Contraindications Flashcards
Ultrasound
MUST THERMAL SKIN TEST
Pregancy (exposure to foetus) Bleeding tissus vascular abnormalities Haemophiliac Specialist tissue metal implant (if thermal) Malignancy (local) Active implant (local)
Pulsed Short Wave
MUST THERMAL SKIN TEST
Pregnancy Active Implant Actively Bleeding tissues Metal implants (if thermal setting) Specialist tissues Malignancy (local) Active epiphysis
TENS
MUST SHARP/BLUNT SKIN TEST
specialist tissue
active implant
epilepsy (neck)
actively bleeding tissue
pregnancy around foetus - check model
local malignancy
active epiphysis
local circulatory insufficiency
Exercise
Unstable Angina Infection Myocardial Infarction within last month Resting HR >120BPM Uncontrolled Hypertension >180/100 or Hypotension <90/60
cautions:
pregnancy, diabetes, epilepsy, history of fractures, osteoporosis, Rhuematoid/osteoarthritis, serious illness, CVR issues, Operations, Pacemaker/active implant
Massage
Infections/ skin conditions Burns Open Wounds Febrile Conditions Acute injury/inflammation Myositis Ossificans DVT Malignancy Haemorrhage Areas of Active Bone Growth Red Flags
Cautions:
Pregnancy, frail skin, osteoporosis, altered skin sensation, malignancy, heart/circulation issue
Heat
THERMAL SKIN TEST
Specialist tissues
actively bleeding tissue
local malignancy
local circulatory insufficiency
caution
active epiphysis
metal implant
Ice
THERMAL SKIN TEST
specialist tissue
local circulatory insufficiency
local malignancy
caution - pregnancy around foetus
Stretching
bony block at end range unstable/recent fracture acute soft tissue injury infection haematoma post surgical repair hypermobility
Mobilisations
Osteoporosis hypermobility malignancy ligamentous laxity fractures haematoma frail/damaged skin pregnancy connective tissue disease bleeding disorders active inflammation