Brainscape's Knowledge GenomeTM

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


See full index

PTRS 845 Midterm > Traction > Flashcards

Traction Flashcards

1
Q

Term: Pulling or drawing

A

Traction

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

Term: Separation of jiont surfaces moving perpendicular to one another

A

Distraction

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

Term: Used to describe manual traction

A

Longitduinal mobilization

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

6 Effects of Spinal Traction

A
  1. Distraction/separation of vertebral bodies
  2. Distraction and gliding of facet joints
  3. Widening of the intervertebral foramen
  4. Tensing of ligamentous structures
  5. Straightening of spinal curves
  6. Stretching of spinal musculature
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Describe the purpose of unilateral long axis traction

A

Can be used for protective scoliosis or to open the foramen on one side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Type of Traction: Special table composed of two sections that can be individually angled and rotated allowing the pt. to progress tx

A

Autotraction (no longer used)

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

Describe the force placed on the pelvis with Cotrell 90/90 Traction

A

Creates flexion at the pelvis

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

Describe 3 positions that unload the spine

A
  1. Supine in 90/90
  2. Use of UE to unload the spine in sitting
  3. Propping one leg on a step in standing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Type of Traction: Over the door unit that can put to much pressure on TMJ

A

Head Halter (for c-spine, no longer use)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe how the angle of pull is adjusted with using the Saunder’s Cervical Traction Device

A

By adjusted the height of the table

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

Describe what you can accomplish with manual traction that can’t be achieved with mechanical traction

A

Manual traction allows traction at a single segment, this can’t be accomplished with mechanical traction, instead the entire C/T/L-spine is on traction

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

Describe how traction is generated with portable traction units

A

With the use of a pressure pump that creates the longitudinal pull

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

6 General Traction Guidelines

A
  1. The pt. MUST RELAX
  2. Continually monitory sx
  3. DO NOT leave the pt. unattended for the 1st tx
  4. ALWAYS give the pt. the safety button (shut off button)
  5. ALWAYS consider SINS
  6. Establish before/after subjective asterisks
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

5 Indications for Spinal Traction

A
  1. Herniated nucleus pulposus
  2. DDD/DJD
  3. Joint hypomobility
  4. Facet impingement
  5. Muscle spasms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

T/F: Traction alone is effective

A

FALSE: likely unsuccessful when used alone

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

Describe the effect on traction on HNP and the appropriate dosage

A

Effect: Can separate vertebra and lead to decrease pressure on the nucleus with a resulting suction force

Dosage: Sustained traction OR Longer hold-rest periods (60 sec hold, 20 rest) of intermittent traction, Tx time of 5-10 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Describe the effect on traction on DDD/DJD and the appropriate dosage

A

Effect: Lowers intradiscal pressure which affects the nurtitional state of the nucleus pulposus

Dosage: SHorter hold-rest of intermittent traction

18
Q

Describe the effect on traction on Joint Hypomobility and the appropriate dosage

A

Effect: Can be seen as a form of mobilization that involves the passive movements of joint

Dosage: Short hold-rest periods of intermittent traction

19
Q

Describe the effect on traction on Facet Impingement

A

Can release restriction on the facets

20
Q

Describe the effect on traction on Muscle Spasm

A

Traction can decompress/separate the painful joint structures. If the pain is relieved by traction, muscle spasm will be relieved as a result of relazation or nociceptive reflexes

21
Q

Provide a Summary of the EBP for (Lumbar) Traction

A
  1. Poor evidence for mechanical traction along for acute/subacute/chronic LBP
  2. Improvement has been documented when traction is used in combination with exercise and modalities
  3. Mechanical effects are effective in the short term (<5 wks), but not in the long term (>12 wk)
  4. There is no dose-response relationship for traction but low doses are probably sufficient to achieve benefit

There is more evidence in support of traction for the C-spine

22
Q

4 Predictors of Successful response to Mechanical LUMBAR traction

A
  1. Low level fear-avoidance behavior
  2. No neurological deficit involvement
  3. > 30 yo
  4. Non-onvoles of manual work
23
Q

Describe a corssed SLR and what it indicates

A

A SLR on the right reproduces back pain on the left

Indicative of a disc herniation

24
Q

4 Predictors of Effective Mechanical Traction (Fritz)

A
  1. Presence of leg sx
  2. Signs of nerve root compression
  3. Peripheralization with extension movements
  4. Crossed SLR +
25
Q

6 Contraindications for Traction

A
  1. Structural disease secondary to tumor or infection
  2. Patients with vascular compromise.
  3. Any condition for which movement is contraindicated.
  4. Osteoporosis: precaution
  5. RA
  6. TMD
26
Q

7 Cautions for Traction

A
  1. Acute strains and sprains
  2. Inflammatory conditions that might be aggravated
  3. Joint instability
  4. Pregnancy
  5. Osteoporosis
  6. Hiatal hernia
  7. Claustrophobia
27
Q

4 Things to determine before beginning traction

A
  1. Traction force
  2. Duration
  3. Static vs. Intermittent
  4. Patient position
28
Q

Describe how to determine/apply traction force in the L-spine

A

Start with lighter force. You want to end up in a force range of 25-50% of the pt.’s BW

The first 25% of force over comes friction, while the second 25% of force causes separation

Below 20% of force is considered low dose or placebo traction

29
Q

Describe how you determine the duration of traction

A

Typically start with 3-5 minutes of traction, based on the SINS slowly progress to 10-15 minutes of traction

30
Q

Describe when you would use static vs. intermittent traction

A

Static:Sustained pull – Used for moderately severe and irritable conditions

Intermittent:Hold/Rest – Used with less severe and irritable conditions

31
Q

Describe what movements are created in the spine with anterior and posterior pull

A

Anterior pull = extension

Posterior pull = flexion

32
Q

Describe what traction forces can be achieved with the pieces of the traction belt close together

A
  1. Supine position with posterior pull
  2. Prong position with anterior pull
33
Q

Describe what traction forces can be achieved with the pieces of the traction belt farther apart

A
  1. Supine with anterior pull
  2. Prone with posterior pull
34
Q

Describe the importance of a stable harness

A

A stable pevlic belt provides the necessary traction while a stable thoracic belt provides counter traction and prevents the pt. from sliding down the table

35
Q

Describe the placement of the pelvic belt

A

Should be secured first

Top should be above iliac crests and across the umbilical line

36
Q

Describe the placement of the thoracic belt

A

Should be placed second

Top below xiphoid process with the bottom overlaping the pelvic belt

37
Q

Describe the effect of rope angle on lumbar traction

A

Higher angle = posterior pull

Straighter angle = anterior pull

38
Q

List the 5 D’s and why they are important to consider before beginning traction

A

5 D’s: Drop attack, Dizziness, Diplopia, Dysarthria, Dysphagia

They rule in/out of the possibility of vertebral artery involvement

39
Q

Describe how you determine the amount of traction force for the C-spine

A

Typically 5-20 lbs

Upper cervical traction can be achieved with 5-15 lb

Lower cervicla traction can be achieved with 20-40 lb

40
Q

Describe the rope angle needed to target upper vs. lower C-sine with traction

A

Upper = 10-15 degrees

Lower = 20-30 degrees

PTRS 845 Midterm (13 decks)

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