical traction

A
  • cervical herniated nucleus pulposus
  • radiculopathy
  • sprain/strain
  • zygapophyseal joint syndromes
  • myofascial pain symptoms in the neck
  • increase neck muscle spasm/guarding
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5
Q

Overall effects of mechanical traction

A
  • joint distraction
  • reduction of disc protrusion
  • soft tissue stretching
  • muscle relaxation
  • joint mobilization
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6
Q

Contraindications for cervical & lumbar mechanical traction

A
  • where motion is contraindicated
  • acute injury or inflammation
  • joint hyper mobility or instability
  • peripheralization of symptoms with traction
  • uncontrolled hypertension
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7
Q

What are the 3 contraindications for joint mobilizations

A
  • hypermobility
  • joint effusion
  • inflammation
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8
Q

How many mechanical traction treatments should it take to see improvements in symptoms

A
  • within 2-3 treatments
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9
Q

What is the optimal angle of pull for cervical traction

A
  • 20-30 degrees
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10
Q

Parameters for initial/acute phase traction

A

Force: 7-9 lbs
Hold/Relax times: static
Treatment time: 5-10 minutes

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11
Q

Parameters for joint distraction traction

A

Force: 20-30 lbs
Hold/Relax times: 15/15 sec
Treatment time: 20-30 minutes

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12
Q

How much force for traction do you start with initially

A
  • start at 8-10 lbs & increase to 7% of the patient’s body weight
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13
Q

Effects of external compression

A
  • improves venous & lymphatic circulation
  • limits the shape & size of tissue
  • increases tissue temperature
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14
Q

Causes of edema

A
  • imbalance between hydrostatic & osmotic pressure inside & outside the vessels
  • venous or lymphatic obstruction or insufficiency
  • increased capillary permeability
  • immobility
  • pregnancy
  • systemic diseases (DO NOT TREAT WITH COMPRESSION)
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15
Q

Multilayered compression is more effective than single layer (true/false)

A
  • True
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16
Q

Indications for compression

A
  • venous stasis ulcers
  • DVT prevention
  • residual limb shaping after amputation
  • control of hypertrophic scarring
17
Q

What compression parameters are recommended to reduce height of hypertrophic scarring

A
  • compression of 20-30 mmHg for 23 hours
18
Q

Contraindications for compression therapy

A
  • heart failure/pulmonary edema
  • recent or acute DVT
  • obstructed lymphatic or venous return
  • severe PAD
  • acute local skin infection
  • significant hypoproteinemia
  • acute trauma/fracture
  • arterial revascularization
19
Q

Precautions for compression therapy

A
  • impaired sensation or mentation
  • uncontrolled hypertension
  • cancer
  • stroke/significant cerebrovascular insufficiency
  • superficial peripheral nerves
20
Q

Describe short stretch bandages

A
  • develop high working pressure (30-90% stretch)
  • works well for walking around but not for laying in the bed
21
Q

Describe long stretch bandages

A
  • develop high resting pressure (100-200% stretch)
22
Q

Define working pressure

A
  • active pressure
  • tissue pushing against inelastic bandage
23
Q

Define resting pressure

A
  • passive pressure
  • elastic bandage is pushing on resting tissue
24
Q

Edema, DVT prevention, & venous stasis ulcer parameters for Intermittent Pneumatic Compression (IPC)

A

Inflation/Deflation time: 80-100 sec
Inflation pressure: 30-60 UE & 40-80 LE
Treatment time: 2-3 hours

25
Q

Residual limb reduction parameters for Intermittent Pneumatic Compression (IPC)

A

Inflation/Deflation time: 40-60 sec
Inflation pressure: 30-60 UE & 40-80 LE
Treatment time: 2-3 hours

Theory & Practice I (16 decks)

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