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
2
Q
effects of traction
A
- joint distraction
- reduction of spinal disc protrusion
- soft tissue stretching
- muscle relaxation
- joint mobilization
3
Q
indications of traction
A
- spinal disc bulge or herniation
- spinal nerve root impingement
- joint hypomobility
- subacute joint inflammation
- muscle spasm
4
Q
contradications of traction
A
- where motion is contraindicated (fracture)
- acute injury or inflammation
- joint hypermobility
- peripheralization of symptoms with traction
- incontrolled hypertension
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
6
Q
- it can be applied with ___ and ___, ___, ___, ___, and ___
A
- electrical and weighted mechanical devices
- self traction
- positional traction
- inversion traction
- manual traction
7
Q
clinician should first determine whether presenting symptoms and problems are likely to respond to treatment with traction
A
application
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
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
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
11
Q
Hold/relax times (duty cycle)
A
- 1:1
- 3:1 for disc problems or strech of soft tissue
12
Q
total traction time (duration)
A
- initial/acute phase - 5-10 mins
- other conditions - 20-30 mins
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
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
15
Q
initial/acute phase of lumbar traction
A
29-44 lbs (13-20 kgs)
16
Q
decrease muscle spasm, stretch soft tissue or disc problem of lumbar traction
A
25% of body weight
17
Q
joint distraction of lumbar traction
A
50% of body weight
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
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
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
- device that may benefit persons who need to physiologically acclimate to an upright position as a result of a varierty of conditions
tilt table
26
- 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
tilt table
27
- useful because it can be elevated gradually and maintained at any position between horizontal and completely vertical
tilt table
28
- 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
gradual elevation
29
- involves placing the patient on a table with a foot support
tilt table
30
postural hypotension
orthostatic hypotension
31
equipment of tilt table
- padded board
- foot rest
- straps
- protactor
- crank
32
physiologic effects of tilt table
- increased circulation in upright position
- improved bowel and bladder function
- increased bone density
- musculoskeletal muscle tone increases in antigravity muscles
33
neurologic effects of tilt table
- sensory receptors of the soles of the feet, joint proprioceptors, mucles spindles, SCC canals
34
respiratory effects of tilt table
- increased ventilation, gravity drains bronchioles
35
patient Vital Signs should be measured before treatment to establish baseline values every after
5-10 minutes
36
excessive increases or decreses in BP and PR
stop tilt table and stay infront of patient and check consciousness
37
check patients for tilt table
- 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
___ to the lower ex may be used in tilt table
elastic bandages or hose
39
indications of tilt table
- 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
contraindications of tilt table
- acute spinal or pelvic fractures, acute lumoscaral spain, acute cardiac infarctions
- any patient can stand on their own
- claustrophobic
41
procedure of tilt table
- 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
before loading the patient to the tilt table
- check the table is locked and flat
- transfer and position pt properly observing proper body mechanics, positioning and draping
43
when patient is on the tilt table
- 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
elevation of ___ - ___ is sufficient, elevating the table to 90 degrees usually will not be necessary
70-80 degrees
45
each person must be considered ___, depending on his/her condition, tolerance, etc.
individually
46
used for elevation beyond 70 degrees
chest straps
47
frequency and duration, vary depending on person's:
- condition/diagnosis
- response to treatment
- ability or capacity to adapt to, accommodate or tolerate an upright position
48
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
5-10; 1
