supportive devices, massage, traction, Flashcards
fit crutches to your patient
feet shoulder width
set tip 6 inches lateral to and 2 inches in front of shoes
arm brace 2 inches below axilla
elbow bent 30 degrees
clinical goal of crutches
complete or paritel non-weight bearing on injured extremity
fit a cane to your patient
top of cane at greater trochanter
use on opposite side of injury
clinical goal for canes
partial non weight bearing on injured extremity
use for lumbar/sacroiliac supports
stabilize lumbar intervertebral joints
stabilize pelvis and sacrum
clinical goal for lumbar/sacroiliac supports
hypermobile or extra support for lifting
use for wrist brace
metal stay on palmer side to limit flexion on dorsal side to limit extension
clinical goal for wrist brace
limit flexion/extension or radial/ulnar deviation
use for cho-pat knee strap
between patella and tibial tubercle across patellar tendon
clinical goal for cho-pat knee strap
osgood-schlatter’s
clinical goal for soft cervical collar
limit some ROM of cervicals
support head post strain/sprain
application for ankle stirrup brace/air cast
limit inversion/eversion
can do plantar/dorsal
clinical goal for ankle stirrup brace/air cast
support and protect the ankle
allows protected weight bearing
indications for massage
superficial adhesions circulatory stasis congestion edema and joint swelling myalgia/trigger points tension headaches postexertion fatigue and stiffness
contraindications for massage
arteriosclerosis thrombosis/embolism severe varicosities acute phelbitis cellulitis synovitis abscess and skin infections acute inflammatory conditions
protocol for effleurage
long strokes parallel to muscle fibers
treatment area: anywhere
muscle relaxation and pain relief
protocol for petrissage
kneading, squeezing, pinching or rolling muscle
treatment area: anywhere
muscle relaxation and pain relief
protocol for tapotement
percussion of the tissue
treatment area: anywhere especially over lungs and patient prone
loosen congestion
cross-friction protocol
use thumbs perpendicular to tendon for 10 minutes or until numb
treatment area: tendon and ligament
help break adhesions and scar tissue
trigger point therapy protocol
decrease spasm or hyperirritable muscle points
treatment areas: individual trigger points
press on tender point for 7-10 seconds
mechanical percussion protocol
muscle relaxation
treatment area: anywhere
treatment time: 5-15 minutes
mechanical vibration protocol
muscle relaxation, more specific for trigger points
treatment area: anywhere
treatment time: 5-15 minutes
indications for traction
disc protrusion/herniation
nerve root impingement
joint hypomobility
arthritis conditions of facet joints
contraindications for traction
infection, inflammation, tumor fracture/dislocation hypermobility/instability severe disc herniation vertebral A insufficiency/dysfunction (cervicals) spinal stenosis osteoporosis aortic aneurysm abdominal hernia HTN TMD
manual cervical traction protocol
lossen ligaments, stretch relax muscles
cervical spine
patient supine, cup occiput with both hands, keep the neck approximated in neutral position, 10-30% of body weight
manual extremity traction and mobilization protocol
stimulate synovial fluid, stretch joint capsule
extremities
