Study Traction (PTA 102) Flash Cards

 
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Traction (PTA 102)

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Traction force to the cervical spine should not exceed?
30 LBS
Traction for the cervical spine should start between?
8-10 LBS
Traction at the lumbar spine should start between?
30-45 LBS
When is intermittent traction used?
-LONG HOLD TIMES GOOD FOR SYMPTONS
When is static traction used?
-USED IF SYMPTOMS ARE AGGRAVATED BY MOTION
-INFLAMMED AREAS
How is the vertebral artery test performed?
-PATIENT IS SUPINE
-EXTEND/LATERALLY FLEXES/ROTATES THE CERVICAL SPINE IN THE SAME DIRECTION
What must be performed before cervical traction?
VERTEBRAL ARTERY TEST
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)
What are the contraindications of traction?
-UNHEALED FX
-ACUTE INJURY/INFLAMMATION
-JOINT HYPERMOBILITY/UNSTABLE JOINT
-IF SYMPTOMS PERPHERIALIZE OR WORSEN
-TUMOR (CANCER)
What are the indications of spinal traction?
-DISC BULGE OR HERNIATION
-NERVE ROOT IMPINGEMENT
-JOINT HYPOMOBILITY
-SUBACUTE JOINT INFLAMMATION
-PARASPINAL MUSCLE SPASM
How will sminal traction benefit large disc herniations and calcified protrusions?
WILL NOT BENEFIT
What did Mangion's study show?
PATIENTS SHOULD NOT BE TREATED WITH BED REST
Stimulating the GTO's will have what effect?
INHIBIT THE ALPHA MOTOR NEURON FIRING
What are the clinical benefits of soft tissue stretching from traction?
-INCREASED ROM
-DECREASED PRESSURE ON FACET JOINT SURFACES, DISCS, AND INTERBERTEBRAL NERVE ROOTS
What are the effects of spinal traction?
-REDUCES SMALL DISC PROTRUSION
-SOFT TISSUE STRETCHING
-MUSLCE RELAXATION
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.
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)
In order to wident he intervertebral foramen in the cervical spine. How much distraction force should be applied?
7% OF PATIENTS BODY WEIGHT
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)
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.
How does intermittent traction cause small changes in muscle tension?
BY STIMULATING THE GTO'S TO INHIBIT THE ALPHA MOTOR NEURON FIRING
True/False

Static tractiion causes relaxation by depressing the monosynaptic response?
TRUE
What percent of body weight is used to seperate the cervical vertebra?
7%
What percent of body weight is used to distract the lumbar spine?
25-50%
The force of traction must be great enough to cause sufficient elongation of?
SOFT TISSUE
What is foraminal stenosis?
NARROWING OF THE FORAMINA
What can traction be applied to?
PERIPHERAL JOINT OR SPINE
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
When is the application of traction most beneficial to a patient?
SOON AFTER A DISCAL INJURY
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
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
With joint traction techniques a number of joints are mobilized ___________________, whereas with manual techniques the mobilizing force can be ______________?
-AT ONE TIME
-LOCALIZED
True/False

Joint mobility is thought to be increased by hight-force traction because of stretching of the surrounding soft tissue structures?
TRUE
What percent of the patients body weight has been shown to distract the cervical vertebra?
7%
What percent of the patients body weight has been shown to increase the apophyseal joints?
50%
What percent of the patients body weight has been shown to increase the length of the lumbar spine?
25%
True/False

Facet joints connect the ANTERIOR part of the vertebra?
FALSE

POSTERIOR
What are the primary joints of the spine?
FACET JOINTS (AKA APOPHYSEAL OR ZYGAPOPHYSEAL JOINTS)
How many vertebra does the spine consists of?
24
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
What are the two ways traction can be applied?
MANUALLY BY THE CLINICAN OR MECHANICALLY BY A MACHINE
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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