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Manips > Contraindications > Flashcards

Contraindications Flashcards

1
Q

Cauda Equina

A

Absolute CI, call 911

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2
Q

Spondyloisthesis

A

Relative CI, but no posterior-anterior thrust or lumbar roll

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3
Q

Pregnancy

A

Relative, gentle soft tissue mobilization & stretching

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4
Q

6 Ways to be extra safe

A 
Do not perform adjustment
Thrust lightly
Soft Tissue Mobilization
Long axis Distraction (arthritis)
Adjust above and below segment (fused bone)
Adjust way from instability/pathology
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5
Q

Rheumatoid Arthritis

A

relative - perform long axis distraction, , absolute CI if atlantoaxial instability

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6
Q

Down’s Syndrome

A

Absolute CI due to atlantoaxial instability

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7
Q

Marfan’s

A

Absolute due to atlantoaxial instability

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8
Q

MVA or history of head trauma/injury

A

Absolute is there is atlantoaxial instability

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9
Q

Congenital laxity or absence of transverse ligament

A

Absolute due to atlantoaxial instability

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10
Q

Atlantoaxialoccipital osteoarthritis

A

relative CI unless atlantoaxial instability

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11
Q

Ankylosing spondylitis

A

relative CI, adjust above or below fused bone

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12
Q

Inflammatory arthritis

A

Relative CI - preform long axis distraction

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13
Q

Avascular necrosis

A

Absolute CI

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14
Q

malignant bone tumours

A

Absolute CI

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15
Q

fracture

A

Absolute CI

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16
Q

dislocation

A

Absolute CI

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17
Q

Infection of the bone at the joint

A

Absolute CI

18
Q

Aplasia of the posterior arch of atlas

A

Absolute CI

19
Q

Os odontoideum

A

Absolute CI

20
Q

Neuro deficits after cervical spine high velocity thrust

A

Absolute CI

21
Q

recent TIA

A

absolute CI

22
Q

Vertebral basilar insufficiency

A

absolute CI for cervical manip

23
Q

Aneurysm involving major blood vessel in the general area of manip

A

absolute CI

24
Q

Calcification of vertebral artery

A

absolute CI

25
Q

Lack of consent, drugged/drunk

A

absolute CI

26
Q

Recent surgery near area

A

Absolute CI

27
Q

Osteoporosis, osteopenia

A

relative

28
Q

long term steroid use

A

relative

29
Q

previous radiation therapy

A

relative

30
Q

congenital malformation

A

relative

31
Q

benign bone tumors

A

relative

32
Q

calcification of the ligaments of the upper cervical spine

A

relative

33
Q

Neurological deficits as a result of discopathy

A

relative

34
Q

An aneurysm involving a major blood vessel

A

relative

35
Q

anti coagulation therapy

A

relative

36
Q

Blood dyscrasias

A

relative

37
Q

calcification abdominal aorta

A

relative

38
Q

discopathies: acute and chronic

A

relative

39
Q

lateral stenosis of lumbar spine

A

relative CI

40
Q

Fused vertebrae

A

relative CI - adjust above or below

41
Q

manipulative treatment exacerbates patient’s condition

A

relative CI

42
Q

Acute HA and/or neck pain of unknown etiology with no abnormal exam findings except pain

A

relative CI

Manips (3 decks)

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