Question 1

Your patient is considering purchasing an inversion device for her back pain. Which of the following medical problems would preclude her use of this device?

Accepted Answer

A)  Osteoarthritis of the spine 
B)  Temporomandibular joint dysfunction 
C)  Spinal stenosis 
D)  Hypertension 
A)  Osteoarthritis of the spine 
B)  Temporomandibular joint dysfunction 
C)  Spinal stenosis 
D)  Hypertension D

Question 2

Which of the following is an indication for traction?

Accepted Answer

A)  Distraction of facet joints to relieve pain from degenerative joint disease 
B)  Stretching of cervical spine ligaments to relieve pain from acute grade two ligament sprain 
C)  Increasing bone density of the cervical vertebral bodies for a patient with osteoporosis 
D)  Alleviation of bilateral upper extremity paresthesias secondary to cervical spinal cord compression 
A)  Distraction of facet joints to relieve pain from degenerative joint disease 
B)  Stretching of cervical spine ligaments to relieve pain from acute grade two ligament sprain 
C)  Increasing bone density of the cervical vertebral bodies for a patient with osteoporosis 
D)  Alleviation of bilateral upper extremity paresthesias secondary to cervical spinal cord compression A

Question 3

What is the evidence on the effect of cervical traction on intervertebral foramina dimensions?

Accepted Answer

A)  Decrease during traction application 
B)  Correction of intervertebral foraminal impingement 
C)  Increase during traction application 
D)  No effect on foramina dimensions 
A)  Decrease during traction application 
B)  Correction of intervertebral foraminal impingement 
C)  Increase during traction application 
D)  No effect on foramina dimensions C

Question 4

How much traction force is required to overcome friction of the lower body when doing lumbar traction?

Accepted Answer

A)  One-half to three-quarters of body weight 
B)  Approximately 20 pounds 
C)  Up to approximately one-half of body weight 
D)  Greater than 150 pounds 
A)  One-half to three-quarters of body weight 
B)  Approximately 20 pounds 
C)  Up to approximately one-half of body weight 
D)  Greater than 150 pounds

Question 5

Which of the following is correct with regard to cervical traction?

Accepted Answer

A)  Approximately 30 to 45 pounds of traction force is required to achieve vertebral separation in the cervical spine. 
B)  Patients always have better outcomes when the traction force is as high as they can tolerate. 
C)  Cervical traction applied with the patient sitting requires more force to achieve the desired effect than when applied with the patient supine. 
D)  A person with a history of temporomandibular joint problems should not have any form of cervical traction. 
A)  Approximately 30 to 45 pounds of traction force is required to achieve vertebral separation in the cervical spine. 
B)  Patients always have better outcomes when the traction force is as high as they can tolerate. 
C)  Cervical traction applied with the patient sitting requires more force to achieve the desired effect than when applied with the patient supine. 
D)  A person with a history of temporomandibular joint problems should not have any form of cervical traction.

Question 6

A recently published clinical prediction rule for cervical traction includes which of the following?

Accepted Answer

A)  Positive shoulder abduction test 
B)  Age of 50 years or younger 
C)  Negative upper limb tension test 
D)  Increased symptoms with manual distraction 
A)  Positive shoulder abduction test 
B)  Age of 50 years or younger 
C)  Negative upper limb tension test 
D)  Increased symptoms with manual distraction

Question 7

Which of the following is the most important parameter to consider when the goal of traction is separation of lumbar vertebral bodies?

Accepted Answer

A)  Using heat before and during traction 
B)  Selecting an appropriate force 
C)  Using the supine position with the legs supported on a small stool 
D)  Using an intermittent setting 
A)  Using heat before and during traction 
B)  Selecting an appropriate force 
C)  Using the supine position with the legs supported on a small stool 
D)  Using an intermittent setting

Question 8

Which of the following is an appropriate guideline regarding the patient's response to traction?

Accepted Answer

A)  Some discomfort is expected during traction and may temporarily increase afterward. 
B)  Traction should relieve pain in an extremity but may increase neck or back pain. 
C)  Pain increases during traction are common but should diminish afterward. 
D)  The patient should not have an increase in symptoms during or after traction. 
A)  Some discomfort is expected during traction and may temporarily increase afterward. 
B)  Traction should relieve pain in an extremity but may increase neck or back pain. 
C)  Pain increases during traction are common but should diminish afterward. 
D)  The patient should not have an increase in symptoms during or after traction.

Question 9

What is the evidence of the effect of lumbar traction on intradiscal pressures?

Accepted Answer

A)  Intradiscal pressures increase during traction then gradually decrease after traction. 
B)  Intradiscal pressures decrease during traction then rapidly return to normal after traction. 
C)  There is no effect on intradiscal pressure during or after traction. 
D)  The effect on intradiscal pressure during traction is unpredictable. 
A)  Intradiscal pressures increase during traction then gradually decrease after traction. 
B)  Intradiscal pressures decrease during traction then rapidly return to normal after traction. 
C)  There is no effect on intradiscal pressure during or after traction. 
D)  The effect on intradiscal pressure during traction is unpredictable.

Question 10

Mechanical traction is unlikely to be effective in achieving which of the following?

Accepted Answer

A)  Separation of vertebral bodies 
B)  Distraction of vertebral facet joints 
C)  Stretching of soft tissues of the spine 
D)  Permanent reduction of herniated nucleus pulposus 
A)  Separation of vertebral bodies 
B)  Distraction of vertebral facet joints 
C)  Stretching of soft tissues of the spine 
D)  Permanent reduction of herniated nucleus pulposus

Question 11

How can the friction provided by the patient's superincumbent body weight be significantly reduced during lumbar traction?

Accepted Answer

A)  Unlock the table so segments can be separated. 
B)  Place the legs on a stool in the 90/90 position. 
C)  Increase the force of the traction to greater than body weight. 
D)  Place the patient in prone position with a pillow under the pelvis. 
A)  Unlock the table so segments can be separated. 
B)  Place the legs on a stool in the 90/90 position. 
C)  Increase the force of the traction to greater than body weight. 
D)  Place the patient in prone position with a pillow under the pelvis.

Question 12

The most commonly used parameters for cervical traction are which of the following?

Accepted Answer

A)  Neutral cervical spine, intermittent, up to 50 pounds 
B)  Cervical flexion of 15 to 35 degrees, constant, no more than weight of the head (about 10 to 15 pounds) 
C)  Extension of the upper cervical spine, intermittent, 15 to 30 pounds 
D)  Cervical flexion, intermittent, 10 to 25 pounds 
A)  Neutral cervical spine, intermittent, up to 50 pounds 
B)  Cervical flexion of 15 to 35 degrees, constant, no more than weight of the head (about 10 to 15 pounds) 
C)  Extension of the upper cervical spine, intermittent, 15 to 30 pounds 
D)  Cervical flexion, intermittent, 10 to 25 pounds

Question 13

Which of the following is true regarding lumbar spine decompression units?

Accepted Answer

A)  Research has demonstrated that these units are more effective than standard traction tables. 
B)  There is lack of evidence in the literature to validate the effectiveness of these units. 
C)  These units are effective in relieving back pain but not radiculopathy. 
D)  Space-age technology is applied to reduce bulging and herniated discs effectively. 
A)  Research has demonstrated that these units are more effective than standard traction tables. 
B)  There is lack of evidence in the literature to validate the effectiveness of these units. 
C)  These units are effective in relieving back pain but not radiculopathy. 
D)  Space-age technology is applied to reduce bulging and herniated discs effectively.

Question 14

Which of the following lists contains only contraindications or precautions for traction?

Accepted Answer

A)  Spinal instability, uncontrolled hypertension, claustrophobia 
B)  Infection, osteoarthritis, hiatal hernia 
C)  Rheumatoid arthritis, facet joint capsulitis, upper extremity radiculopathy 
D)  Spine cancer, hiatal hernia, herniated nucleus pulposus 
A)  Spinal instability, uncontrolled hypertension, claustrophobia 
B)  Infection, osteoarthritis, hiatal hernia 
C)  Rheumatoid arthritis, facet joint capsulitis, upper extremity radiculopathy 
D)  Spine cancer, hiatal hernia, herniated nucleus pulposus

Question 15

Clinical effectiveness of traction appears to be best when performed

Accepted Answer

A)  Alone, without other interventions 
B)  Combined with heat and massage 
C)  Combined with manual therapy and exercise 
D)  Combined with ultrasound and epidural injections 
A)  Alone, without other interventions 
B)  Combined with heat and massage 
C)  Combined with manual therapy and exercise 
D)  Combined with ultrasound and epidural injections

Your patient is considering purchasing an inversion device for her back pain. Which of the following medical problems would preclude her use of this device?

Which of the following is an indication for traction?

What is the evidence on the effect of cervical traction on intervertebral foramina dimensions?

How much traction force is required to overcome friction of the lower body when doing lumbar traction?

Which of the following is correct with regard to cervical traction?

A recently published clinical prediction rule for cervical traction includes which of the following?

Which of the following is the most important parameter to consider when the goal of traction is separation of lumbar vertebral bodies?

Which of the following is an appropriate guideline regarding the patient's response to traction?

What is the evidence of the effect of lumbar traction on intradiscal pressures?

Mechanical traction is unlikely to be effective in achieving which of the following?

How can the friction provided by the patient's superincumbent body weight be significantly reduced during lumbar traction?

The most commonly used parameters for cervical traction are which of the following?

Which of the following is true regarding lumbar spine decompression units?

Which of the following lists contains only contraindications or precautions for traction?

Clinical effectiveness of traction appears to be best when performed

Therapeutic Modalities Past, Present, and Future: Their Roles in the Patient Care Management Model

Cold Therapy Modalities

Therapeutic Heat

Therapeutic Ultrasound

Hydrotherapy: the Use of Water As a Therapeutic Agent

Electromagnetic Modalities: Laser, Diathermy, and Pulsed Electromagnetic Fields

Intermittent Pneumatic Compression

Foundations of Clinical Electrotherapy

Clinical Electrical Stimulation: Application and Techniques

Mechanisms of Pain and Use of Therapeutic Modalities

Therapeutic Modalities for Improving Range of Motion

Electrotherapy for Musculoskeletal Disorders

Neuromuscular Electrical Stimulation Nmes and Functional Electrical Stimulation Fes in Patients With Neurological Diagnoses

Therapeutic Modalities for Tissue Healing

Alternative Modalities for Pain and Tissue Healing

Electrophysiological Testing of Nerves and Muscles

Filters

Exam 7: Spinal Traction

Your patient is considering purchasing an inversion device for her back pain. Which of the following medical problems would preclude her use of this device?

Which of the following is an indication for traction?

What is the evidence on the effect of cervical traction on intervertebral foramina dimensions?

How much traction force is required to overcome friction of the lower body when doing lumbar traction?

Which of the following is correct with regard to cervical traction?

A recently published clinical prediction rule for cervical traction includes which of the following?

Which of the following is the most important parameter to consider when the goal of traction is separation of lumbar vertebral bodies?

Which of the following is an appropriate guideline regarding the patient's response to traction?

What is the evidence of the effect of lumbar traction on intradiscal pressures?

Mechanical traction is unlikely to be effective in achieving which of the following?

How can the friction provided by the patient's superincumbent body weight be significantly reduced during lumbar traction?

The most commonly used parameters for cervical traction are which of the following?

Which of the following is true regarding lumbar spine decompression units?

Which of the following lists contains only contraindications or precautions for traction?

Clinical effectiveness of traction appears to be best when performed

Therapeutic Modalities Past, Present, and Future: Their Roles in the Patient Care Management Model

Cold Therapy Modalities

Therapeutic Heat

Therapeutic Ultrasound

Hydrotherapy: the Use of Water As a Therapeutic Agent

Electromagnetic Modalities: Laser, Diathermy, and Pulsed Electromagnetic Fields

Intermittent Pneumatic Compression

Foundations of Clinical Electrotherapy

Clinical Electrical Stimulation: Application and Techniques

Mechanisms of Pain and Use of Therapeutic Modalities

Therapeutic Modalities for Improving Range of Motion

Electrotherapy for Musculoskeletal Disorders

Neuromuscular Electrical Stimulation Nmes and Functional Electrical Stimulation Fes in Patients With Neurological Diagnoses

Therapeutic Modalities for Tissue Healing

Alternative Modalities for Pain and Tissue Healing

Electrophysiological Testing of Nerves and Muscles

Filters