Spinal Traction

Question 0

Elongation of posterior or anterior muscles?

Increased ________ dimensions of the I.F. (Intervertebral foramina)

Answer 0

Posterior

Inferior-superior

Question 1

What kind of force is used during spinal traction?

Which regions does it work in the spine?

Answer 1

Longitidinal

Cervical or lumbar

Question 2

5 uses for cervical or lumbar traction

Answer 2

Disc protusion
DDD or nerve root compression
Facet joint pathology
Muscle spasm
Pain

Question 3

I order to increase space in the LUMBAR spine it must be done in what position? CERVICAL spine?

Answer 3

Extension

Flexion

Question 4

Muscle spasm can be decreased how?

Answer 4

Long slow stretching with traction

Question 5

How does traction decrease pain? 3

Answer 5

Break pain spasm cycle
Stimulate sensory nerves
Increase blood circulation

Question 6

Contraindications of spinal traction (14)

Answer 6

Acute cervical trauma
Spinal infection
Spinal cord pressure
Steroids
Rheumatologic disorder
OSTeoprosis
Impaired cognition
Positive vertebral artery test
Unstable spine segments
Extruded disc fragments
Bone disease
Prior surgery/decompression
Spinal implant
Spondilolysthesis

Question 7

Precautions of traction

Answer 7

Ligamentous strain or hyper mobility
Acute injury aggravated by traction
Anxiety
Pregnant
TMJ problems
Cardiac or respiratory insufficiency

Question 8

What is the difference between sustained and intermittent traction?

Answer 8

Sustained is continuous small force sustained for a period of time
Intermittent is applying traction and removing it.

Question 9

How many degrees forward flexion must head be held to hit the lower cervical spine?

Answer 9

30°

Question 10

Hang pounds of pressure for a gentle pull? (Cervical spine)

Answer 10

20

Question 11

Intermittent pull how many seconds? (Cervical spine)

Answer 11

3-10sec

Question 12

Treatment time of how much for cervical traction?

Answer 12

3-10min

Question 13

How many seconds must the machine be ON time?

Answer 13

7 seconds

Question 14

Rest force traction of how much percent?

Answer 14

50%

Question 15

Treatment Time for cervical spine how many seconds?

Answer 15

15-30 minutes

Question 16

Forces up to how much for cervical spine traction?

Answer 16

Maximum 50 pounds

Question 17

Mechanical wall mounted cervical traction device how many pounds used?
How long is treatment with it?

Answer 17

10-20 pounds

20-25 minutes

Question 18

During manual lumbar traction the patients is in how many degrees of knee flexion?
Hands of PT placed where?

Answer 18

About 90 degrees

Behind proximal tibia

Question 19

Where is the harness placed on patients preparing for lumbar traction?

Answer 19

Above Iliac crest, below ribs

Question 20

When to use lumbar traction table while prone?

Answer 20

If patient has a posterior bulging disc
If symptoms of patient are worse in sitting or improved in extension (lumbar)
To improve lumbar extension

Question 21

What conditions should the patient lie supine? (3) (lumbar traction)

Answer 21

Scoliosis
Unilateral joint dysfunction
Unilateral lumbar muscle spasm

Question 22

Mechanical lumbar traction poundage percentages to be used

Off cycle how much?

Answer 22

25-50% of patients body weight

50 percent

Question 23

Duration of lumbar traction intermittent how much
Fr joint distraction?
For static?

Answer 23

1:1 1:2 duty cycle, 30 on 15 off for 5-10 min
3:1
10-30 min

Question 24

How to terminate session

How long should the patient remain lying or sitting after the treatment has concluded in order to assess them?

Answer 24

Gradgually decrease tension oveR a period of 3-4 cycles

5 minutes

Question 25

What is the angle of pull for cervical spine;
Occipital c1-c2
Mid cervical c2-c5
Low cervical c5-c7

Answer 25

0-5°
10-20°
25-30°

Question 26

What angle of pull for hip during lumbar spine?
L5-s1
L4-l5
L3-l4

Answer 26

45-60°
60-75°
75-90°

Question 27

For facet joint problem in cervical spine what angle and type of force used for cervical? Lumbar?

Answer 27

Flexion
Intermittent
Extension

Question 28

For DDD what angle and type of force used for cervical? Lumbar?

Answer 28

Flexion
Sustained
Neutral

Question 29

For nerve root impingement what angle and type of force used for bilateral? Unilateral?

Answer 29

Bilateral: neutral
Unilateral: neutral with spine laterally flexed to opposite side
Sustained

Question 30

What percent of body weight should be used of force for cervical spine? How many pounds to start out? Later on?

Answer 30

7%
10-15lbs
20-30lbs

Question 31

What percent of body weight should be used of force for lumbar spine? Later on? For nerve root problems?

Answer 31

25%
50%
25-60%

Question 32

Effective lumbar traction force ranges between what pounds?

Answer 32

64-200

Question 33

On and off times of intermittent treatment, good for separation of what?

Answer 33

7-20
7-60
Good for posterior invertebral separation

Question 34

Static mode of treatment effective for what 2 conditions?
How long should the treatment be? In general
How long for disc problems?
How long for facet problems?

Answer 34

Disc protrusion or rupture
8-25 minutes
10 min
15-20 min

Question 35

During inverse traction how many times is inversion repeated?

Answer 35

2-3 times

Question 36

What are contraindications of inverse tractions?

Answer 36

Heart disease, high BP, glaucoma, hernia, spinal injury

Osteoporosis, ear infection, obesity, stroke

Question 37

For disc protrusion what angle should the detraction device be?
What type of force applied?

Answer 37

Extension, flexion, or neutral

Intermittent

Question 38

For muscle spasm what position should table be? What what force should be applied?

Answer 38

Positional traction

Sustained

Question 39

How to promote relaxation with traction

Answer 39

Intermittent promotes relaxation