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| Traction force to the cervical spine should not exceed? |
30 LBS |
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MichaelMorano Sun, 28 Mar 2010 16:54:44 GMT |
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| Traction for the cervical spine should start between? |
8-10 LBS |
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MichaelMorano Sun, 28 Mar 2010 16:50:30 GMT |
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| Traction at the lumbar spine should start between? |
30-45 LBS |
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MichaelMorano Sun, 28 Mar 2010 16:50:30 GMT |
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| When is intermittent traction used? |
-LONG HOLD TIMES GOOD FOR SYMPTONS |
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MichaelMorano Sun, 28 Mar 2010 16:50:30 GMT |
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| When is static traction used? |
-USED IF SYMPTOMS ARE AGGRAVATED BY MOTION
-INFLAMMED AREAS |
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MichaelMorano Sun, 28 Mar 2010 16:50:30 GMT |
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| How is the vertebral artery test performed? |
-PATIENT IS SUPINE
-EXTEND/LATERALLY FLEXES/ROTATES THE CERVICAL SPINE IN THE SAME DIRECTION |
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MichaelMorano Sun, 28 Mar 2010 16:10:58 GMT |
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| What must be performed before cervical traction? |
VERTEBRAL ARTERY TEST |
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MichaelMorano Sun, 28 Mar 2010 16:10:58 GMT |
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| What are the precautions of traction? |
-OSTEOPOROSIS,TUMOR,INFECTION (APPLY A SMALL AMOUNT OF FORCE)
-IF BELT IS HAZARDOUS TO THE PELVIC REGION (HIATAL HERNIA)
-CLAUSTROPHOBIA
-UNABLE TO TOLERATE SUPINE/PRONE POSITION
-TMJ (CERVICAL TRACTION)
-DENTURE (CERVICAL TRACTION) |
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MichaelMorano Sun, 28 Mar 2010 16:10:58 GMT |
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| What are the contraindications of traction? |
-UNHEALED FX
-ACUTE INJURY/INFLAMMATION
-JOINT HYPERMOBILITY/UNSTABLE JOINT
-IF SYMPTOMS PERPHERIALIZE OR WORSEN
-TUMOR (CANCER) |
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MichaelMorano Sun, 28 Mar 2010 16:10:58 GMT |
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| What are the indications of spinal traction? |
-DISC BULGE OR HERNIATION
-NERVE ROOT IMPINGEMENT
-JOINT HYPOMOBILITY
-SUBACUTE JOINT INFLAMMATION
-PARASPINAL MUSCLE SPASM |
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MichaelMorano Sun, 28 Mar 2010 16:01:33 GMT |
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| How will sminal traction benefit large disc herniations and calcified protrusions? |
WILL NOT BENEFIT |
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MichaelMorano Sun, 28 Mar 2010 16:00:43 GMT |
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| What did Mangion's study show? |
PATIENTS SHOULD NOT BE TREATED WITH BED REST |
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MichaelMorano Sun, 28 Mar 2010 16:00:43 GMT |
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| Stimulating the GTO's will have what effect? |
INHIBIT THE ALPHA MOTOR NEURON FIRING |
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MichaelMorano Sun, 28 Mar 2010 16:00:43 GMT |
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| What are the clinical benefits of soft tissue stretching from traction? |
-INCREASED ROM
-DECREASED PRESSURE ON FACET JOINT SURFACES, DISCS, AND INTERBERTEBRAL NERVE ROOTS |
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MichaelMorano Sun, 28 Mar 2010 15:44:38 GMT |
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| What are the effects of spinal traction? |
-REDUCES SMALL DISC PROTRUSION
-SOFT TISSUE STRETCHING
-MUSLCE RELAXATION |
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MichaelMorano Sun, 28 Mar 2010 15:44:38 GMT |
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| What is the rational for using lumbar/cervical traction with small disc protrusion? |
-CLICKING BACK OF THE DISC FRAGMENTS
-SUCTION CAUSED BY DECREASED INTRADISCAL PRESSUER PULLING DISPLACES PARTS OF THE DISC BACK TOWARD THE CENTER,
-TENSING OF THE POSTERIOR ASPECT OF THE DISC. |
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MichaelMorano Sun, 28 Mar 2010 15:44:38 GMT |
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| In order to wident he intervertebral foramen in the cervical spine. How much distraction force should be applied? |
7% OF PATIENTS BODY WEIGHT |
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MichaelMorano Sun, 28 Mar 2010 15:25:55 GMT |
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| If your pt is 250 pounds and your goal is to widen the intervertebral foramen in the lumbar spine. How much distraction force should be applied? |
125 POUNDS OF DISTRACTION
(HALF OF THE PT'S BODY WEIGHT) |
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MichaelMorano Sun, 28 Mar 2010 15:26:25 GMT |
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| In order to widen the foramina, what must be done to the pt? |
-A JOINT DISTRACTION
-50% OF PT'S BODY WEIGHT
-15/15 (HOLD/RELAX TIME) |
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MichaelMorano Sun, 28 Mar 2010 15:25:55 GMT |
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| What are the effects of spinal traction? |
-REDUCES SMALL DISC PROTRUSION
-"CLICKING" BACK OF DISC FRAGMENT
-SUCTION DUE TO DECREASED INTRADISCAL PRESSURE
-BY TENSING POSTERIOR LONTITUDINAL LIGAMENT THEREFORE PUSHING ANY POST DISPLACED MATERIAL ANTERIORLY. |
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MichaelMorano Sun, 28 Mar 2010 15:25:55 GMT |
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| How does intermittent traction cause small changes in muscle tension? |
BY STIMULATING THE GTO'S TO INHIBIT THE ALPHA MOTOR NEURON FIRING |
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MichaelMorano Sun, 28 Mar 2010 05:31:41 GMT |
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True/False
Static tractiion causes relaxation by depressing the monosynaptic response? |
TRUE |
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MichaelMorano Sun, 28 Mar 2010 05:31:41 GMT |
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| What percent of body weight is used to seperate the cervical vertebra? |
7% |
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MichaelMorano Sun, 28 Mar 2010 05:23:37 GMT |
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| What percent of body weight is used to distract the lumbar spine? |
25-50% |
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MichaelMorano Sun, 28 Mar 2010 05:23:37 GMT |
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| The force of traction must be great enough to cause sufficient elongation of? |
SOFT TISSUE |
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MichaelMorano Sun, 28 Mar 2010 05:23:37 GMT |
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| What is foraminal stenosis? |
NARROWING OF THE FORAMINA |
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MichaelMorano Sun, 28 Mar 2010 05:23:37 GMT |
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| What can traction be applied to? |
PERIPHERAL JOINT OR SPINE |
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MichaelMorano Sun, 28 Mar 2010 05:20:34 GMT |
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| What is the best way for a patient to maintain the effects of spinal traction? |
PATIENTS SHOULD ALSO USE OTHER TECHNIQUES TO REDUCE STRESS ON THE SPINE |
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MichaelMorano Sun, 28 Mar 2010 05:20:34 GMT |
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| When is the application of traction most beneficial to a patient? |
SOON AFTER A DISCAL INJURY |
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MichaelMorano Sun, 28 Mar 2010 05:20:34 GMT |
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| Traction is more likely to be effective when there is a large disc herniation that protrudes into the spinal canal or when herniated or protruding discal material has become calcified? |
FALSE
LESS LIKELY TO BE EFFECTIVE |
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MichaelMorano Sun, 28 Mar 2010 05:20:34 GMT |
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| What are the clinical indications for using spinal traction? |
-BACK OR NECK PAIN
-WITH OR WITHOUT RADIATING SYMPTOMS WHEN CAUSED BY A DISC BULGE OR HERNIATION
-NERVE ROOT IMPINGEMENT
-JOINT HYPOMOBILITY,
-SUBACUTE JOINT INFLAMMATION
-PARASPINAL MUSCLE SPASM |
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MichaelMorano Sun, 28 Mar 2010 05:11:03 GMT |
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| With joint traction techniques a number of joints are mobilized ___________________, whereas with manual techniques the mobilizing force can be ______________? |
-AT ONE TIME
-LOCALIZED |
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MichaelMorano Sun, 28 Mar 2010 05:11:03 GMT |
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True/False
Joint mobility is thought to be increased by hight-force traction because of stretching of the surrounding soft tissue structures? |
TRUE |
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MichaelMorano Sun, 28 Mar 2010 05:11:03 GMT |
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| What percent of the patients body weight has been shown to distract the cervical vertebra? |
7% |
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MichaelMorano Sun, 28 Mar 2010 05:11:03 GMT |
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| What percent of the patients body weight has been shown to increase the apophyseal joints? |
50% |
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MichaelMorano Sun, 28 Mar 2010 04:53:22 GMT |
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| What percent of the patients body weight has been shown to increase the length of the lumbar spine? |
25% |
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MichaelMorano Sun, 28 Mar 2010 04:53:22 GMT |
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True/False
Facet joints connect the ANTERIOR part of the vertebra? |
FALSE
POSTERIOR |
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MichaelMorano Sun, 28 Mar 2010 04:53:22 GMT |
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| What are the primary joints of the spine? |
FACET JOINTS (AKA APOPHYSEAL OR ZYGAPOPHYSEAL JOINTS) |
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MichaelMorano Sun, 28 Mar 2010 04:53:22 GMT |
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| How many vertebra does the spine consists of? |
24 |
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MichaelMorano Sun, 28 Mar 2010 04:42:09 GMT |
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| What are the effects of traction? |
IT CAN DISTRACT JOINT SURFACES, REDUCE PROTRUSIONS OF NUCLEAR DISCAL MATERIAL, STRETCH SOFT TISSUE, RELAX MUSCLES, AND MOBILIZE JOINTS |
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MichaelMorano Sun, 28 Mar 2010 04:42:09 GMT |
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| What are the two ways traction can be applied? |
MANUALLY BY THE CLINICAN OR MECHANICALLY BY A MACHINE |
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MichaelMorano Sun, 28 Mar 2010 04:42:09 GMT |
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| A mechanical force applied to the body in a way that seperates the joint surfaces and elongates the surrounding soft tissues? |
TRACTION |
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MichaelMorano Sun, 28 Mar 2010 04:42:09 GMT |
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