Deck 16: Cervical and Lumbar Traction

Question 1

In healthy vertebrae,approximately what percentage of the spine's weight-bearing load is transmitted through the facet joint?

A) 5 percent
B) 10 percent
C) 20 percent
D) 30 percent

Answer 1

C

Question 2

In what position should the lumbar spine be placed to open the facet joints?

A) Extension
B) Flexion
C) Neutral
D) Rotation

Answer 2

A

Question 3

Which pathology can eventually cause the formation of osteophytes,which can cause the vertebral column to straighten?

A) Degenerative disk disease
B) Disk protrusion
C) Nerve root compression
D) Facet joint pathology

Answer 3

A

Question 4

Which of the following is considered a contraindication to the use of lumbar traction?

A) Nerve root compression
B) Radicular pain
C) Lumbar muscle spasm
D) Extruded disk fragmentation

Question 5

What type of traction is best suited for treating degenerative disk disease of the cervical spine?

A) Sustained traction with a flexion angle
B) Sustained traction with an extension angle
C) Intermittent traction with a flexion angle
D) Intermittent traction with an extension angle

Question 6

To distract the vertebrae,the force applied must overcome the sum of resistance.What factors create the sum of resistance? Select all that apply.

A) Weight of the body part
B) Tension of the soft tissue
C) Force of friction between patient and table
D) Force of gravity
E) Weight of the traction cable

Question 7

Traction applied with unilateral tension at a sagittal angle is a useful setup in the treatment of what pathologies? Select all that apply.

A) Unilateral facet joint pathology
B) Unilateral nerve root impingement
C) Unilateral muscle spasm
D) Unilateral disk protrusion
E) Spinal stenosis

Question 8

The effect and effectiveness of traction is related to which of the following? Select all that apply.

A) Position of the body part
B) Position of the patient
C) Force and duration of traction
D) Angle of pull
E) Force of friction

Question 9

When treating the cervical spine,you should question the patient about sensation in what region(s)of the spine?

A) Cervical
B) Thoracic
C) Lumbar
D) Cervical,thoracic,and lumbar

Question 10

In order to open the intervertebral space,approximately what degree of flexion should the cervical spine be placed in?

A) 5 to 10 degrees
B) 15 to 20 degrees
C) 25 to 30 degrees
D) 35 to 40 degrees

Question 11

What plane is associated with the use of either a flexion or extension traction angle?

A) Transverse plane
B) Frontal plane
C) Sagittal plane
D) Frontal and sagittal plane

Question 12

Which form of traction allows the patient to self-administer the traction?

A) Manual traction
B) Intermittent traction
C) Positional traction
D) Sustained traction

Question 13

What is the common treatment duration when using lumbar or cervical traction to treat muscle spasm?

A) 25 min
B) 10 min
C) 8 min
D) 20 min

Question 14

Which statement best describes sustained traction?

A) It is applied with a relatively small force for 45 minutes or less.
B) It is applied with a relatively small force for 60 minutes or more.
C) It is applied with a relatively large force for 45 minutes or less.
D) It is applied with a relatively large force for 60 minutes or more.

Question 15

When examining the evidence,the effect of what traction variables is clearly understood?

A) Patient position and angle of pull
B) Amount of tension and duration of treatment
C) Amount of tension and angle of pull
D) Duration of treatment and patient position

Question 16

In general,what percentage of the body weight will cause separation of the cervical spine when the patient is in a reclined position?

A) 5 percent
B) 10 percent
C) 20 percent
D) 30 percent

Question 17

Which of the following are indications to the use of lumbar traction? Select all that apply.

A) Spinal cord compression
B) Rheumatoid arthritis
C) Nerve root compression
D) Acute injury
E) Osteoarthritis

Question 18

What do the fundamental effects of cervical and lumbar traction arise from?

A) Distraction of the vertebral segments
B) Rehydration of the disk
C) Elongation of the soft tissue structures
D) Opening of the facet joints

Question 19

In what region(s)of the spine is stenosis most prevalent?

A) Cervical and lumbar
B) Cervical and thoracic
C) Sacral and lumbar
D) Thoracic and sacral

Question 20

Cervical and lumbar traction applies a force that separates vertebrae and increases the intervertebral space and leads to what effects? Select all that apply.

A) Reduces pressure on intervertebral disks
B) Reduces pressure on spinal nerve roots
C) Opens facet joints
D) Elongates soft tissue
E) Strengthens vertebral bone