Traction

Question 1

mechanical force applied to the body in a way that separates jt surfaces and elongates surrounding tissue

Answer 1

traction

Question 2

traction indications (5)

Answer 2

1. disc herniation
2. nerve impingement
3. jt hypomoblie
4. mm spasm
5. subacute jt inflammation

Question 3

What two bone conditions are considered contraindications for traction?

Answer 3

RA and OA

Question 4

traction contraindications (3)

Answer 4

1. acute injury
2. hypermobile
3. uncontrolled HTN (cervical)

Question 5

traction precautions (3)

Answer 5

1. medial disc hernia
2. claustrophobia
3. cough/sneezing

Question 6

traction can distract vertebral bodies up to…

Answer 6

1-2mm

Question 7

traction can ________ spinal curves

Answer 7

strengthen

Question 8

traction effects on bone (2)

Answer 8

1. increase density (Wolff’s law)

2. reverse immobilization

Question 9

traction effects on ligaments (3)

Answer 9

1. Ant, post, longitude, and Lig flav
2. deformation greater w/ slow load
3. stimulate proprioceptive NS

Question 10

traction effects on discs (3)

Answer 10

1. decrease pressure
2. reduce protrusions
3. decrease pain

Question 11

traction effects on articular fascets (3)

Answer 11

1. separation/gliding
2. widens intervertebral foramen
3. exchange synovial fluid

Question 12

traction effects on mm (2)

Answer 12

1. stretches

2. mm relaxation

Question 13

traction effects on nerves (2)

Answer 13

1. decrease pressure

2. return blood flow

Question 14

cervical traction parameters
AO or AA joint:
other joints:

Answer 14

AO or AA joint: 0, 10lbs
other joints: 25-30, 20-50lbs
damage at 120lbs

Question 15

lumbar traction parameters

Answer 15

half of pt’s weight. damage at 400lbs

Question 16

for lumbar traction, higher angles decreases

Answer 16

lordosis

Question 17

sustained lumbar traction duration

Answer 17

8-30 min

Question 18

intermittent lumbar traction duration

Answer 18

3-10 sec on/off (1:3)x 20-30 min

Question 19

cervical duration for herniated disc

Answer 19

8 min

Question 20

cervical duration for other

Answer 20

10-30 min