Contras/Precautions

Question 1

What are the precautions for resistance training (muscle performance)?

Answer 1

1. Valsalva manuver
2. High risk patients: CAD, MI, CVA, HTN, s/p eye surgery, neurosurgeries, intervertebral disc surgeries
3. substitue motions
4. overwork/overtraining
5. Osteoporosis- consider load and direction of forces
6. exercise-induced muscle soreness: acute, delayed-onset

Question 2

What are the contraindications of resistance training (muscle performance)?

Answer 2

1. Pain
2. Inflammation
3. Severe Cardiopulmonary disease

Question 3

What are the precautions for closed chain exercises?

Answer 3

1. Follow WB limits if pt is restricted to TTWB or PWB
2. if substitutions occur, exercise should be performed at an easier level
3. proper performance should be stressed over number of repetitions
4. LE exercise should be performed on proper surface w/ proper footwear

Question 4

What is the contraindication for closed chain exercises?

Answer 4

1. if patient is restricted to non-weight bearing (NWB)

Question 5

What are the precautions for acute healing?

Answer 5

1. must use proper dosage of rest and movement

Question 6

What are the contraindications for acute healing?

Answer 6

1. Stretching and resistance exercises at site of inflamed tissue

Question 7

What are precautions for chronic healing?

Answer 7

1. Soreness that does not decrease in 4 hours and is not resolved in 24 hours
2. Exercise or activity pain that comes on earlier or is increased over the previous sessions.
3. Progressively increased feelings of stiffness and decreased ROM over several exercise sessions
4. Swelling, redness, and warmth in healing tissue
5. Progressive weakness over several exercise sessions
6. Decreased functional usage of involved part

Question 8

What are the precautions for ROM?

Answer 8

1. the type of muscle contraction must be safe for the specific condition ie isometric for fracture
2. range, speed, and tolerance of pt in acute injury stage
3. Precaution/contraindicated movement per surgical considerations

Question 9

What are contraindications for ROM?

Answer 9

1. when motion or contraction may disrupt the healing process or affect the persons’s health status ex: unstable cardio/plumonary patient
2. Severe soft tissue trauma/thrombus

Question 10

What are precautions for stretching?

Answer 10

1. Do not stretch beyond normal ROM
2. Protect fracture sites/surgical sites
3. Consider effects of osteoporosis, age, inactivity, immobilization, steroids, or other meds
4. If soreness lasts longer than 24 hours, intensity was too great
5. strengthen any new range acquired
6. Pregnancy

Question 11

What are the contraindications for stretching?

Answer 11

1. Bony blocks
2. Fracture less than 6 weeks old
3. Inflamed, infected, or edematous tissue
4. Sharp, acute pain
5. Hematoma or tissue trauma
6. functional contractures
7. hypermobility

Question 12

What are the precautions for joint mobilization?

Answer 12

1. Malignancy
2. Bone disease detectable on x-ray
3. Unhealed fracture
4. Excessive pain
5. Hypermobility in associated joints
6. Total joint replacements
7. Newly formed or weak connective tissue
8. Systemic connective tissue diseases
9. Elderly individuals with weakened connective tissue and/or decreased circulation

Question 13

What are the contraindications for joint mobilizations?

Answer 13

1. Hypermobility
2. Joint effusion
3. Inflammation