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| 1. The poundage of tractive force for intermittent traction in the lumbar region should be between _____% of body weight. |
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Definition
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| 2. The poundage of tractive force for static traction in the lumbar region should be between _____ pounds. |
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Definition
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| 3. The poundage of tractive force for intermittent traction in the cervical region should be between _____% of body weight. |
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Definition
| 10-15% (USUALLY 10-30LBS) |
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| 4. The poundage of tractive force for static traction in the cervical region should be between _____ pounds. |
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Definition
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| 5. 6 precautions for the use of traction. |
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Definition
| 1) IF TREATMENT INCREASES PAIN, STOP AND RE-EVALUATE, 2) TRACTION SHOULD ALWAYS START GENTLY AND INCREASE AS PATIENT IMPROVES, 3) DECREASE MUSCLE SPASM WITH HEAT BEFORE STARTING TRACTION, 4) WITH C-SPINE TRACTION WATCH FOR TMJ, 5) ALL SLACK SHOULD BE REMOVED BEFORE TRACTION, 6) ALL MECHANICAL TRACTION UNITS SHOULD HAVE A KILL SWITCH FOR PATIENT USE |
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| 6. What 5 questions should a doctor ask themselves before beginning a traction protocol on the patient. |
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Definition
| 1) WHAT PATHOLOGY EXISTS IN THE CONDITION TO BE TREATED, 2) WHAT IS THE IDEAL POSITION FOR THE PATIENT DURING TREATMENT, 3) WHAT WOULD BE THE MOST EFFECTIVE STRENGTH, DOSE, AND OR FREQUENCY, 4) WHAT CHANGE DO I EXPECT, 5) WHAT ARE THE POSSIBLE CONTRAINDICATIONS |
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Term
| 7. When treating a patient with multiple therapies, if two or more therapies have the same effects, they are _____ indicated. |
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Definition
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| 8. The effects of 2 or more therapies given in combination are _____. |
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Definition
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| 9. It is the responsibility of the _____ to justify the use of therapies by proper records, through documentation, and a comprehensive rational approach. |
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Definition
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Term
| 10. 3 contraindications for combination therapies. |
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Definition
| 1) 2 HEAT THERAPIES, 2) 2 EMS THERAPIES, 3) ANY 2 THERAPIES WITH THE SAME PHYSIOLOGICAL RESPONSE |
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Term
| 11. 6 common combination therapies. |
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Definition
| 1) US AND LOW VOLT AC, 2) US AND HIGH VOLT AC, 3) US AND INTERFERENTIAL CURRENT, 4) EMS AND ICE, 5) EMS AND MOIST HEAT, 6) MOIST HEAT AND MYOFASCIAL RELEASE |
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| 12. During the acute stage following an injury, especially during the first 24-28 hours it may be necessary to treat the patient once or several times daily until the pain and swelling subsides, in some cases _____on each visit, or _____ is often the regimen of choice. |
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Definition
| MULTIPLE THERAPIES; CONCENTRATED CARE |
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Term
| 13. During the post-acute healing stage/remobilization stage of healing, the treatments can be _____. After daily treatment, then every other day, and eventually down to once a week. |
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Definition
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| 14. Post-acute healing stage/remobilization stage of treatment could last from _____ visits depending on the severity and how long the patient suffered with this problem. This stage should not last longer than _____ weeks. |
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Definition
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| 15. As healing becomes more complete, the therapy should be directed to developing strength and endurance. During this stage therapy is scheduled _____ times a week combined with _____. |
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Definition
| ONCE OR TWICE A WEEK; EXERCISE |
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Term
| 16. The strengthening/rehab stage could last for _____. |
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Definition
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| 17. The recovery time for acute (passive) care should be between _____ hours. |
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Definition
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| 18. The recovery time for remobilization (active) care should be between _____. |
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Definition
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| 19. The recovery time for rehabilitation (active) care should be between _____. |
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Definition
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Term
| 1. 9 therapies that need to be supervised in order to code for them. |
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Definition
| 1) HOT/COLD PACKS, 2) MECHANICAL TRACTION, 3) UNATTENDED EMS, 4) VASOPNEUMATIC, 5) PARAFFIN BATH, 6) WHIRLPOOL, 7) DIATHERMY, 8) INFRARED, 9) UV |
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| 2. 10 therapies that need constant attention in order to code for them. |
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Definition
| 1) MANUAL EMS, 2) IONTOPHORESIS, 3) CONTRAST BATHS, 4) US, 5) THERAPEUTIC PROCEDURES, 6) NMR, 7) MASSAGE, 8) MANUAL THERAPY, 9) THERAPEUTIC ACTIVITES, 10) SENSORY INTEGRATION |
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| 3. In order to bill for supervised modalities, you must treat one or more areas for a minimum of _____ minutes. |
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Definition
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Term
| 4. To bill for constant attended procedures, 1 unit of time may be billed for treatments lasting _____min. |
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Definition
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| 5. To bill for constant attended procedures, 2 units of time may be billed for treatments lasting _____min. |
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Definition
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Term
| 6. If using multiple therapies, billing units may be _____. |
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Definition
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Term
| 7. _____ is an indication of spinal decompression therapy which may decrease intradiscal pressure, and reduce bulging of nuclear material. It may enhance osmosis from vertebral endplates, increasing fluid/blood to supply the disc. |
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Definition
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Term
| 8. _____ is an indication of spinal decompression, it establishes potential for improved alignment, articulation, and joint mobility. |
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Definition
| SEPARATION AND GLIDING OF THE FACET JOINTS |
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Term
| 9. _____ is an indication of spinal decompression that causes stretching of the system of spinal ligaments. |
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Definition
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| 10. _____ is an indication of spinal decompression that allows for increased space for spinal nerve roots. |
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Definition
| WIDENING OF VERTEBRAL FORAMINA |
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Term
| 11. _____ is an indication of spinal decompression that causes a potential decrease to sensitivity to stretch, and thereby decreases muscle spasming/guarding. It is also possible that this may improve blood supply to posterior soft tissues. |
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Definition
| STRETCHING OF SPINAL MUSCULATURE |
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Term
| 12. 13 contraindications for spinal decompression. |
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Definition
| 1) MENINGITIS, 2) SPINAL CANCER, 3) BILATERAL SYMPTOMS, 4) RA, 5) RECENT FRACTURE, 6) OSTEOPOROSIS, 7) INCREASED ABDOMINAL PRESSURE, 8) PREGNANCY, 9) DISC SEQUESTRATIONS, 10) CARDIAC/RESPIRATORY INSUFFICIENCY, 11) DECOMPRESSION ANXIETY, 12) JOINT HYPERMOBILITY, 13) ACUTE JOINT OR SOFT TISSUE INJURY |
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| 13. 7 good candidates for spinal decompression. |
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Definition
| 1) PATIENTS WHO FAILED TO RESPOND TO A TRIAL BASIS OF TRADITIONAL CHIROPRACTIC CARE FOR 2-4 WEEKS, 2) DISC BULGES, 3) DISC HERNIATIONS, 4) NUCLEAR EXTRUSIONS, 5) DDD, 6) SPINAL STENOSIS, 7) FORAMINAL ENCROACHMENT |
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| 14. 4 poor candidates for spinal decompression. |
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Definition
| 1) CAUDA EQUINA SYNDROME, 2) PROGRESSIVE NEUROLOGICAL LOSS, 3) SEVERE NERVE ROOT PAIN, 4) ADVANCED AGE |
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| 15. This is the 7 step protocol when applying spinal decompression. |
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Definition
| 1) PRE-WARM UP, 2) STATIC TRACTION, 3) INTERMITTENT TRACTION, 4) COOL DOWN PHASE, 5) REHABILITATION, 6) SPINAL ADJUSTMENT, 7) NUTRITIONAL SUPPORT |
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Term
| 16. Every decompression technique involves some sort of _____. |
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Definition
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| 17. This protocol strep of spinal decompression is used to decrease muscle spasm. |
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Definition
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| 18. The pre warm up stage of spinal decompression involves the use of these 2 modalities for acute injuries. |
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Definition
| 1) ICE, 2) INTERFERENTIAL CURRENT (80-150HZ) |
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| 19. The pre warm up stage of spinal decompression involves the use of these 3 modalities for chronic injuries. |
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Definition
| 1) LASER, 2) MOIST HEAT, 3) DIATHERMY |
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Term
| 20. The static traction phase of spinal decompression should start off with _____% of body weight, and there should be a decrease of symptoms. |
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Definition
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Term
| 21. If the patient is suitable for static traction, the doctor should increase the traction up to _____% of the patients body weight. |
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Definition
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Term
| 22. The total treatment time for static traction should be between _____min. |
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Definition
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Term
| 23. If the patient tolerated static traction protocol well with a decrease in symptoms and a positive test, the doctor should add _____. |
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Definition
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Term
| 24. The _____ is very important when applying intermittent traction. |
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Definition
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Term
| 25. The treatment time for intermittent traction should last between _____min. |
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Definition
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Term
| 26. During the cool down phase of traction, the doctor should apply a _____ for 10-15min. Also the doctor should encourage the patient to perform _____. |
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Definition
| ICE PACK; ISOMETRIC EXERCISES |
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Term
| During the rehabilitation phase of the traction protocol, the doctor must add _____ to the treatment protocol to achieve maximum results. |
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Definition
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