Traction Flashcards

(26 cards)

0
Q
What is the set up for chronic lumbar HNP?
Include:
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Prone or supine
  • Intermittent
  • 60/20
  • 25% of BW
  • 50-80% of on force
  • 20-30 mins
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1
Q
What is the set up for acute lumbar HNP?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • If possible prone, if not, then supine
  • Static
  • N/A (static for acute)
  • 25% of BW (Saunder’s protocol: 30 lbs)
  • N/A (static for acute)
  • 5-10 mins
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2
Q
What is the set up for lumbar Foraminal or spinal stenosis?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine with 90/90
  • Intermittent
  • 15/15
  • 40-50% of BW
  • 50% of on force
  • 20-30 mins
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3
Q
What is the set up for lumbar Degenerative disc disease?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine, patient comfort
  • Intermittent
  • 15/15
  • 30-50% of BW
  • 50-80% of on force
  • 20-30 mins
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4
Q
What is the set up for acute lumbar facet injuries?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine, flexed to segment
  • Static
  • NA
  • 40-50% of BW
  • NA
  • 10 mins
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5
Q
What is the set up for chronic lumbar facet injuries?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine, flexed to segment
  • Intermittent
  • 15/15
  • 40-50% of BW
  • 50-80% of on force
  • 20-30 mins
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6
Q
What is the set up for acute lumbar muscle spasms?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine 90/90
  • Static
  • NA
  • 25% of BW
  • NA
  • 10 mins
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7
Q
What is the set up for lumbar chronic muscle spasms?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Intermittent
  • 5/5, 15/10, or 30/15
  • 25% of BW
  • 50-80% of on force
  • 20-30 mins
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8
Q

By how many lbs do you want to progress traction treatments for the lumbar region?

A

5-15 lbs

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9
Q

By how many lbs do you want to progress traction treatments for the cervical region?

A

2-5 lbs

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10
Q
What is the set up for acute cervical HNP?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Static
  • NA
  • 7-25% of BW (relief)
  • NA
  • 5-10 mins
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11
Q
What is the set up for chronic cervical HNP?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Intermittent
  • 60/20
  • 7-25% of BW (relief)
  • 50-80% of on force
  • 20-30 mins
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12
Q
What is the set up for cervical foraminal/spinal stenosis?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Intermittent
  • 15/15
  • 7-25% of BW (relief)
  • 50% of on force
  • 20-30 mins
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13
Q
What is the set up for cervical degenerative disc disease?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Intermittent
  • 15/15
  • 7-25% of BW (relief)
  • 50-80% of on force
  • 20-30 mins
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14
Q
What is the set up for acute cervical facet problems?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Static
  • NA
  • 7-25% of BW (relief)
  • NA
  • 10 mins
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15
Q
What is the set up for chronic cervical facet problems?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Intermittent
  • 15/15
  • 7-25% of BW (relief)
  • 50-80% of on force
  • 20-30 mins
16
Q
What is the set up for acute cervical muscle spasms?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Static
  • NA
  • 7-25% of BW (relief)
  • NA
  • 10 mins
17
Q
What is the set up for chronic cervical muscle spasms?
Include:
- Position
- Static/Intermittent 
- On/Off times
- On force
- Off force
- Treatment time
A
  • Supine
  • Intermittent
  • 5/5, 15/10, or 30/15
  • 7-25% of BW (relief)
  • 50-80% of on force
  • 20-30 mins
18
Q

What range of motions are theoretically used in traction to treat the upper cervical region?

19
Q

What range of motions are theoretically used in traction to treat the mid cervical region?

A

10-20 degrees

20
Q

What range of motions are theoretically used in traction to treat the lower cervical region?

A

20-35 degrees

22
Q

What is the minimal and maximal forces used to create a separation between joints in the cervical region?

A

10 lbs. - 25 lbs

23
Q

What is considered acute for traction application?

A

< 2 weeks or highly irritable

24
Q

What is considered chronic for traction application?

A

> 3 weeks or not at all irritable

25
When do you want the off force to be higher?
For more acute patients
26
When do you want the off force to be lower?
For more chronic patients