Contraindications Flashcards
Cauda Equina
Absolute CI, call 911
Spondyloisthesis
Relative CI, but no posterior-anterior thrust or lumbar roll
Pregnancy
Relative, gentle soft tissue mobilization & stretching
6 Ways to be extra safe
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
Rheumatoid Arthritis
relative - perform long axis distraction, , absolute CI if atlantoaxial instability
Down’s Syndrome
Absolute CI due to atlantoaxial instability
Marfan’s
Absolute due to atlantoaxial instability
MVA or history of head trauma/injury
Absolute is there is atlantoaxial instability
Congenital laxity or absence of transverse ligament
Absolute due to atlantoaxial instability
Atlantoaxialoccipital osteoarthritis
relative CI unless atlantoaxial instability
Ankylosing spondylitis
relative CI, adjust above or below fused bone
Inflammatory arthritis
Relative CI - preform long axis distraction
Avascular necrosis
Absolute CI
malignant bone tumours
Absolute CI
fracture
Absolute CI
dislocation
Absolute CI
Infection of the bone at the joint
Absolute CI
Aplasia of the posterior arch of atlas
Absolute CI
Os odontoideum
Absolute CI
Neuro deficits after cervical spine high velocity thrust
Absolute CI
recent TIA
absolute CI
Vertebral basilar insufficiency
absolute CI for cervical manip
Aneurysm involving major blood vessel in the general area of manip
absolute CI
Calcification of vertebral artery
absolute CI
Lack of consent, drugged/drunk
absolute CI
Recent surgery near area
Absolute CI
Osteoporosis, osteopenia
relative
long term steroid use
relative
previous radiation therapy
relative
congenital malformation
relative
benign bone tumors
relative
calcification of the ligaments of the upper cervical spine
relative
Neurological deficits as a result of discopathy
relative
An aneurysm involving a major blood vessel
relative
anti coagulation therapy
relative
Blood dyscrasias
relative
calcification abdominal aorta
relative
discopathies: acute and chronic
relative
lateral stenosis of lumbar spine
relative CI
Fused vertebrae
relative CI - adjust above or below
manipulative treatment exacerbates patient’s condition
relative CI
Acute HA and/or neck pain of unknown etiology with no abnormal exam findings except pain
relative CI