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20 Cards in this Set
- Front
- Back
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What are the indications for Traction?
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* Herniated nucleus pulposus
* Nerve root impingement * Muscle spasm * DDD/DJD (degenerative disc disease or degenerative joint disease) * Joint hypomobility/subacute inflammation |
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What are the contraindications for traction?
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* Structural disease
* Vascular compromise * acute sprain/strain * Pregnancy (hypermobility) * Osteoporosis * Hiatal hernia |
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If you are doing traction on someone, is it good if the pain completely disappears?
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No. that may mean they have lost sensation. STOP immediately
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What are some precautions with traction?
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* pressure from the belts (hiatal hernia, vascular compromise, osteoporosis)
* Displacement of the annular fragment * Medial disc protrusion * Severe pain relieved FULLY by traction. need to reassess * Claustrophobia * Disorientation * TMJ problems or dentures |
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Lumbar traction. What weight should you start with?
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between 25-50 lbs & increase 3-15 lbs each treatment to desired effect
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To decrease compression on a nerve root or facet joint in the lumbar region, what weight will you use?
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Between 50 lbs and 60% of body weight
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To decrease muscle spasm or stretch soft tissue, what weight will you use?
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25% of body weight
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The head weighs approximately how many pounds?
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14 lbs
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With cervical traction, what weight should you start off with?
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8-10 lbs. increase 3-5 lbs to desired effect
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To decrease compression on a nerve root or facet joint in the cervical region, what weight will you use?
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20 lbs or 7% of body weight is necessary
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To decrease muscle spasm or stretch soft tissue in the cervical region, what weight will you use?
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12-15 lbs
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For the cervical region, you should not use traction beyond how much weight?
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30 lbs
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For a herniated disc, what is the hold/relax time for traction?
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6-8 minutes to get the pressure to change. Longer than 8 min will have the reverse effect.
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For joint problems, what is the hold/relax time for traction?
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1:1 ration at 15 seconds
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For disc problems, what is the hold/relax time for traction?
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Long hold (60+ sec) with a 3-1 ration. 60 sec on/ 20 sec off
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When would you put a patient in the prone position for traction?
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For a herniated disc
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How do we assess edema?
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Poke it, it will dimple
Measure it, in comparison to other extremities Loss of function/ROM |
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What is edema?
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It is the accumulation of fluid in the interstitial spaces
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How do we treat edema?
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Elevation
Ice massage non-mechanical and mechanical compression |
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What are the contraindications for edema?
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* Heart failure or pulmonary edema
* Acute or recent DVT or pulmonary embolism * Obstruction of lymph or venous return * Severe peripheral art. disease * Skin infection * Acute fracture * Arterial revascularization |
