TRACTION HW Flashcards
A patient presents with muscle spasms of the lumbar paraspinal after a motor vehicle accident. Which of the following would be the BEST treatment parameters for this patient?
25% body weight, 5/5 on/off for 20-30 min
25% of body weight, 60/20 on/off for 20-30 min
50% of body weight, 15/15 on/off for 20-30 min
20-29lb, 15/15 on/off, 20-30 min
25% body weight, 5/5 on/off for 20-30 min
A PTA treats a patient with lumbar stenosis. Which of the following spine positions would be the BEST position to set this patient up in?
Flexion
Extension
Unilateral traction pull
Traction is not appropriate for this patient
flexion
precaution or contraindication: medial disc protrusion
precaution
precaution or contraindication: claustrophobia
precaution
precaution or contraindication: uncontrolled HTN
contraindication
precaution or contraindication: displaced annular fragment
precaution
A patient is having radicular pain in their ankle on the right side. The PTA applies traction for the lumbar spine and during the treatment the patient notes the pain now is at the knee level. Which of the following would be appropriate for the PTA to do?
Proceed with the treatment, this is an appropriate response
Stop the treatment, this is concerning
Decrease the amount of traction pull, this is a precaution
Call a code
proceed w tx, this is an appropriate response
Which of the following would be the maximum amount of body weight that can applied to the cervical spine during traction?
7%
3%
25%
50%
7%
Which of the following reflects the absolute maximum percentage of body weight for traction applied for the lumbar spine?
60%
7%
25%
80%
50-60%
A 42 y/o patient’s POC includes mechanical traction to decrease spinal nerve root impingement in the L1-2 area. The IE states that the patient weights 160 # (lbs) and c/o pain that radiates to popliteal space in L LE. Today is the patient’s first traction treatment. The MOST appropriate amount of maximum force to utilize during this treatment is _____?
30lb
7lb
25% body weight
50% body weight
30lbs
A patient suffered an injury to the low back while lifting an object that was too heavy. The patient reports pain that is sharp and travels down the LLE to popliteal area. This type of pain is BEST described as:
A. Cutaneous pain B. Referred pain C. Radicular pain D. Musculoskeletal pain
radicular pain
A PTA is applying mechanical traction to treat the L4-L5 area. This is not the patients first visit and the patient reports tolerating traction well during the last session. The goal of treatment is to relieve pain associated with a noted disc dysfunction. Therefore, if the goal with mechanical lumbar traction is to treat a disc problem, what is the most appropriate amount of force to utilize?
25% body weight
50% body weight
30lbs
50lbs
25% of body weight
A PTA is working with a patient with a goal to achieve joint distraction to decrease pain caused by a disc protrusion at the L4-L5 level. This is the patient’s third visit since the initial evaluation and has tolerated the previous treatments well, however, upon questioning, the PTA determines that the treatments have been making slow progress in decreasing pain so the PTA would like to increase the amount of force utilized during today’s traction treatment. Which of the following would be the MOST appropriate progression?
Increase force by 3 to 5 pounds
Increase force by 5 to 15 pounds
Increase force to 75% of patient’s body weight
Increase force to 7% of patient’s body weight
increase the force by 5-15lbs
goal tx time: initial tx
static
goal tx hold/relax time: joint distraction
15/15
