Traction

Question 1

Cervical Min/Max Weight

Answer 1

Min - 10 lb or 7% of body weight (which ever is lighter Max - No more than 30-40 lbs

Question 2

Lumbar Min/Max Weight

Answer 2

Min - 25% of pt’s body weight Max - No more than 60% of pt’s body weight

Question 3

Traction Contraindications

Answer 3

Acute RA

Acute Whiplash

Down’s Symdrom

Spinal CA,

meningitis

Osteoporosis

Recent Fracture

Spondylolithesis

Uncontroller HTN

Osteopenia

Acute soft tissue injury or inflammation

Very young/old pt’s

Hiatal hernia

Joint hypermobility

When motion is contraindicated

Question 4

Traction Precautions

Answer 4

Pregnancy

Joint hypermobility

Inability to tolerate position

Increased symptoms with treatment

Claustrophobia

Pressure of belt may cause problems (ie hernia)

TMJ

Question 5

Traction Adverse Reactions

Answer 5

Significant increase in BP, HR Pain completely subsides Bladder and bowel problems

Question 6

Traction Indications

Answer 6

Back, neck pain Nerve root impingement Joint hypomobility Subacute joint inflammation Paraspinal Muscle spasm

Question 7

Effects of Traction

Answer 7

Distraction of joint surfaces Reduce disc protrusion Stretch soft tissue Relax muscles (increases ROM) Mobilize joints

Question 8

Traction Purpose

Answer 8

Reduce muscle spasms and guarding Reduce Pain Reduce nerve impingement and signs Improve function (ROM, Flexibility, mobility)

Question 9

Traction Definition

Answer 9

A Pulling force applied to the body in a way to seperate joint surfaces and elongate surrounding soft tissue. Therapeutic traction refers to Lumbar and cervical.