Mechanical Modality Indications/Precuations/Contraindications Flashcards
traction indications
-cervical radic
-lumbar radic w radiating pain or paresthesia that doesn’t have directional preference (extension/flexion)
-chronic neck pain w mobility deficits
traction precautions
-significant structural disease of the spine
-pressure from belts is hazardous (pregnancy)
-disc extrusion or sequestration
-medial disc protrusion
-pain completely abolishes after tx (check myotome, dermatome, DTR)
-pt unable to tolerate prone or supine position
-claustrophobia
-altered mentation
-cervical sling traction w TMJ symptoms
traction contraindications
-Uncontrolled HTN
-Peripheralization of symptoms
-Acute injury or inflammation
-Joint hypermobility or instability
-Immobilization
-Concerns of C1-C2 stability fx
-Neuro findings worsen
compression indications
-edema
-DVT prevention
-venous stasis ulcers
-residual limb shaping
-hypertrophic scar management
compression precautions
-neuropathy (monitor for ischemia)
-impaired mentation
-uncontrolled HTN
-potential compromise of superficial nerve
-ABI 0.5-0.8
what to know when doing compression if ABI is 0.5-0.8
-Avoid intermittent compression devices
-Do not exceed 27 mmHg for static devices
general compression contraindications
-if underlying cause unknown
-active infection or malignancy
-significant hypoproteinemia (< 2 mg/ml)
-situations where limb movement is avoided
when is mechanical intermittent compression avoided?
-active DVT or PE
-thrombophlebitis
-edema from cardiopulm pathology
-severe PAD
if ABI < 6, avoid what type of compression?
static compression
CPM indications
restoration or maintenance of motion
CPM precautions
-significant bleeding or edema
-impaired mentation or sensation
-protection of neurovascular structures or newly repaired tissues
CPM contraindications
-if motion is contraindicated (ex: unstable fx)
-infection
-altered mentation
