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PT 2 Care > Traction & Tilt Table > Flashcards

Traction & Tilt Table Flashcards

1
Q
  • tensional mechanical force applied to the body in a way that separates the joint surfaces and elongates surrounding soft tissues
  • gained popularity in the 1950s and 1960s by james cyriax
A

traction

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2
Q

effects of traction

A
  • joint distraction
  • reduction of spinal disc protrusion
  • soft tissue stretching
  • muscle relaxation
  • joint mobilization
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3
Q

indications of traction

A
  • spinal disc bulge or herniation
  • spinal nerve root impingement
  • joint hypomobility
  • subacute joint inflammation
  • muscle spasm
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4
Q

contradications of traction

A
  • where motion is contraindicated (fracture)
  • acute injury or inflammation
  • joint hypermobility
  • peripheralization of symptoms with traction
  • incontrolled hypertension
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5
Q

precautions of traction

A
  • structural disease or condition affecting the tissue area
  • when pressure of the belts may be hazardous
  • displaced annular fragment
  • medial disc protusion
  • when severe pain fully resolves with traction
  • claustrophobia/disorientation
  • inability to tolerate prone or supine position
  • tmj problems & dentures
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6
Q
  • it can be applied with ___ and ___, ___, ___, ___, and ___
A
  • electrical and weighted mechanical devices
  • self traction
  • positional traction
  • inversion traction
  • manual traction
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7
Q

clinician should first determine whether presenting symptoms and problems are likely to respond to treatment with traction

A

application

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8
Q

documentation of traction

A
  • type of traction
  • area of the body where traction is applied
  • patient position
  • type of halter if one is used
  • maximum force
  • total treatmemt time (intermittent traction, hold & relax type)
  • response to treatment
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9
Q
  • supine or sitting position
  • neck should be flexed approximately 20-30 degrees
  • traction force should start at 8-10 lbs (3-4kg) and may increase gradually as needed up to approximately 7% of the patients body weight
A

cervical traction

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10
Q
  • decrease compression: 20-30 lbs (9-13kg)
  • decrease muscle spasm, stretch soft tissue or exert a centripetal force on the disc by spinal elongation without joint surface separation 12-15 lbs (5-7kg)
A

cervical traction

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11
Q

Hold/relax times (duty cycle)

A
  • 1:1
  • 3:1 for disc problems or strech of soft tissue
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12
Q

total traction time (duration)

A
  • initial/acute phase - 5-10 mins
  • other conditions - 20-30 mins
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13
Q
  • prone or supine position, comfortable position allows muscle relaxation while maximizing the separation between involved structures
  • secure appropriate belts or halter to prevent slipping when traction force is applied (thoracic and pelvic belt)
A

lumbar traction

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14
Q
  • traction force should start at 30-25 lbs (13-20kg) and may increase gradually as needed up to approximately 60% of the patients body weight
A

lumbar traction

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15
Q

initial/acute phase of lumbar traction

A

29-44 lbs (13-20 kgs)

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16
Q

decrease muscle spasm, stretch soft tissue or disc problem of lumbar traction

A

25% of body weight

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17
Q

joint distraction of lumbar traction

A

50% of body weight

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18
Q

decrease compression on a spinal nerve root or facet joint of lumbar traction

A

50 lbs (22.5 kg) and approximately 60% of body weight

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19
Q

should be decreased during treatment if any peripheralization of signs or symptoms occur or if complete relief of severe pain is attained

A

force

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20
Q

maximum traction force

A

hold

21
Q

lower traction force

A

relax

22
Q

when intermittent traction is used, the relaxed force should be ___ of the maximum force or less

A

50%

23
Q

recommended ration and duration of hold and relax times depend on the patient’s ___ and ___

A

condition and tolerance

24
Q

total traction time (duration) lumbar traction

A
  • disc protrusion: 8-10 mins
  • other conditions: 20 - 40 mins
25
Q
  • device that may benefit persons who need to physiologically acclimate to an upright position as a result of a varierty of conditions
A

tilt table

26
Q
  • designed to detect postural hypotension, a condition that results from changing body position from e prone, supine or sitting position to a more vertical position
A

tilt table

27
Q
  • useful because it can be elevated gradually and maintained at any position between horizontal and completely vertical
A

tilt table

28
Q
  • allows the patient to adpat or adjust to any given elevation providing a safe method for the body to accomplish physiological accomodation for upright activities
A

gradual elevation

29
Q
  • involves placing the patient on a table with a foot support
A

tilt table

30
Q

postural hypotension

A

orthostatic hypotension

31
Q

equipment of tilt table

A
  • padded board
  • foot rest
  • straps
  • protactor
  • crank
32
Q

physiologic effects of tilt table

A
  • increased circulation in upright position
  • improved bowel and bladder function
  • increased bone density
  • musculoskeletal muscle tone increases in antigravity muscles
33
Q

neurologic effects of tilt table

A
  • sensory receptors of the soles of the feet, joint proprioceptors, mucles spindles, SCC canals
34
Q

respiratory effects of tilt table

A
  • increased ventilation, gravity drains bronchioles
35
Q

patient Vital Signs should be measured before treatment to establish baseline values every after

A

5-10 minutes

36
Q

excessive increases or decreses in BP and PR

A

stop tilt table and stay infront of patient and check consciousness

37
Q

check patients for tilt table

A
  • consciousness
  • excessive perspiration
  • formation of edema in lower legs
  • decrease in or loss of pedal pulses
  • reports of nausea or numbness
  • change in facial or limb color
  • tingling in the LE and vertigo
38
Q

___ to the lower ex may be used in tilt table

A

elastic bandages or hose

39
Q

indications of tilt table

A
  • any situation where you need to slowly elevate the individual partially or fully
  • orthostatic hypotension/postural hypotension
  • patient requiring postural drainage
  • post fracture, CVA, MS, para or quad, amputee, bronchitis
  • circulatory conditions
40
Q

contraindications of tilt table

A
  • acute spinal or pelvic fractures, acute lumoscaral spain, acute cardiac infarctions
  • any patient can stand on their own
  • claustrophobic
41
Q

procedure of tilt table

A
  • introduction
  • explain to the patient the procedure, purpose, and what he may experience (dizziness, nausea, lightheadedness)
  • asses the pt baseline vital sign
  • asses the pt vs at every elevation change
42
Q

before loading the patient to the tilt table

A
  • check the table is locked and flat
  • transfer and position pt properly observing proper body mechanics, positioning and draping
43
Q

when patient is on the tilt table

A
  • secure strap: pelvic area, above knees, and below breast
  • slowly elevate to 20 degrees (10 for initial treatmment)
  • elevate on 10 degrees increments
  • check the patient every 5 minutes until resting vitals are achieved
44
Q

elevation of ___ - ___ is sufficient, elevating the table to 90 degrees usually will not be necessary

A

70-80 degrees

45
Q

each person must be considered ___, depending on his/her condition, tolerance, etc.

A

individually

46
Q

used for elevation beyond 70 degrees

A

chest straps

47
Q

frequency and duration, vary depending on person’s:

A
  • condition/diagnosis
  • response to treatment
  • ability or capacity to adapt to, accommodate or tolerate an upright position
48
Q

a session may be as brief as ___ - ___ minutes or as long as ___ hour. it may occur once or twice per day or on alternate days

A

5-10; 1

PT 2 Care (6 decks)

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