Terms in this set (42)
In latin, what does the word traction deriving from 'tractio' mean?
Process of drawing or pulling apart
What term refers to when distal leg pain coming from the spine, refers back to origin of pain?
What term refers to when pain from the spine extends distally to the leg/foot?
What type of patients with lumbar back pain will benefit from traction?
Patients with Nerve Root Compression
What type of patients with cervical dysfunction will benefit from traction?
Older patients with degenerative changes that fit in mobility classification
What are the 6 indications of traction?
1. Nerve Root Impingement
2. Sub-Acute Joint Pain
3. Degenerative Joint Disease
4. Discogenic Pain
5. Compression Fractures
6. Joint Hypo-mobility
What are the 6 effects of traction?
1. Separation of vertebral bodies
2. Distraction/Gliding of facets
3. Tension on ligaments
4. Widen intervertebral foramen
5. Straighten spine
6. Stretch spinal muscles
What are the contraindications of traction?
1. Local/Systemic Disease
2. Acute Sprains/Inflammation
4. Vascular conditions
5. Increased symptoms during traction
6. Pregnant women
7. Hiatal Hernias
8. Cardiac/Pulmonary Disorders
9. TMJ Dysfunction
What is the coefficient of friction of the human body on a mattress?
What position is ideal for treating a patient with a disc herniation/problem?
What degree of hip flexion will cause laxity at the L5-S1 levels?
What degree of hip flexion will cause laxity at the L4-L5 levels?
What degree of hip flexion will cause laxity at the L3-L4 levels?
What is the traditional amount required of force for lumbar traction?
What amount of pounds should be given to a patient during their first treatment of traction?
What are the four traction phases?
What ratio should be used for patient's with facet problems?
Intermittent of 15 seconds on/15 seconds off for 15-20 minutes
What ratio should be used for patients with disc herniation's?
Intermittent ratio of 3:1 for 8-10 minutes
What type of ratio traction should be used for first time traction treatments?
What are the five reasons supine position has advantages over sitting in cervical traction?
1. Greater posterior intervertebral separation
2. Increased relaxation
3. Decreased muscle guarding
4. Increased stability
5. Less force required
What amount of force is required for cervical traction?
What is the angle of pull necessary for the Occiput (C1-C2)?
What is the angle of pull necessary for Midcervical (C2-C5)?
What is the angle of pull necessary for Lower Cervical (C5-C7)?
What is the treatment time for cervical DVD without disc involvement?
What is the treatment time for disc protrusion?
No more than 8-10 minutes
What is the treatment time for muscle relaxation?
What is the condition in which the amount of fluid in the interstitial spaces is greater than normal?
What are the four factors that regulate fluid exchange?
1. Hydrostatic Pressure
2. Interstitial Pressure
3. Osmotic Pressure
4. Direction/Amount of pressure gradient
What is the score of the Edema Scale when there is a barely perceptible depression?
What is the score of the Edema Scale when there is an easily identifiable depression and skin rebound within 15 seconds?
What is the score of the Edema Scale when the skin rebounds within 15-30 seconds?
What is the score of the Edema Scale when the skin rebounds greater than 30 seconds?
What is the excess fluid and plasm proteins in the interstitium and causes obstruction or destruction of the lymph system?
What is the test which demonstrates the inability to pick up a fold of skin at the base of the second toe on the involved extremity?
What stage of lymphedema is spontaneously reversible and is soft, pits on pressure, and reverses with elevation?
What stage of lymphedema is spontaneously irreversible and non-pitting and doesn't reduce with elevation?
What stage of lymphedema is Lymphostatic Elephantiasis and is non-pitting, fibrotic edema with atrophic skin changes?
What are the 6 contraindications for compression?
1. Acute Pulmonary Edema
2. Congestive Heart Failure
3. Recent/Acute DVT
5. Dermatological Infections
6. Immediate Post-trauma injury
What should the inflation pressure be set at?
Diastolic BP minus 10 mmHg
What are the four possible complications of compression?
2. Swelling in other areas
3. Shortness of breath
4. Joint stiffness
What are the 7 indications of EMG biofeedback?
1. Muscle Reeducation
2. Regain neuromuscular control
3. Increase isometric/isotonic strength
4. Relax muscle spasm
5. Decrease muscle guarding
6. Pain reduction
7. Psychological relaxation
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