Week 7 Class Prep Activity_Traction 1
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Week 7 Class Prep Activity
Traction
Complete assigned readings (Cameron, Ch 19) and review lecture materials for the week to
answer the questions listed below.
Be specific and thorough with your responses.
PART 1 – THEORY REVIEW
1.
What are some common diagnoses types that are indicated for traction? List at least 4.
Spondylosis, cervical spine fracture, radiculopathy, and disk herniations.
2.
What is the difference between static and intermittent traction? When should you use one
over the other?
Intermittent traction is the method of choice used mostly for degenerative disc diseases
or joint hypermobility while static traction is mostly used for disc hernias, pinched
nerves, or sciatica.
3.
What are the parameters that must be set for traction?
Parameters for application of lumbar spinal traction: Areas of spine and
goals of treatment initial/acute phase,Force13-20 kg (29- 44 lb)Hold/
relax Times(s) Static Total traction Time (min)5-10, Area of spine and
goals of treatment: Joint distraction,Force22.5 kg (50lb); 50% of body
weight: Hold/Relax Time (s) 15/15Total Traction Time (min)20-30, Areas
of spine and goals of treatment :Decreased muscle spasm,Force25% of
body weight: Hold/Relax Times (s)5/5 Total Traction Time (min)20-30
Areas of spine and goals of treatment Disc problems or stretch of soft
tissue,Force25% of body weight Hold/Relax Time (s)60/20Total Traction
Time (min)20-30 Recommended Parameters for Cervical Spine
Traction :Areas of the Spine and goals of treatment initial/acute phase,
Total traction force,3-4 kg (7-9 lb)Hold/Relax Time (s)Static-Total Traction
(min)5-10
4.
What is the biggest safety concern when providing traction?
How can it
be prevented?
The biggest concern is muscle spasms with shooting pain.
5.
How does friction play a role in traction? How can you overcome it?
If you do not properly place the patient on the traction bed with no protection, you can skin
rubbing and cause more irritation.
PART 2: CASE STUDY #1
You have a 25-year-old female patient who comes to you complaining of neck pain
along with numbness and tingling into her right hand that intensifies when she is
looking down at her phone.
The POC indicates to provide cervical traction.
Based on the above case answer the following questions
1.
Which type of cervical traction would you select? Provide rationale for selection.
2.
How would you screen this patient? What questions should you ask and what patient
observations should be made?
List at least 3 questions. (hint: think contraindications)
3.
What data should be collected prior to initiating treatment?
List at least 2 types of data
collection.
4.
What parameters/settings should you select for the option you selected?
5.
How will you monitor the patient's tolerance during the interventions? List at least 2
elements.
6.
How will you know if this intervention was the right choice? What post treatment data
should you collect? Include rationale for selection. List at least 3 assessments that you would
expect to change post treatment.
7.
List 2 example of treatment responses/outcomes that require consultation with the PT.
PART 3: CASE STUDY #2
You have a 56-year-old long haul truck driver coming to you with complaints of 3/10
low back pain. He reports that his back pain comes and goes, that he has been
dealing with it for the last 2 years but has noticed it has gotten worse over the past
week after emptying the dishwasher. He reports his pain as 7/10 but he felt better
after lying down for a few minutes. The initial exam indicates the patient has a
history of disc bulging.
Recent imaging reveals a herniated disc.
In the objective
exam you notice he has a flat lumbar spine and decreased flexion and extension
range of motion.
The POC indicates to provide lumbar traction.
Based on the above case answer the following questions
1.
Which modality is indicated? Provide rationale for selection.
2.
Based on the option that you selected above, what parameters will you set the device to?
3.
How will you monitor the patient’s tolerance to the intervention during the intervention?
Provide 2 examples.
4.
How will you know if this intervention was the right choice? What post treatment data
should you collect? Include rationale for selection. List at least 2 assessments that you would
expect to change post treatment.
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