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PBA > Contraindications > Flashcards

Contraindications Flashcards

1
Q

Hypertension

A
  • Increasing SNS (prolonged vigorous/painful techniques)
  • Excessive increase of venous return
  • Full body hydro or prolonged heat over back/pecs
  • Position for comfort (sleeping position)
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2
Q

Left Side Congestive Heart Failure

A
  • Difficulty breathing/rapid breathing
  • Paroxysmal nocturnal dyspnea (choking if in supine)
  • Position for comfort (sleeping position)
  • Full body lymph drainage/venous return
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3
Q

Right Side Congestive Heart Failure

A
  • Abdominal pain/intestinal problems
  • Position for comfort (sleeping position)
  • Full body lymph drainage/venous return
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4
Q

Raynauds

A
  • Cold hydro
  • Prolonged painful techniques/increasing SNS
  • Deep techniques over affected tissue if tissue health is pooor
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5
Q

Varicose Veins

A
  • Deep tx over variscosities
  • Local massage if painful and sensitive
  • Local massage for 24 hours after saline injections
  • Local massage if not diagnosed
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6
Q

Constipation

A
  • Heat hydro on abdomen if there is high BP or inflammatory bowel disease
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7
Q

IBS

A
  • Heat hydro to abdomen if there is high BP or a flare up
  • Abdominal massage if experiencing diarrhea
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8
Q

Ulcerative Colitis

A
  • treating low back or abdomen during flare up
  • vigorous/deep work to low back/abdomen
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9
Q

Crohn’s Disease

A
  • treating low back or abdomen during flare up
  • vigorous/deep work to low back/abdomen
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10
Q

Ankylosing Spondylitis

A
  • Mobilizing fused joints
  • Heat with inflammation
  • fever
  • any testing other than arom if acute
  • local deep/vigorous tx between flare ups
  • avoid fatigueing client with homecare given
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11
Q

Gout

A
  • heat with inflammation
  • local massage if acute attack
  • fever
  • any testing other than arom if acute
  • local deep/vigorous tx between flare ups
  • avoid fatigueing client with homecare given
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12
Q

Rheumatoid Arthritis

A
  • heat with inflammation
  • local/distal massage if acute attack
  • no jt mbz or rom around c1-c2 if severe (hypermobile)
  • fever
  • any testing other than arom if acute
  • local deep/vigorous tx between flare ups
  • avoid fatigueing client with homecare given
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13
Q

Geriatrics?

A
  • No fascial with delicate skin
  • No deep pressure
  • Keep room/table warm
  • May not undress or need help undressing
  • May need secondary person for consent if cognitive ability is compromised
  • Secondary conditions/medications
  • Shorter tx time
  • May need help getting on/off table
  • No changing positions as much
  • PROM with arthritic joints
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14
Q

Headaches

A
  • Heat to head is CI, can do cold to neck and heat to periphery
  • No loud sounds/bright lights
  • No deep vigorous tx
  • Position for comfort
  • Dont over treat
  • Approach TrPr with caution (possible kickback pain)
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15
Q

VP Shunt

A
  • Aggressive techniques that can cause inflammation/damage
  • Direct work or drag over shunt
  • Position area of congestion over drainage area (semi-fowlers or seated)
  • shorten tx to 30 mins
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16
Q

Pacemaker

A
  • Prone position may be uncomfy, place pillow/cushion between table and device
  • Position for comfort
  • Decrease tx time to 30 mins
  • No SNS increase (deep painful tx, direct/systemic heat)
  • Dont mobilize surgical scars
  • No frictions
  • Major circulatory tx
  • MFR over pecs
17
Q

Dysmenorrhea

A
  • Abdominal massage relative CI for first few days
  • Position for comfort
  • No vigorous/painful tx, especially over low back/abdomen
18
Q

Menorrhagia

A
  • Abdominal massage relative CI
  • Direct hydro to abdomen
  • Vigorous/painful tx
  • Position for comfort
19
Q

First Trimester

A
  • All positions are okay, just position for comfort
  • Nauseous = no shaking, position for comfort, no deep tx
  • Avoid uterine area
  • No stim tx over abd/low back
  • No excessive heat over abdomen/full body
20
Q

Second Trimester

A
  • Supine hypotension!! (pillow under right hip)
  • Possible edema and paresthesia in extremities
  • No prone
  • No stim/deep tx to low back/abdomen
  • Offer bathroom pre-tx
  • Avoid joint mobs (laxity)
  • Get up slowly from table
21
Q

Third Trimester

A
  • Supine hypotension!! (pillow under right hip)
  • Possible edema and paresthesia in extremities
  • No prone
  • No stim/deep tx to low back/abdomen
  • Offer bathroom pre-tx
  • Avoid joint mobs (laxity)
  • Get up slowly from table
22
Q

Diabetes

A
  • Avoid injection sites 24 hours
  • Position for comfort if they have pump, offer cushion if prone
  • Modifications over any decreased sensory areas (no deep tx or hydro xtremes)
  • Dont encourage deep diaphragmatic breathing (can cause ketoacidosis/affect insulin levels)
  • Allow time for bathroom
23
Q

Skin Infections

A
  • Most are CI for local massage
  • If fever present massage CI
24
Q

HIV/Aids

A
  • No vigorous massage
  • No joint mobs/stretching
  • Wear gloves to protect pt
25
Q

Allergies

A
  • acute reaction is ci
  • avoid exposing to triggers
  • position for comfort
26
Q

Sys Lupus

A
  • no massage if in flare up or fever
  • avoid rashes
  • reduce tx time and pressure if fatigued
  • position for comfort
27
Q

Scleroderma

A
  • modifications for areas of numbness or sensitivity
  • reduce tx time if fatigued
  • cold room/hydro
  • no fascial tx
28
Q

chronic fatigue syndrome

A
29
Q

fibromyalgia

A
30
Q

preeclampsia

A
  • position for comfort
  • hypertension cis
  • ensure cleared for massage
31
Q

ectopic pregnancy

A
  • gentle tx
  • avoid abdomen
  • prone may not be comfy
  • ensure cleared for massage
32
Q

placenta previa

A
  • no extreme hydro or deep tx over sacrum low back or abd
  • no pelvis/hip rom
33
Q

addictions

A
  • consent
  • cleared for massage
34
Q

mental health

A
  • don’t give advice, refer
  • be prepared to take breaks or stop
  • accomodate
35
Q

common cold

A
  • no massage if fever
36
Q

chronic bronchitis

A
  • position for comfort
  • no excessive painful tx
  • if theres rib hypermobility or history of subluxation no joint play to ribs
37
Q

emphysema

A
  • position for comfort
  • no excessive painful tx
  • if severe: no prone or supine
  • if theres rib hypermobility or history of subluxation no joint play to ribs
38
Q

asthma

A
  • no excessive painful tx
  • no tx if acute attack
  • avoid asthma triggers
  • position for comfort
  • if theres rib hypermobility or history of subluxation no joint play to ribs

PBA (2 decks)

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