IDH Rotation—12/02/21

Infrared Radiation  If patient the patient has an open pressure

ulcer, DO NOT put cream on the area
Ms. Michelle Sotero
before treatment
 Type of heating modality
 Used for bell’s palsy, pressure ulcers, and
 Make sure th at the area is clean and dry
wet wounds
before starting IRR to avoid burning
Effects:
 Cover the eyes by placing a wet tissue on
top of the eyes
 Increased metabolic activity
 Phagocytosis
 Vasodilation
Procedure:
 Reflex heating
 Erythema and pigmentation
 Sweating  Allow the temperature to warm up form a
 Increased blood flow few minutes prior to treatment
 Distance the lamp from treated area
Indications: o 50-75 cm
 Duration of treatment
o Pain o 10-20 minutes
o Muscle spasm
o Joint stiffness
o Ulcers Depth of penetration:
o Indolent wounds and chronic suppurative
 Long rays: 0.1 mm
areas
o Edema  Short rays: 3 mm
o Psoriatic lesion
o Fungal infections

Contraindications:

o Lack of thermal sensation

o Advanced cardiovascular disease
o Impaired peripheral circulation
o Scar tissue
o Devitalized tissue
o Malignant tissue
o Fever
o Acute skin disease (eczema, dermatitis)
o Acute infection
o Testes
o Metal in the area to be treated
o Over the eyes
o Patient who took analgesic or narcotic drugs
prior to treatment
o Topical oils and creams applied on area to
be treated
o Blood pressure abnormalities
o Severe cardiac conditions

Precautions:
 IDH Rotation—12/02/21
o Muscle spasm

Traction Contraindications:
Traction is the application of force or system of
o Where motion is contraindicated
forces on the spine to separate the vertebra
o Rheumatoid Arthritis
and elongate the surrounding tissues
o Acute inflammation
o Tumors
Lumbar and Cervical Traction o Vascular condition
o Joint hypermobility
o Down’s Syndrome (laxity of AO)
o Uncontrolled hypertension
o Very old and very young patients

Precautions:

o TMJ dysfunction
o Inability to toleration a certain position for an
extended period
Effects: o Disorientation

 Elongation of muscles and ligaments

 Increased space between vertebral bodies, Extra Notes:
facets, and intervertebral foramen
 Promotes relaxation of paraspinal muscles  We measure the weight of the patient
 Reduces bulging in a herniated disc
 Reduces pressure on nerve roots  Initial weight is 30% of the patient’s weight
and progress further
o Maximum weight is 60%
Types of Traction:
Cervical Traction:
1. Continuous—constant low traction force
over a long period of time  Cervical traction is felt in the occiput area

2. Sustained—larger force but for shorter  Starts with 3.5 - 4 kg

period of time o Max can be around 7 kg

3. Intermittent—most commonly used in the  Put roll towel at the back of the patient’s
rehab center; greater force over a short neck to relax the muscles
period of time but there is an alternate
application and release of traction force for  Manual traction—one hand on occiput and
brief intervals (on and off) other on the forehead
o You can also supinate and pronate
hand under patient’s neck if head is
Indications:
too big
o 7 sec hold 10 reps
o Disc bulge / herniation
o Nerve root impingement
o Joint hypomobility
o IV foramen narrowing
o Subacute joint pain
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Lumbar Traction:

How to note the ff in IE:

 IRR on L face x 10 mins

 ICT (reverse/forward/horizontal) @ 4 kg x
10'

 Manual cervical traction x 10 reps c 7 SH

 ILT @ 50% TBW (50 kg) x 10'

 Manual extremity pull on both extremity x 10

reps c 7SH