Supportive devices Flashcards
What is the application/use of crutches?
feet, shoulder width apart, set tip 6” out 2” up from shoes, arm brace 2” below axilla, elbow bent 30 degrees
What is the clinical goal of a cane?
partial non-weight bearing on injured extremity
What is the application/use of a cane?
top of cane at greater trochanter, use an opposite side of injury
What is the clinical goal of lumbar/sacroiliac supports?
hypermobile or extra support for lifting
What is the application/use for lumbar/sacroiliac supports?
stabilize lumbar intervertebral joints/stabilize sacrum and pelvis
What is the clinical goal of a wrist brace?
limit flex/ext or radial/ulnar deviation
What is the application or use of a wrist brace?
metal stay (spoon) on palmer side to limit flexion and dorsal side to limit extension
What is the clinical goal to using a cho-pat knee strap?
osgood-schlatter’s disease
What is the application/use of cho-pat knee strap?
between patella and tibial tubercle across patellar tendon
What is the clinical goal of a soft cervical collar?
limit some ROM of C spine; support head post sprain/strain
What is the clinical goal of an Ankle stirrup brace (air cast)?
support and protect the ankle. allows protected weight bearing
What is the application/use of an ankle stirrup brace (air cast)?
limit inversion/eversion; can do plantar/dorsal
What are the indications of massage?
superficial adhesions circulatory stasis congestion edema and joint swelling myalgia/trigger points tension headache postexertion fatigue and stiffness
what are the contraindications of massage?
Arteriosclerosis thrombosis/embolism severe varicosities acute phlebitis cellulitis synovitis abscesses and skin infections acute inflammatory conditions
While using effleurage, what is the technique, treatment area, and what is it used for?
technique: long strokes parallel to muscle fibers
treatment area: anywhere
used for: muscle relaxation and pain relief
While using petrissage, what is the technique, treatment area, and what is it used for?
technique: kneading, squeezing, pinching, or rolling the muscle
treatment area: anywhere
used for: muscle relaxation and pain relief
While using tapotement, what is the technique, treatment area, and what is it best used for?
technique: percussion of the tissue
treatment area: anywhere especially over lungs with patient prone
used to: loosen congestion
While using cross-friction massage, what is the technique, treatment area, and what is it used for?
technique: use thumbs perpendicular to tendon for 10 minutes or until numb
treatment area: tendon and ligaments (chronic tendinosis)
used to: help break adhesions and scar tissue
When using trigger point therapy (ischemic compression), what is the technique and treatment area? how long do you hold a trigger point?
technique: decrease spasm or hyperirritable muscle points
treatment area: individual trigger points
how long to hold a trigger point: 7-10 seconds
When using mechanical percussion (thumper), what is the technique, treatment area, and treatment time?
technique: muscle relaxation
treatment area: anywhere
treatment time: 5-15 minutes
When using mechanical vibration (G5), what is the technique, treatment area, and treatment time?
technique: muscle relaxation
treatment area: anywhere
treatment time: 5-15 minutes
What are the indications of traction?
disc protrusion/herniation
nerve root impingement
joint hypomobility
arthritis conditions of facet joints
What are contraindications to traction?
infection, inflammation, tumor fracture dislocation hypermobility/instability severe disc herniation vertebral artery insufficiency/dysfunction (cervical only) spinal stenosis osteoporosis aortic aneurysm abdominal hernia hypertension (uncontrolled) pregnancy (lumbar only)
What are the precautions to traction?
pain exacerbation history of spinal surgery spondylolysis and spondylolisthesis hypertension and respiratory disorders dentures (cervical pulley only) TMD (cervical pulley only)
While doing manual cervical traction, what is the clinical goal, body region, and description of it?
clinical goal: loosen ligaments, stretch/relax muscles
body region: cervical spine
description: patient supine, cup occiput with both hands, stay between neutral and 30 degrees flex, 10-30% of body weight
While using manual extremity traction and mobilization, what is the clinical goal and body region?
clinical goal: stimulate synovial fluid, stretch joint capsule
body region: extremities
What is the clinical goal of crutches?
complete or partial non-weight bearing on injured extremity
