Other Modalities

Question 1

Effleurage

Answer 1

light stroke For mechanical and relfex indicated for

Relaxation and blood flow

Question 2

Friction

Answer 2

Fro inflammation or overuse injuries

Deep circular motion

to break up spasms, or adhesions

could be transverse friction which is side to side

Question 3

Petrissage

Answer 3

squeezing and rolling muscle under therapist hands

for adhesions and circulation

Question 4

Tapotoment

Answer 4

Rapid hitting movements like cupping, tapping etc.

to stimulate nerve endings or circulation

Question 5

Vibration

Answer 5

for relaxation

Question 6

Lumbar traction

Answer 6

Supine or prone (Usually supine unless other modalities needed)

Flexed position better for posterior structures (facet, intervertebral STENOSIS

Extension position better for anterior structures (including disc spaces) DISC HERNIATION

Static traction if sx are exaggerated by movement

Intermittent for pt that cant tolerate

Use split traction table

NO MORE THAN 30 lb in first section

25% bodyweight for soft structures

50 % of bw for full separation

Question 7

Cervical tractioin

Answer 7

Supine usually (takes gravity out), sometimes sitting

Anterior flex for post structures (facet and intervertebral)

ext for ant structures (disc)

upper cervical, 0-5 degrees flexion

mid:10-20 degrees

lower: 25-35 degrees

No more than 10 lbs in initial session

7-10 lbs for soft tissue
13-20 for real distraction
Notice less than lumbar

Question 8

How long for traction

Answer 8

10-30 min

Usually 10 min or less though*

Question 9

After 3 visits

Answer 9

Reassess for traction