Traction Flashcards

0
Q
What is the set up for chronic lumbar HNP?
Include:
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Prone or supine
  • Intermittent
  • 60/20
  • 25% of BW
  • 50-80% of on force
  • 20-30 mins
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1
Q
What is the set up for acute lumbar HNP?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • If possible prone, if not, then supine
  • Static
  • N/A (static for acute)
  • 25% of BW (Saunder’s protocol: 30 lbs)
  • N/A (static for acute)
  • 5-10 mins
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2
Q
What is the set up for lumbar Foraminal or spinal stenosis?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine with 90/90
  • Intermittent
  • 15/15
  • 40-50% of BW
  • 50% of on force
  • 20-30 mins
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3
Q
What is the set up for lumbar Degenerative disc disease?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine, patient comfort
  • Intermittent
  • 15/15
  • 30-50% of BW
  • 50-80% of on force
  • 20-30 mins
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4
Q
What is the set up for acute lumbar facet injuries?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine, flexed to segment
  • Static
  • NA
  • 40-50% of BW
  • NA
  • 10 mins
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5
Q
What is the set up for chronic lumbar facet injuries?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine, flexed to segment
  • Intermittent
  • 15/15
  • 40-50% of BW
  • 50-80% of on force
  • 20-30 mins
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6
Q
What is the set up for acute lumbar muscle spasms?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine 90/90
  • Static
  • NA
  • 25% of BW
  • NA
  • 10 mins
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7
Q
What is the set up for lumbar chronic muscle spasms?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Intermittent
  • 5/5, 15/10, or 30/15
  • 25% of BW
  • 50-80% of on force
  • 20-30 mins
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8
Q

By how many lbs do you want to progress traction treatments for the lumbar region?

A

5-15 lbs

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9
Q

By how many lbs do you want to progress traction treatments for the cervical region?

A

2-5 lbs

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10
Q
What is the set up for acute cervical HNP?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Static
  • NA
  • 7-25% of BW (relief)
  • NA
  • 5-10 mins
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11
Q
What is the set up for chronic cervical HNP?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Intermittent
  • 60/20
  • 7-25% of BW (relief)
  • 50-80% of on force
  • 20-30 mins
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12
Q
What is the set up for cervical foraminal/spinal stenosis?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Intermittent
  • 15/15
  • 7-25% of BW (relief)
  • 50% of on force
  • 20-30 mins
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13
Q
What is the set up for cervical degenerative disc disease?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Intermittent
  • 15/15
  • 7-25% of BW (relief)
  • 50-80% of on force
  • 20-30 mins
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14
Q
What is the set up for acute cervical facet problems?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Static
  • NA
  • 7-25% of BW (relief)
  • NA
  • 10 mins
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15
Q
What is the set up for chronic cervical facet problems?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Intermittent
  • 15/15
  • 7-25% of BW (relief)
  • 50-80% of on force
  • 20-30 mins
16
Q
What is the set up for acute cervical muscle spasms?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Static
  • NA
  • 7-25% of BW (relief)
  • NA
  • 10 mins
17
Q
What is the set up for chronic cervical muscle spasms?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Intermittent
  • 5/5, 15/10, or 30/15
  • 7-25% of BW (relief)
  • 50-80% of on force
  • 20-30 mins
18
Q

What range of motions are theoretically used in traction to treat the upper cervical region?

A

0-10 degree

19
Q

What range of motions are theoretically used in traction to treat the mid cervical region?

A

10-20 degrees

20
Q

What range of motions are theoretically used in traction to treat the lower cervical region?

A

20-35 degrees

22
Q

What is the minimal and maximal forces used to create a separation between joints in the cervical region?

A

10 lbs. - 25 lbs

23
Q

What is considered acute for traction application?

A

< 2 weeks or highly irritable

24
Q

What is considered chronic for traction application?

A

> 3 weeks or not at all irritable

25
Q

When do you want the off force to be higher?

A

For more acute patients

26
Q

When do you want the off force to be lower?

A

For more chronic patients