Contraindications Flashcards
Contraindications to Accessory motion testing
- unhealed fraction or suspicion of non-union
- bacterial infection
- neoplasm
- cauda equine signs
Precautions to accessory motion testing
- active inflammatory condition
- joint effusion/inflammation
- osteoporosis
- hyper mobility (EDS)
- arthrosis
- internal derangement of joint
- general conditions: chronic disease, pregnancy, flu
Contraindications to mechanical traction
- joint hyper mobility
- pregnancy
- RA
- down syndrome
- any other systemic disease that affects ligamentous integrity
Contraindications to high compression
ABI < 0.7
- all sustained compression is contraindicated with ABI <0.6 or active DVT
contraindications for walking with arterial ulcer
- chronic ischemic rest pain
- ulcerations
- gangrene
- ABI <0.4
contraindications for stretching
- recent, unhealed fracture
- acute inflammation or infection
- sharp/acute pain with motion or muscle elongation
- hematoma
- shortened structures providing functional or joint stability
precautions for stretching
- recently healed fractures
- osteoporosis
- prolonged immobilization
- vigorous stretching to structures that have decreased tensile abilities
- joint pain/soreness > 24 hours
- edematous tissue
- bony block
- valsalva
diathermy contraindications
-metal implants or pacemakers
- malignancy
- pregnancy
- eyes
- testes
- growing epiphyses
precautions for diathermy
- electronic or magnetic equipment in the vicinity
- obesity
- copper-bearing intrauterine contraceptive device
laser therapy contraindications
- cancerous lesions
- active malignancy
- pregnancy
absolute contraindications for exercise testing
- acute MI within 2 days
- ongoing unstable angina
- uncontrolled cardiac dysthymias causing symptoms or hemodynamic compromise
- systematic severe aortic stenosis
- uncontrolled symptomatic heart failure
- recent systemic or pulmonary embolism or DVT
- acute myocarditis, pericarditis
- acute aortic dissection
absolute contraindications to exercise during pregnancy
- pre-eclampsia or pregnancy induced hypertension
- pre term rupture of membranes
- preterm labor
- incompetent cervix
- persistent 2nd or 3rd trimester bleeding
- intrauterine growth retardation
- higher order pregnancy
- uncontrolled T1DM, hypertension, thyroid disease, respiratory or systemic disorder
contraindications for paraffin wax
allergic rash, open wound, recent scars and sutures, skin infections
contraindications for whirlpool
- dont do it for wound management
- local immersion: maceration, bleeding
- full body immersion: unstable cardiac disorder, bowel incontinence, severe epilepsy, suicidal, potential for cross contamination
contraindications for cryotherapy
- cold hypersensitivity
- cold intolerance
- cryoglobulinemia
- PVD
- insenate
- Raynaud’s
- paroxysmal cold hemoglobinuria
- overgenerating peripheral nerves
contraindications for ultrasound
- impaired circulation, impaired cognitive function, impaired sensation, malignant tumors, over or near area with thrombophlebitis, joint cement, directly over plastic components, over vital area such as brain, ear, eye, heart, cervical ganglia, carotid sinuses, reproductive organs, exposed or unprotected spinal cord, over or in the area of cardiac pacemaker
- in.abdomen, low back, uterus, or pelvis during pregnancy
- high doses of thermal US should be avoided over open epiphyseal plates
precautions for ultrasound
- active inflammation
- breast implants
- open epiphysis
- healing fractures
contraindications for traction
- acute strains, sprains, and inflammation
- spondylolisthesis
- fractures
- post op spinal surgery, spinal joint instability or hypermovility
- spinal cord compression
- htpertension
- increased peripheralization of pain
- n/t
- decreased myotomal strength
- decreased reflex response
- RA
contraindications for intermittent mechanical compression
- acute inflammation, trauma, or fracture
- DVT and thrombophlebitis
- obstructed lymph or venous return
- arterial disease/insufficiency
- material revascularization
- acute pulmonary edema
- loss of protective sensation
- cancer
- edema with cardiac or renal impairment
- impaired cognition
- hyproprotenemia (<2)
- infection in treatment area
- very old or young patients
contraindication for CPM
increases in pain, edema, or inflammation
- dont do it s/p TKA
contraindications for E Stim
- anywhere for pts with demand type pacemakers or electronic devises such as insulin pumps
- instable arrhythmia
- suspected epilepsy or seizure disorder
- over carotid sinus, eyes, phrenic nerve, urinary bladder stimulator, pharyngeal or laryngeal muscles, abdomen or low back during pregnancy
- transcerebral or transthoracic
- areas of uncontrolled bleeding or infection
- superficial metal implants
- areas that prohibit motion
- thrombosis or thrombophlebitis
contraindications to exercise testing and training of individuals with SCI
- autonomic dysreflexia
- severe or infected skin on WBing surfaces
- symptomatic hypotension
- UTI
- unstable fracture
- uncontrolled hot and humid environments
- insufficient ROM to perform exercise task
