Upgrade to remove ads
Only $35.99/year

BOARDS: traction, compression, and CPM

Terms in this set (31)

Contraindications to traction
pg 444
flexed position of the spine in traction will do what? extension position?
-flexed: supine; greater separation of posterior structures such as facet joints and IVF ( spinal stenosis)
-extended: prone; greater separation of the anterior structure including disk spaces (disk protrusion)
how should the lumbar harness be applied
directly to skin in standing or by placing it on the table and having the pt lie on it
when do you use static vs intermittent traction for lumbar?
-Static: pt's symptoms slightly exaggerated by mvt
-Intermittent: for joint mobs and if pt can't tolerate static
in intermittent traction the relax time should be __% of the hold time
50
Amount of force necessary in lumbar traction for:
a. initial session
b. stretch soft tissue and treat muscle spasm or disk protrusion
c. actual separation of vertebra
a. 30 lbs
b. 25% of body weight
c. 50% of body weight
duration of traction
5-30 min
(disk related symptoms general time is 10 min or less and may extend up to 30)
relative amount of flexion in these cervical spine allows therapists to target specific spinal levels:
a. upper C spine
b. mid C spine
c. lower C spine
a. 0-5 degrees flexion
b. 10-20 degrees flexion
c. 25-35 degrees flexion
the head halter should be placed with the majority of traction pull on the
occiput NOT THE CHIN
Intermittent vs static cervical traction
intermittent more effective for reducing pain and increasing ROM
Force of cervical traction:
a. initial session
b. stretch soft tissue or treat muscle spasm and disk protrusion
c. joint distraction
a. 10 lbs
b. 7-10% BW
c. 13-20% BW
contraindications to compression (7)
-circulatory obstruction
-DVT (helps prevent one but not when you have one)
-heart failure
-infection of treated area
-malignancy of treated area
-unstable or acute fracture
-pulmonary edema
that is static compression used for
edema
venous stasis ulcers
scar control
shape residual limbs
reduce risk of DVT
working pressure vs resting pressure for static compression
-Resting: produced when an elastic bandage is placed on stretch and pressure exerted when pt is active or at rest
-Working: produced by active muscle contracting against an inelastic bandages and only exerted when pt is active
type of static compression bandage that provides the greatest RESTING pressure (60-70mmHg) and most often used in patients who are immobile
long stretch bandage
type of static compression bandages that produces low pressure at rest and high working pressure when the muscles expand, most often used during exercise and the pt must have functional calf muscle and a functional gait pattern
short stretch bandage
type of static compression bandage that produces moderate to high resting pressure through the use of elastic and inelastic layers; mostly used for venous stasis ulcers.
multi layered bandage
type of state compression bandage (35-40 mmHg) that is typically gauze placed on a distal extremity that is initially wet and then dries hard; typically for venous status ulcer
semi rigid bandage (Unna boot impregnated with zinc oxide)
what type of static compression provides varying degreases of resting pressure and working pressure through elasticity and most often used to control edema, limit scar formation after burns, and imp roe venous circulation.
compression garment
off the shelf compression garments used to prevent DVTs for pt's on bed rest typically proved a compression forced of
16-18 mmHg (wear at all times unless bathing)
compression garments offering 20-30 mmHg are used for _______ while 30-40 mmHg is typically required for
-scar tissue control
-edema control
(DVT prevention: 16-18)
what is an intermittent pneumatic compression pump used for
reduce chronic or post traumatic edema
when using an intermittent pneumatic compression pump how should the pt be positioned
comfortable position with extremity elevated with BP and girth measurements recored.... a stockinette should be place on the extremity before the pump
true or false: parameters are a result of patent comfort and desired therapeutic effects
true
inflation for an intermittent pneumatic compression pump range from
30-80 with 30-60 for UEs and 40-80 for LEs
how long should treatment time be for an intermittent pneumatic compression pump
30 min to four hours based on diagnosis (lymphedema longer side)
inflation pressure on an intermittent pneumatic compression pump should not exceed the patient's
DBP and if greater than the SBP it may restrict arterial blood flow and create a medical emergency
arterial capillary pressure is approximately __ mmHG, and therefore , inflation pressure below this value will not typically have any significant therapeutic value
30
which is not a therapeutic effect of a CPM machine?
a. decrease post operative pain
b. improved the recovery rate
c. stimulate tissue healing
d. reduce edema by assisting venous and lymphatic return
e. all are true
e. (increase ROM, lessen debilitating effects from mobilization)
which is not an indication for CPM machine?
a. pain
b. susceptibility to contracture or adhesions
c. pain
d. edema
e. wound care
e (limited ROM)
contraindications to CPM machine
-increased pain after use
-unwanted bone translation
-particular anticoagulants may increase risk for intracompartment hematoma
Other sets by this creator