Traction for final Flashcards
Traction force for the cervical spine should start at?
7-9 lbs Traction force to the cervical spine should not exceed 30 lbs **
Traction force for the lumbar spine should start between?
Total time?
29-44 lbs Traction force for the lumbar spine should generally not exceed 50% of the person’s body weight
5-10 mins
Documentation of Traction treatment? (4)
Type of Traction: Intermittent vs. static, Lumbar vs.
cervical, mechanical vs. manual Pt.
position: supine, prone, supine w/ knees extended etc
Maximum/Minimum force: 30 lbs/15 pounds Hold/rest
times: 60 sec/ 20 sec Time of treatment: 15, 20 etc minutes Type of halter: soft occipital halter, Saunders device (??? Not usually specified
ontraindications/Precautions
When should parameters change?(3)
pt should avoid?
should be introduced w/low load first w/ close monitoring of pt’s
symptoms Treatment should be changed if: condition worsens–
symptoms/peripheralizing/in distribution/ Or progressing to other domains
(numbness to weakness) Symptoms should improve after 2-3 traction tx
—
if not, then tx changed or reevaluated Pt should avoid sneezing/coughing during tx–
Contraindications?(6)
When motion is contracidicated (unstable fx/cord
compression immediately after spinal sx
Acute inflammation Joint hypermobility/instability
Peripheralization of symptoms
Uncontrolled HTN
Spinal infections/RA/Osteoporosis/Spinal CA/Cord pressure
Precautions?(8)
Claustrophobia
Cardiac/respiratory insufficiency
Pregnancy
Conditions where belt pressure may be hazardous (hiatal hernia/femoral artery compromise)
TMJ disorders
Dentures (keep in)
When severe pain resolves w/ tx
nerve root compression = complete nerve block)
Inability to tolerate prone or supine position
Discorientation/ mental status