Podcast
Questions and Answers
What age criterion is included in the CPR criteria for cervical spine pain?
What age criterion is included in the CPR criteria for cervical spine pain?
- Age between 40 and 50 years
- Age greater than 65 years
- Age greater than or equal to 55 years (correct)
- Age less than 65 years
Which of the following predictors indicates a positive outcome probability of 89% when treated with cervical manipulation?
Which of the following predictors indicates a positive outcome probability of 89% when treated with cervical manipulation?
- Demonstrating cervical stiffness
- Exhibiting unilateral involvement pattern
- Having a Neck Disability Index score of < 11.50 (correct)
- Performing sedentary work for less than 4 hours/day
What is the probability of treatment success for patients demonstrating four or more predictors according to the CPR criteria?
What is the probability of treatment success for patients demonstrating four or more predictors according to the CPR criteria?
- 79%
- 95%
- 85%
- 89% (correct)
Which of the following factors is NOT included in determining which patients will benefit from cervical spine manipulation?
Which of the following factors is NOT included in determining which patients will benefit from cervical spine manipulation?
What does a + LR of 23.1 indicate for patients with a score of 4 or more in the study findings?
What does a + LR of 23.1 indicate for patients with a score of 4 or more in the study findings?
What effect does cervical traction have on derangement?
What effect does cervical traction have on derangement?
Which condition may benefit from cervical traction for temporary relief?
Which condition may benefit from cervical traction for temporary relief?
What is a necessary condition to effectively use cervical traction on hypomobility?
What is a necessary condition to effectively use cervical traction on hypomobility?
What is a contraindication for cervical traction treatment?
What is a contraindication for cervical traction treatment?
How effective are the results from cervical traction typically described?
How effective are the results from cervical traction typically described?
What is the primary purpose of performing manual traction before mechanical traction?
What is the primary purpose of performing manual traction before mechanical traction?
Which of the following would NOT be a reason to apply cervical traction in muscle spasm?
Which of the following would NOT be a reason to apply cervical traction in muscle spasm?
What aspect of cervical traction treatment limits its focus?
What aspect of cervical traction treatment limits its focus?
What is the maximum recommended dosage of mechanical traction as a percentage of a patient's body weight?
What is the maximum recommended dosage of mechanical traction as a percentage of a patient's body weight?
What effect does increased flexion have on vertebral separation?
What effect does increased flexion have on vertebral separation?
Which patient position is associated with the most relaxation of the cervical spine?
Which patient position is associated with the most relaxation of the cervical spine?
How long is the typical duration for mechanical traction treatments to achieve relaxation?
How long is the typical duration for mechanical traction treatments to achieve relaxation?
Which mode of traction combined with exercise has shown superior results for cervical radiculopathy?
Which mode of traction combined with exercise has shown superior results for cervical radiculopathy?
What is a crucial factor influencing vertebral separation during traction treatment?
What is a crucial factor influencing vertebral separation during traction treatment?
What determines the appropriate duration of mechanical traction for a patient?
What determines the appropriate duration of mechanical traction for a patient?
What was the successful outcome defined in the study for cervical spine traction?
What was the successful outcome defined in the study for cervical spine traction?
What is the primary cause of cervical spine stenosis?
What is the primary cause of cervical spine stenosis?
In which sports is cervical spine stenosis most likely to occur?
In which sports is cervical spine stenosis most likely to occur?
What might happen to patients experiencing severe cervical stenosis with retraction and extension?
What might happen to patients experiencing severe cervical stenosis with retraction and extension?
Which test is NOT positive for relief of symptoms in cervical spine stenosis?
Which test is NOT positive for relief of symptoms in cervical spine stenosis?
What is recommended for treating cervical spine stenosis?
What is recommended for treating cervical spine stenosis?
What does the typical range of motion finding 'Min / Mod ERP' indicate?
What does the typical range of motion finding 'Min / Mod ERP' indicate?
Which of the following exercises should be included in a treatment plan for cervical spine stenosis?
Which of the following exercises should be included in a treatment plan for cervical spine stenosis?
What should clinicians monitor when treating with repeated cervical retraction?
What should clinicians monitor when treating with repeated cervical retraction?
What percentage of patients was found to meet the criteria for considering the treatment outcome successful in the initial study?
What percentage of patients was found to meet the criteria for considering the treatment outcome successful in the initial study?
What was the increase in the success rate for manipulative therapy when patients met at least 3 of the specified inclusion criteria?
What was the increase in the success rate for manipulative therapy when patients met at least 3 of the specified inclusion criteria?
Which of the following is NOT one of the inclusion criteria for the clinical prediction rule for cervical spine manipulation?
Which of the following is NOT one of the inclusion criteria for the clinical prediction rule for cervical spine manipulation?
In the study comparing thoracic and cervical spine manipulation, which factors were assessed for improvement?
In the study comparing thoracic and cervical spine manipulation, which factors were assessed for improvement?
What conclusion was drawn about patients with cervical spine pain who met the thoracic spine CPR criteria?
What conclusion was drawn about patients with cervical spine pain who met the thoracic spine CPR criteria?
In the final study, what was found regarding the comparison of treatment outcomes between mobilization and manipulation for mechanical neck pain?
In the final study, what was found regarding the comparison of treatment outcomes between mobilization and manipulation for mechanical neck pain?
After receiving manipulative therapy, patients in both the thoracic and cervical manipulation groups participated in what type of exercise?
After receiving manipulative therapy, patients in both the thoracic and cervical manipulation groups participated in what type of exercise?
How many criteria did patients need to meet for thoracic spine manipulation to be eligible for the comparative study?
How many criteria did patients need to meet for thoracic spine manipulation to be eligible for the comparative study?
Flashcards
Cervical Traction
Cervical Traction
A treatment technique that uses force to stretch the neck, aimed at relieving pain, reducing muscle spasms, and improving mobility.
Indications for Cervical Traction
Indications for Cervical Traction
Conditions where cervical traction might provide benefits, such as disc herniation, spinal stenosis, muscle spasms, and joint stiffness.
Effects of Cervical Traction
Effects of Cervical Traction
The changes cervical traction can cause, including flattening of disc protrusions, opening of spinal spaces, and lengthening of tight muscles and ligaments.
Facet Syndrome
Facet Syndrome
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Precautions for Cervical Traction
Precautions for Cervical Traction
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Contraindications for Cervical Traction
Contraindications for Cervical Traction
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Limitations of Cervical Traction
Limitations of Cervical Traction
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Manual Cervical Traction
Manual Cervical Traction
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CPR Criteria for Cervical Manipulation
CPR Criteria for Cervical Manipulation
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Positive Shoulder Abduction Test
Positive Shoulder Abduction Test
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Positive Brachial Plexus Test
Positive Brachial Plexus Test
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Positive Cervical Distraction Test
Positive Cervical Distraction Test
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Neck Disability Index (NDI)
Neck Disability Index (NDI)
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Cervical Traction Dosage
Cervical Traction Dosage
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Cervical Traction Duration
Cervical Traction Duration
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Flexion & Vertebral Separation
Flexion & Vertebral Separation
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Patient Comfort & Relaxation
Patient Comfort & Relaxation
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Over-the-Door Traction
Over-the-Door Traction
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Pronex Traction
Pronex Traction
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Mechanical Traction Machine
Mechanical Traction Machine
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Cervical Radiculopathy
Cervical Radiculopathy
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Cervical Spine Manipulation Success Rate
Cervical Spine Manipulation Success Rate
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Clinical Prediction Rule (CPR)
Clinical Prediction Rule (CPR)
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Cervical Manipulation CPR Criteria
Cervical Manipulation CPR Criteria
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Thoracic Spine Manipulation
Thoracic Spine Manipulation
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Cervical vs. Thoracic Manipulation for Neck Pain
Cervical vs. Thoracic Manipulation for Neck Pain
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Cervical Manipulation Effectiveness
Cervical Manipulation Effectiveness
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Thoracic Manipulation Criteria
Thoracic Manipulation Criteria
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Mobilization vs. Manipulation for Neck Pain
Mobilization vs. Manipulation for Neck Pain
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Cervical Spine Stenosis
Cervical Spine Stenosis
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Torg Ratio
Torg Ratio
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Cervical Hyperextension Test
Cervical Hyperextension Test
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Cervical Compression Test
Cervical Compression Test
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Spurling's Compression Test
Spurling's Compression Test
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Quadrant Test
Quadrant Test
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Cervical Distraction Test
Cervical Distraction Test
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Treatment for Cervical Stenosis
Treatment for Cervical Stenosis
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Study Notes
Cervical Spine Traction Treatment Guidelines
- Cervical traction is used to treat various cervical spine conditions, including derangements, stenosis, and flexion bias conditions.
- Traction can help alleviate symptoms associated with these conditions by flattening nuclear protrusion, opening intervertebral foramina, and elongating tight muscles and ligaments.
- Traction can be beneficial for conditions affecting multiple spinal levels, but not always effective in isolating a single spinal level.
- Muscle spasm may be addressed by treating the underlying cause.
- Traction's effects are typically temporary.
- Specific precautions include conditions where movement is contraindicated, acute strains or sprains, joint hypermobility, malignancy, infection, and TMJ dysfunction.
- No established standardized protocols or best practice guidelines for traction exist.
Basic Cervical Traction Procedures
- Initial manual traction is used to assess the effectiveness and suitability of traction.
- Proper positioning is vital for maximizing the benefit of traction.
- Appropriate traction mode (manual or mechanical) should be selected based on the patient's condition.
- Dosage (weight) and duration of traction should be carefully determined based on individual needs and adjusted if needed.
- The duration of traction is dependent on the treatment goals. (Typically 20-30 minutes).
- The maximum dosage of traction should typically not exceed 7% of the patient's body weight.
Factors Influencing Vertebral Separation
- Increased flexion increases vertebral separation.
- Optimal flexion angle is 35 degrees.
- Cervical flexion should be used judiciously to avoid contraindications.
- A maximum force of 7% of the patient's body weight is often used in mechanical traction for relaxation.
- Different types of mechanical traction approaches are available.
- Over-the-Door Traction
- Pronex Traction / Saunders Traction
- Mechanical Traction Machine
Evidence-Based Practice Guidelines
- Combined exercise and supine mechanical traction is superior to other types for decreasing neck pain, arm pain, and neck disability scores for cervical radiculopathy.
- 86 patients participated in this study following the initial 4 weeks and the follow up period of 6 and 12 months.
CPR for Traction to Treat Cervical Spine Pain
- A clinical prediction rule (CPR) is used to identify patients likely to benefit from mechanical cervical traction.
- Criteria for the CPR include age, reported peripheralization of symptoms with lower cervical spine mobility, positive shoulder abduction test, positive brachial plexus test (Elvey's test), and positive cervical distraction test.
- Patients who exhibit four or more of these factors have a high probability of successful treatment.
Cervical Spine Manual Therapy Research
- Initial score on the Neck Disability Index and factors like bilateral involvement, sedentary work, preference for movement, and absence of radiculopathy affect the outcome of the therapy intervention.
- Patients reaching four or more criteria have an 89% probability of a successful manipulative therapy outcome.
- Different studies show varying success rates in different groups—a success rate of 39% when specific parameters weren't met and 90% improvement for those who met 3 inclusion criteria.
- A thoracic spine manipulation study was performed to compare it with cervical manipulation in patients with mechanical neck pain.
Cervical Spine Stenosis
- Cervical stenosis is less common than lumbar stenosis due to different weight-bearing responsibilities.
- Cervical stenosis is often caused by repeated spinal trauma, resulting in narrowing of the vertebral foramen.
- This condition is common in collision sports, such as football, ice hockey, and lacrosse.
- Typical range of motion findings include issues with extension, and flexion and retraction alone or together, varying intensities.
Treatment of Cervical Stenosis
- Treatment should include postural education, repeated cervical spine flexion exercises, strengthening and endurance training for cervical flexors, extensors, and scapular stabilizers.
- Repeated cervical retraction should be used with caution as increased peripheral symptoms may occur.
- Patients experiencing cervical spine stenosis, and who sustain axial loading injury, are more likely to suffer spinal cord injury and paralysis, so retirement from collision sports may be necessary.
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Description
This quiz explores the treatment guidelines and procedures for cervical spine traction. It covers conditions treated by cervical traction, precautions, and the temporary nature of its effects. Perfect for healthcare professionals interested in spinal therapy.
