Contraindications

Question 1

What are the CI’s for muscle spasms?

Answer 1

• do not remove reflex mm guarding in acute
• avoid passive stretching to acutely spasmodic muscle
• no hot hydro in acute if inflammation is present
• no local massage if DVT suspected

Question 2

What are the CI’s for frictions?

Answer 2

• do not use if pt is taking anti-inflammatories

- do not use on proud flesh, keloid scars, or systemic inflammatory conditions

Question 3

What are the CI’s for burns?

Answer 3

• no oil around the wound site
• no circulatory tqs distal to wound
• modify hydro to affected area
• avoid direct contact with blisters/open wounds
• no active resisted in acute
• caution with stretching in first 2 weeks
• do not remove protective mm splinting
• no on-site work

Question 4

What are the general CI’s for inflammatory arthritides?

Answer 4

• no provocative testing except aROM
• no hot hydro on inflamed areas
• fever = NO TX
• no lymph drainage
• no circulatory tqs distal to swollen areas
• joint mobs ONLY btwn flareups
• do not mobilize fused or unstable joints

Question 5

What are some specific CI’s for RA?

Answer 5

• no mobilization tqs to C spine without imaging if pt c/o neck pain
• no long or aggressive tqs (fatiguing)
• use mm setting when treating spasms that may protect joints
• no cold hydro to affected jts between flareups

Question 6

What are some CI’s for strains?

Answer 6

• do not remove protective mm splinting in acute
• do distal circulatory tqs in acute/early subacute
• no hot hydro proximal to casted body parts
• no remex in acute grade 2 or 3!!!

Question 7

What are some CI’s specific to sprains?

Answer 7

• no testing in acute other than pain-free AROM
• do NOT attempt to restore full ROM with grade 3 sprains (surgical repair)
• no joint play of unstable joints