Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

CP 2 > Traction > Flashcards

Traction Flashcards

1
Q

spinal traction

A

applying distraction forces to the spine to separate articular surfaces btw vertebral bodies and elongate the spine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

methods of traction

A 
manual
mechanical
pneumatic
positional 
gravity assist
inversion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

goals for traction

A 
decrease:
joint stiffness
meniscoid blocking
muscle spasm
disc protrusion 
discogenic pain
joint pain
nerve root impingement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

indications

A

presently lack of agreement

  • cervical or lumbar spine pain with radiculopathy
  • pts who have reduction of symptoms with manual traction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

contraindications

A 
acute strains, sprains and inflammation
spondylolisthesis
fx
increased peripheralization with traction 
increased nerve root symptoms 
joint hypermobility or instability
pregnancy
pt who have received surgical stabilization or decompression, spine implants or prosthetic disks
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

precautions

A

claustrophobia
hiatal hernia
impaired cognition
any disease or condition that can compromise the structure of the spine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

joint distraction effects

A

relieves pressue on nerve root

decreases compressive forces on facets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

reduction of disc protrusion does what

A

separation of vertebral bodies occurs at higher forces –> decreased intradiscal pressure creating suction like effect on nucleus, drawing it back centrally –> ligaments are taut

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

soft tissue stretching does what

A

surrounding spinal muscles, ligaments, tendons and discs cant be stretched

  • decreases pressure on facets, nerve roots, vertebral bodies and discs without achieving joint separation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

muscle relaxation with traction does what

A

gate control theory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

variables for cervical traction

A

static or intermittent
angle of traction
dosage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the dosage of cervical traction determined by

A

goals and pt tolerance

the amount of weight is to start light, not exceed 30-40 lbs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

treatment time for cervical traction with acute conditions and disc protrusions

A

5-10 mins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

treatment time for cervical traction for other conditions

A

15-30 mins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

when do you do static traction - with cervical traction

A

disc protrusions or when symptoms aggravate by movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

when do you do intermittent traction - with cervical traction

A

disc protrusion 3:1 hold/rest ratio

joint distraction/mobility 1:1 hold/rest ratio

17
Q

post traction what should u look out for in general

A

rebound effect –> muscles spasm and lock up

relax for 5 mins after before getting up

18
Q

what improves with the intervertebral foramen with cervical traction

A

decrease pressure within and increase in dimensions while in flexion

19
Q

variables for lumbar traction

A 
supine or prone position
positioning of lower extremities
static or intermittent 
angle of traction 
dosage
20
Q

how much hip flexion needed to free space in the intervertebral space for L5/S1

A

45-60

21
Q

how much hip flexion needed to free space in the intervertebral space for upper lumbar region

A

75-90

22
Q

where do u put the thoracic harness for lumbar traction

A

inferior to widest lateral dimension of rib cage

two straps that will be attached to the end of table

23
Q

where do u put the lower harness for lumbar traction

A

at or below iliac crest but superior to greater trochanter

two straps that will attach to a metal V shape rod that then attaches to unit

24
Q

amount of force for acute phase for lumbar traction

A

less force

30-40lbs

25
Q

amount of force for disc protrusion, spasm, elongation of tissue for lumbar traction

A

25% of body weight

26
Q

amount of force for joint distraction for lumbar traction

A

50% body weight

27
Q

treatment time for lumbar traction

A

ranges depending from 5-30 mins

28
Q

home traction for cervical

A

pneumatic pump with gauge quantifying tension
adjustable head rest, similar positioning
sustained traction

29
Q

home traction for lumbar

A

pneumatic pump, harness to stabilize
less tension produced than clinic
positioning on floor required

CP 2 (26 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions