Tilt Table

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Tilt Table

• Veronica Southard PT MS GCS

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Tilt table

• Equipment
• Padded board, footrest, straps.
• Protractor, Crank

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Physiologic effects

• Increased circ. In upright position
• Increased urinary drainage
• Musculoskeletal muscle tone increases in
  antigravity m. Increased pull on longbones
• Neurologic Sensory receptors of the soles of
  the feet, Joint proprioceptors, m spindles,
  semicircular canals
• Motor Alpha mn are stim in antigravity m
• Respitory increased ventilation, gravity drains
  bronchioles

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Advantages

• Safe, upright position, amt. Of weight borne is
  controlled. Pt cooperation is not necessary

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Disadvantages

• Cumbersome.
• Fainting
• LE edema
• Supine may aggravate sacral decubiti
• Time consuming

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Indications

• Orthostatic hypotension/ Postural hypotension
  drop of 10-20mmHg in response to upright
  position.
• Pt.s requiring Postural drainage

• Post fracture, CVA, MS,Para or Quad, amputee, CP
  MD, Bronchitis CF.
• Any situation where you need to slowly elevate
  fully or partially

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Contraindications

• Acute spinal or pelvic fractures, acute
  lumbosacral sprain, acute cardiac infarctions.
• Any patient that can stand on their own

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Procedure

• Explain to pt.
• Pt will report dizzyness, nausea, lightheadedness
• Purpose

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Position Equipment

• Position binder right side down at table center
• Check that table is locked and flat

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Position Pt

• 1. Transfer pt.
• 2. Secure abdominal binder
• 3. Secure strap above knees
• 4. Secure strap below breast
• 5. Resting BP and Pulse

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Raising and Lowering the Patient

• 1. Slowly elevate to 20
• 2. Take BP/HR
• 3. Elevate the pt. To 45- repeat vitals
• 4. Elevate the pt. To 85-repeat vitals
• 5. Lower in three stages
• 6. Check vitals at each stage
• 7. Check pt. Every five minutes until resting
  vitals are achieved

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Precautions

• Make sure the straps are tight enough
• Feet must be flat
• Signs of excessive sweating, fainting and nausea
  mean lower the pt. Or stay with the pt.