supportive devices, massage, traction,

Question 1

fit crutches to your patient

Answer 1

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

Question 2

clinical goal of crutches

Answer 2

complete or paritel non-weight bearing on injured extremity

Question 3

fit a cane to your patient

Answer 3

top of cane at greater trochanter

use on opposite side of injury

Question 4

clinical goal for canes

Answer 4

partial non weight bearing on injured extremity

Question 5

use for lumbar/sacroiliac supports

Answer 5

stabilize lumbar intervertebral joints

stabilize pelvis and sacrum

Question 6

clinical goal for lumbar/sacroiliac supports

Answer 6

hypermobile or extra support for lifting

Question 7

use for wrist brace

Answer 7

metal stay on palmer side to limit flexion on dorsal side to limit extension

Question 8

clinical goal for wrist brace

Answer 8

limit flexion/extension or radial/ulnar deviation

Question 9

use for cho-pat knee strap

Answer 9

between patella and tibial tubercle across patellar tendon

Question 10

clinical goal for cho-pat knee strap

Answer 10

osgood-schlatter’s

Question 11

clinical goal for soft cervical collar

Answer 11

limit some ROM of cervicals

support head post strain/sprain

Question 12

application for ankle stirrup brace/air cast

Answer 12

limit inversion/eversion

can do plantar/dorsal

Question 13

clinical goal for ankle stirrup brace/air cast

Answer 13

support and protect the ankle

allows protected weight bearing

Question 14

indications for massage

Answer 14

superficial adhesions
circulatory stasis
congestion
edema and joint swelling
myalgia/trigger points
tension headaches
postexertion fatigue and stiffness

Question 15

contraindications for massage

Answer 15

arteriosclerosis
thrombosis/embolism
severe varicosities
acute phelbitis
cellulitis
synovitis
abscess and skin infections
acute inflammatory conditions

Question 16

protocol for effleurage

Answer 16

long strokes parallel to muscle fibers
treatment area: anywhere
muscle relaxation and pain relief

Question 17

protocol for petrissage

Answer 17

kneading, squeezing, pinching or rolling muscle
treatment area: anywhere
muscle relaxation and pain relief

Question 18

protocol for tapotement

Answer 18

percussion of the tissue
treatment area: anywhere especially over lungs and patient prone
loosen congestion

Question 19

cross-friction protocol

Answer 19

use thumbs perpendicular to tendon for 10 minutes or until numb
treatment area: tendon and ligament
help break adhesions and scar tissue

Question 20

trigger point therapy protocol

Answer 20

decrease spasm or hyperirritable muscle points
treatment areas: individual trigger points
press on tender point for 7-10 seconds

Question 21

mechanical percussion protocol

Answer 21

muscle relaxation
treatment area: anywhere
treatment time: 5-15 minutes

Question 22

mechanical vibration protocol

Answer 22

muscle relaxation, more specific for trigger points
treatment area: anywhere
treatment time: 5-15 minutes

Question 23

indications for traction

Answer 23

disc protrusion/herniation
nerve root impingement
joint hypomobility
arthritis conditions of facet joints

Question 24

contraindications for traction

Answer 24

infection, inflammation, tumor
fracture/dislocation
hypermobility/instability
severe disc herniation
vertebral A insufficiency/dysfunction (cervicals)
spinal stenosis
osteoporosis
aortic aneurysm
abdominal hernia
HTN
TMD

Question 25

manual cervical traction protocol

Answer 25

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

Question 26

manual extremity traction and mobilization protocol

Answer 26

stimulate synovial fluid, stretch joint capsule

extremities