Shared Flashcard Set

Details

Traction and Massage
Lecture
48
Medical
Graduate
07/03/2015

Additional Medical Flashcards

 


 

Cards

Term
the separation of 2 articular surfaces perpendicular to the plane of articulation
Definition
joint distraction
Term
A force of 25% of ptnt's BW sufficient enough to cause what
Definition
elongate lumbar spine
Term
A force of 50% of ptnt's BW needed to cause what
Definition
distract zygapophyseal joints of lumbar spine
Term
A force of 7% of ptnt's BW needed to cause what
Definition
distract zygapophyseal joints of cervical spine
Term
Effects of spinal traction (5)
Definition
joint distraction, reduction of disc protrusion, soft tissue stretching, muscle relaxation, joint mobilization,
Term
What are the possible effects of joint distraction
Definition
may relieve pressure from apophyseal joints and widen intervetebral foramina relieving pressure on pinched or irritated nerve roots
Term
Reduction of disc protrusion is believed to be caused by 1/3 ways
Definition
disc fragment clicks back into place
Term
Reduction of disc protrusion is believed to be caused by 2/3 ways
Definition
suction due to decrease intradiscal pressure pulling displaced parts of the disc back towards the center
Term
Reduction of disc protrusion is believed to be caused by 3/3 ways
Definition
tensing of the PLL at the posterior aspect of the disc, pushing any posterior herniations anteriorly towards their original position
Term
Studies have shown that a force of 60 to 120 lbs can produce these effects
Definition
reduce a disc prolapse, cause retratction of herniated disc material, clinical improvements in patients with herniated discs of the lumbar spine
Term
If the goal is soft tissue stretching, how should traction be set up?
Definition
moderate load, prolonged force
Term
what is the purpose of soft tissue stretching via traction
Definition
may relieve pressure on joint surfaces, and increase ROM and mobility
Term
muscle relaxation via traction facilitates relaxation of which muscles?
Definition
paraspinal
Term
Muscle relaxation: Result of pain reduction is due to what
Definition
reduced pressure on the pain-sensitive structures
Term
Muscle relaxation: gating of pain transmission is achieved through what
Definition
stimulation of mechanoreceptors via the oscillatory movements produced by intermittent traction
Term
Muscle relaxation: depression in monosynaptic response is caused by what
Definition
stretching muscles for several seconds
Term
Muscle relaxation: intermittent traction may cause small changes in mm tension to produce muscle relaxation due to what
Definition
stimulating the GTO's to inhibit alpha motor neuron firing
Term
Purpose of joint mobilization through traction (2)
Definition
increased joint mobility, decrease joint related pain
Term
how does joint mobilization decrease joint related pain
Definition
stimulates mechanoreceptors
Term
5 clinical indications for the use of spinal traction
Definition
disc bulge or herniation, nerve root impingement, joint hypomobility, subacute joint inflammation, paraspinal muscle spasm
Term
Contraindications for spinal traction (7)
Definition
unstable fracture, spinal cord compression, recent spinal surgeries, acute inflammation, joint hypermobility or instability, symptoms peripheralize or worse with traction, uncontrolled HTN
Term
uncontrolled HTN is a contraindication especially with which form of spinal traction?
Definition
inversion tables
Term
spinal traction precautions (4)
Definition
structural disease (tumor, RA, prolonged steroid use, osteoporosis), pregnancy, hiatal hernia, claustrophia
Term
manipulation of the soft tissue by the hands
Definition
massage
Term
physiologic benefits of massage: increased...(4)
Definition
blood circulation, lymph flow, distribution of nutrients, joint motion
Term
physiologic benefits of massage: removal of...
Definition
metabolic waste products
Term
physiologic benefits of massage: stimulation of (3)
Definition
tissue healing process, ANS, visceral functions
Term
physiologic benefits of massage: resolution of...
Definition
chronic edema or hematoma
Term
physiologic benefits of massage: Other benefits (4)
Definition
pain relief, increased extensibility of connective tissue, facilitation of muscle contraction/activity
Term
physiologic benefits of massage: promotion of....
Definition
local and general relaxation
Term
psychological benefits of massage (6)
Definition
physical relaxation, decreased anxiety and stress, stimulation of physical activity, relief of pain, general feeling of well being, general comfort from physical contact of therapist's hands
Term
stroking massage technique
Definition
effleurage
Term
kneading technique of massage
Definition
petrissage
Term
best massage technique for scar management
Definition
cross friction
Term
massage techniques (5)
Definition
effleurage, petrissage, friction, tapotement, vibration
Term
tapping technique of massage
Definition
tapotement
Term
hand shape for percussive tapotement
Definition
cupped shape
Term
hand shape for hacking tapotement
Definition
ulnar edge of hand used
Term
applications of therapeutic message, 2 important considerations
Definition
position limb to assist with venous return, keep the exposed body part well supported
Term
Indications for therapeutic massage (7)
Definition
subacute or chronic pain, muscle spasm, trigger points, muscle hypertonicity, superficial scar formation, chronic edema, postural drainage
Term
indications for therapeutic massage: 2 notes about muscle hypertonicity
Definition
use deep slow massage, results don't last long
Term
contraindications for therapeutic massage: the acutes (4)
Definition
acute hematoma, acute hemorrhaging in the area, acute infection, acute inflammation in the area
Term
contraindications for therapeutic massage: severe x4 +1 S
Definition
severe atherosclerosis, severe cardiac arrhytmia, severe rheumatoid arthritis, severe varicose veins, skin disorders such as psoriasis
Term
contraindications for therapeutic massage: 2x -itis 1x-is
Definition
phlebitis, thrombophlebitis, tuberculosis
Term
contraindications for therapeutic massage: Other categories x6
Definition
congestive heart failure, edema secondary to kidney dysfunction, hypersensitivity, malignancy under the area of massage, presence of foreign substance, venous insuffiency
Term
shorten the tissue, apply a contact tension and legnthen the tissue or make it slide relatiev to the adjacent tissue
Definition
active release techqniques
Term
innovative, patented form of soft tissue mobilization that enables clinicians to effectively break down scar tissue and fascial restrictions
Definition
graston technique
Term
Graston technique for the patient: 4 benefits
Definition
decreases overall time of treatment, fosters faster rehabilitation/recovery, redcues need for anti-inflammatory medications, resolves chronic conditions thought to be permanent
Supporting users have an ad free experience!