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DPT 623 Physical Agents > Spinal Traction > Flashcards

Flashcards in Spinal Traction Deck (44)
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1

Traction can be applied by (two ways)

Manually by the clinician and mechanically by traction machine

2

Joint distraction is defined as

The separation of two articular surfaces perpendicular to the plane of the articulation; the widening of a joint space

3

The amount of force required to distract spinal joints

This varies and in general the larger lumbar joints require more force to achieve joint distraction than do the smaller cervical joints

4

Self traction is defined as

A form of traction that uses gravity and the weight of the patient's body, or force exerted by the patient, to exert a distraction force on the spine

5

Manual traction is defined as

Application of force by the therapist in the direction of distracting the joints

6

Intermittent traction is defined as

Traction in which the force varies every few seconds

7

Static traction is defined as

Traction in which the same force is applied throughout treatment

8

Spinal traction and the effects on soft tissue stretching

Spinal traction will also increase the lengths of the soft tissues in the area, including the muscles, tendons, ligaments, and discs.

9

Benefits of soft tissue stretching

Soft tissue stretching aids in spinal joint distraction and reduction of disc protrusion. Spinal range of motion increases and pressure on the facet joint surfaces, discs, and inter vertebral nerve roots decreases even after traction treatment is completed

10

Differences between spinal traction and manual joint mobilization techniques

Spinal traction mobilizes several joints at one time and manual mobilization can be much more localized

11

Traction is defined as

A mechanical force applied to the body in a way that separates, or attempts to separate, joint surfaces and elongate soft tissues surrounding a joint

12

Mechanical traction is defined as

(electrical mechanical traction): Application of static or intermittent force by an electrical motor, through belts or a halter, in the direction of distracting the joints of the spine

13

Clinical indications for the use of spinal traction may include:

Back or neck pain, with or without radiating symptoms when caused by a disc bulge or herniation, nerve root impingement, joint hypermobility, subacute joint inflammation, or paraspinal muscle spasm.

14

Traction is less effective for

Large or calcified disc herniations

15

Bulging of the nucleus pulposus of the intervertebral disc into the spinal canal

Herniated nucleus pulposus/bulging disc

16

Traction is most effective when applied:

soon after discal injury

17

To maintain the effects of spinal traction patients should also use ______ _______ to reduce stress on the spine

other techniques

18

Patients who have worsening symptoms with spinal loading and improved symptoms with decreased spinal loading are good candidates for:

spinal traction

19

Forward displacement of one vertebra on another that can cause nerve root compression and pain

spondylolisthesis

20

To relieve nerve impingement, sufficient traction may be use to increase the

neural foramen

21

Should be avoided immediately after an injury, during the acute inflammatory phase. Uses repetitive motion

Intermittent traction

22

Traction that is stable and remains the same

Static traction

23

Joint hypomobility treatment with longitudinal spinal traction can be alleviated by

gliding and distraction

24

Application of static force to the neck, through a halter, using a device hung on a door that can be adjusted to provide differing amounts of distractive force.

Over-the-door Cervical Traction

25

Type of traction is useful for inflammation, symptoms aggravated by motion, and symptoms caused by a disc protrusion

Static Traction

26

Type of traction is useful for symptoms caused by a disc protrusion or joint dysfunction

Intermittent Traction

27

Traction force to the lumbar spine should generally not exceed __% of the patient's weight

50

28

Traction force to the cervical spine should start at how many pounds?

8-10

29

Traction force of the cervical spine should not exceed how many pounds?

30

30

What is the initial/acute phase total time for lumbar and cervical traction?

5 to 10 minutes