Traction Flashcards

1
Q

Traction

A

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

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2
Q

Types of Traction

A
  • Mechanically

- Manually

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3
Q

Effects of Spinal Traction

A
  • reduce protrusions of nuclear dismal material
  • stretch soft tissue
  • relax mm
  • mobilize joints
  • decrease pain
  • joint distraction
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4
Q

Joint Distraction

A

The separation of two articulate surfaces perpendicular to the plane of the articulation

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5
Q

25% of Body Weight for distraction does what?

A

Is sufficient to increase the length of the lumbar spine

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6
Q

50% of body weight for distraction does what?

A

Is the specific weight for distraction to be accomplished

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7
Q

What is the treatment of choice for small nuclear protrusions?

A

Traction

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8
Q

Traction is more effective for large or small disc herniations?

A

Small Disc Herniations

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9
Q

Traction is most effective when applied soon/later after discal injury?

A

Soon

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10
Q

Clinical Indications for the use of Spinal Traction

A
  • Disc bulge / Herniation
  • nerve root impingement
  • joint hypomobility
  • subacute joint inflammation
  • paraspinal mm spasm
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11
Q

Contraindications of Traction

A
  • where motion is contraindicated
  • acute injury or inflammation
  • joint hypermobility or instability
  • peripheralization or symptoms with traction
  • uncontrolled hypertension
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12
Q

Precaution for Spinal Traction

A
  • TMJ problems

- dentures

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13
Q

Precautions of Traction

A
  • structural diseases or conditions affecting the spine (tumor, infection, RA, osteoporosis)
  • when pressure of the belts may be hazardous (pregnancy, hiatal hernia, vascular compromise, osteoporosis)
  • displaced annular fragment
  • medical disc protrusion
  • when severe pain fully resolves with traction
  • claustrophobia or other psychological aversion to traction
  • inability to tolerate the prone or supine position
  • disorientation
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14
Q

Advantages of Mechanical Traction

A
  • force and time well controlled, readily graded, and replicable
  • once applied, does not require the clinician to be with the pt throughout treatment
  • electrical mechanical traction units allow the application of static or intermittent traction
  • static take home units are cheap and easy to use
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15
Q

Disadvantages of Mechanical Traction

A
  • expensive electrical mechs animal devices
  • time consuming to setup
  • lack of pt control or participation
  • restriction by belts or halter poorly tolerated by some pts
  • mobilizes broad regions of the spine rather than individual spinal segments, potentially inducing hypermobility in normal hypermobility joints
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