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Modalities > Mechanical Traction & Tilt Table > Flashcards

Mechanical Traction & Tilt Table Flashcards

Learn stuff for traction and tilt table

1
Q

traction on a patient with severe disc herniation including displaced disc?

A

no, contraindicated

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2
Q

what is STENOSIS?

A

spinal cord compression

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3
Q

What is the strenght of the evidence for lumbar and cervical traction?

A

moderate for both;

A number of studies do argue that there is no beneficial effect

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4
Q

traction on a patient with OSTEOPOROSIS?

A

no, contraindicated

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5
Q

true or false: There is no evidence that exist to show that one mode of traction is more effective than the other. Unfortunately, trial and error wins here.

A

true

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6
Q

cervical traction in patients with TMJ problems?

A

no, contrainidicated

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7
Q

traction in patients with spinal cord compression (stenosis)?

A

no, contrainidicated

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8
Q

What are the potential indications for spinal traction?

A
  1. Spine degenerative joint disease (osteoarthritis)
  2. Radiculopathy secondary to:
  • HNP
  • Narrowing of inter-vertebral foramen
  • Osteophyte encroachment  
  • Ligament encroachment
  • Spondylolisthesis (anterior displacement of one vertebrae on another.
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9
Q

Tilt table treatment duration:

A

10-20 min; varies with patient’s condition and tolerance.

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10
Q

traction in patients when peripheralization or pain increases

A

no, contrainidicated

traction force may cause sudden and unexpected exacerbation of cervical or lumbar pain (Laban et al., 1992, 2005). If present, stop treatment and reassess the need for traction therapy.

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11
Q

Spinal traction In patients suffering from spondylolysis and spondylolisthesis?

A

Precaution with acute spinal conditions

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12
Q

traction on patients with abdominal/hiatal hernia?

A

no, contrainidicated

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13
Q

Tilt Table Procedures:

A
  • Assess vitals (BP & HR) before & during treatment at each elevation change.
  • Gradually elevate to upright position starting at baseline tolerance level then gradually increase with goal of 70-80 degrees.
  • Do NOT put patient at 90° since they will feel like they are too far forward.
  • Treatment duration between 10-20 min; varies with patient’s condition and tolerance.
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14
Q

traction on a patient with spinal disease, infection, inflammation, and tumor?

A

no, contraindicated.

induces further damage

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15
Q

What is the pt positioning for lumbar traction?

A
  1. Supine: with hips flexed at 90 degrees.
  2. Prone is used when lying supine or excessive flexion of lumbar-spine causes pain or further peripherilization of symptoms.
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16
Q

traction on a patient with rheumatoid arthritis

A

no, contraindicated

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17
Q

traction in patients with respiratory & hypertensive disorders

A

precation

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18
Q

True or false: Spinal traction decreases pain and enhances spinal mobility.

A

True.

Results from reduced nerve root compression, release of adhesions around the vertebral joints & decrease in muscle spasm.

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19
Q

What are the Proposed Physiological Effects of spinal traction?

A
  • Spinal enlongation
  • Widens inter-vertebral foramen
  • Stretches ligaments, muscles, facet joints
  • Decreases pain*
  • Enhances Spinal mobility*

*Results from reduced nerve root compression, release of adhesions around the vertebral joints & decrease in muscle spasm.

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20
Q

A mechanical table that is able to provide gradual angles across the horizontal to vertical axis for the therapeutic progression of patient tolerance from supine to upright/standing.

A

Tilt Table

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21
Q

Positioning for cervical traction:

A
  • Hooklying: neck at 0-30 degress of flexion
  • Sitting, greater force is needed
  • Some Research shows that neutral positioning yields greater percentages of intervertebral/ facet joint separation versus traction at 15-30 °
22
Q

traction in patients with History of spine surgery

A

precaution

23
Q

traction on patients with aortic aneurysm

A

no, contrainidicated

24
Q

traction on a vertebral fracture?

A

no, contraindicated

25
Q

mechanical spinal traction plays an important role by providing passive spinal elongation, the key purpose of which is to

A

increase intervertebral spaces.

26
Q

Signs of tilt table intolerance:

A
  • Excessive increase/decrease in BP or HR
  • Changes in consciousness
  • Excessive perspiration
  • Facial pallor
  • Edema formation in LE’s (use compressive bandaging prior to tilt table treatment)
  • Decrease or loss of pedal pulses
  • Complaint of nausea, numbness/tingling in LE’s
  • Dizziness
27
Q

Tilt Table Treatment Documentation:

A
  • Blood pressure at rest, at each angle change, &after treatment
  • Document each increase in angle of table
  • Duration of each angle increase
  • Any adjunct activities that patient was able to perform (ie. head control exercises, UE/LE ROM exercises etc.) during treatment session
  • Patient’s response to treatment (Was patient was able to tolerate treatment without symptoms?)
28
Q

Suggested progression for spinal traction

A

as needed pending patient response:

  • Cervical: Increase force by 3-5 lbs per treatment session
  • Lumbar: Can increase by 5-15 lbs each treatment session

*Do not exceed max limits

29
Q

Indications for tilt table

A
  • Orthostatic hypotension
  • Neurogenic syncope
  • Decreased orientation & arousal
  • Spasticity
  • Muscle Contractures
  • Chronic critical illness

After prolonged bed rest

30
Q

traction on patients with uncontrolled HTN

A

precaution, inverse traction only

31
Q

spinal traction in patienta with Internal jugular vein thrombosis

A

Precaution, but should be a contrainidication

32
Q

traction on patients unable to tolerate prone/supine position

A

precaution

33
Q

Weight of hip & pelvis:

A

About 30% of body weight

34
Q

What is spinal traction used for?

A

to treat cervical & low back pain disorders.

Premise: Elongates spine & increases inter-vertebral
spaces.

35
Q

traction in patients with spinal instability/hypermobility?

A

no, contraindicated

36
Q

traction on a patient with Vertebral artery & TMJ dysfunction

A

no, contrainidicated.

may aggravate the condition if an occipitomandibular halter is used. Use only an occipital halter.

37
Q

Angle of pull with traction:

A
  • Symmetric central traction force: force directly in line with patient’s long axis of spine
  • Off axial traction force: Offsets the axis of traction pull to provide lateral flexion
38
Q

Static traction Indicated for:

A
  • Disc protrusion/ herniation.
  • If symptoms are easily aggravated by motion.
  • Sub-acute inflammation
39
Q

what is the premise of traction?

A

Elongates spine & increases inter-vertebral spaces.

40
Q

Force Needed for Cervical Traction Treatment:

A

Weight of head: 8.3% body weight

41
Q

Contraindications/Precautions for tilt table:

A
  • Acute spinal injury
  • Sepsis without fluid resuscitation
  • Bilateral LE fractures Unstable blood pressure
  • More than one ventricular ectopic beat in every five beats
42
Q

Traction Force needed for lumbar traction treatment?:

A

30-60% of Body Weight.

43
Q

traction on Patients with dentures

A

precaution (use occipital halter only)

44
Q

lumbar traction in pregnant women?

A

no, contrainidicated

45
Q

duration and frequency of lumbar traction:

A

10-30 minutes daily or every other day pending patient’s response and therapeutic progress

46
Q

traction in patients with Down syndrome?

A

no, contrainidicated

47
Q

who promoted spinal traction?

A

promoted by Cyriax in 1950s

48
Q

Maximun angle in the tilt table:

A

70-80 degress

49
Q

traction on Patients with breathing problems (lumbar traction)

A

precation

50
Q

Spine degenerative joint disease
AKA:

A

Osteoarthritis

Modalities (14 decks)

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