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Contraindications > Contraindications > Flashcards

Contraindications Flashcards

1
Q

Of the 2 models, what provides a list of absolute contraindications?

A

The Ontario Model

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2
Q

List the 17 general absolute Contraindications

A
  1. Acute stage Pneumonia
  2. Advanced kidney failure (MT with Medical Consent)
  3. Advanced respiratory failure (MT Medical Consent)
  4. Diabetes with complications (gangrene, advanced heart or kidney disease, very high or unstable blood pressure)
  5. Eclampsia-toxemia pregnancy
  6. Hemophilia
  7. Hemorrhage
  8. Liver failure (MT MC)
  9. Postcerebrovascular accident (CVA, stroke) condition not yet stabilized
  10. Post myocardial infarction (MI, heart attack) condition not yet stabilized
  11. Severe atherosclerosis
  12. Severe hypertension (if unstable)
  13. Shock (all types)
  14. Significant fever (higher than 101)
  15. Acute conditions that require first aid
  16. Some highly metastatic cancers not judged to be terminal
  17. Systemic contagious/infectious condition
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3
Q

What are some acute conditions that require first aid?

A
  • Anaphylaxis
  • Appendicitis
  • CVA
  • Diabetic coma
  • Insulin shock
  • Epileptic seizure
  • MI
  • Pneumothorax, atelectasis
  • Severe asthma attack, status asthmaticus
  • Syncope
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4
Q

Out of the general CI, what conditions may be possible to have modified treatment with medical consent?

A
  • Advanced kidney failure
  • Advanced respiratory failure
  • Liver failure
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5
Q

Of the local areas to avoid/modify massage, what may be general CI, depending on the case or location?

A
  • Acute flare-up of inflammatory arthritis (rheumatoid, systemic lupus erythematosus, ankylosing spondylitis, Reiter’s syndrome)
  • Aneurysms deemed life-threatening (location)
  • Phlebitis, phlebothrombosis, arteritis, (if located in a major circulatory channel)
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6
Q

Of the general conditions that require an awareness of possible side effects from MT, what conditions may be CI, depending on cause?

A

Coma

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7
Q

Of the local areas that require an awareness of the possibility of adverse side effects, what conditions may be CI depending on location and condition?

A
  • Aneurysm (location)
  • Buerger’s disease (if unstable)
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8
Q

Important considerations: MT are expected to know this when dealing with possible CI

A

How and when to consult with physicians and other health care professionals

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9
Q

Important consideration:

What effects massage treatment?

What may be a factor?

Individual decisions must be made according to what?

A
  • Emotional and psychiatric conditions
  • Medications may be a factor
  • Case circumstances and in many instances, medical advice
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10
Q

The client may be allergic to?

A
  • Certain massage oils
  • creams
  • cleansers
  • disinfectants used on sheets and tables
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11
Q

Presence of this may alter treatment indications

A

Pins, staples, or artificial joints

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12
Q

List 22 general CI

A
  1. Any condition of spastic and rigidity
  2. Asthma
  3. Cancer
  4. CHF
  5. Chronic kidney disease
  6. Medications that alter sensations, muscle tone, standard reflex reactions, cardiovascular function, kidney or liver function, personality
  7. Coma (may be CI depending on cause)
  8. Dx artherosclerosis
  9. Drug withdrawl
  10. Emphysema
  11. Epilepsy
  12. Hypertension
  13. Immunosuppressed client
  14. Antiinflammatory arthritides
  15. Major or abdominal surgery
  16. Moderately severe or juvenile-onset diabetes
  17. MS
  18. Osteoporosis, osteomalacia
  19. Pregnancy and labor
  20. Post MI
  21. Post CVA
  22. Recent head injury
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13
Q

List 24 local CI

A
  1. Acute herniated disc
  2. Aneurysm (maybe CI, location)
  3. Any acute inflammatory condition
  4. Any anti-inflammatory treatment site
  5. Any chronic or long standing superficial thrombosis
  6. Buerger’s disease (maybe CI, unstable)
  7. Chronic arthritic condition
  8. Chronic abdominal or digestive disease
  9. Chronic diarrhea
  10. Contusion
  11. Endometriosis
  12. Flaccid paralysis or paresis
  13. Fracture (while casted and immediately after removal)
  14. Hernia
  15. Joint instability or hypermobility
  16. Kidney infection, stone
  17. Mastiris
  18. Minor surgery
  19. Pelvic inflammatory disease
  20. Pitting edema
  21. Portal hypertension
  22. Prolonged constipation
  23. Recent abortion/vaginal birth
  24. Trigeminal neuralgia
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14
Q

List pain killers and what they do

A
  • Aspirin, acetaminophen, ibupfrofen, codeine, vicodin, percocet etc
  • Alter sensation/response
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15
Q

Deep Effleurage is generally contraindicated for

A
  • Acute illness
  • Cardiovascular conditions
  • Fever
  • Contagious disease
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16
Q

Deep effleurage is locally contraindicated on areas of:

A
  • Bruising
  • Varicosity
  • Irritated or broken skin
  • Newly formed scar tissue
  • Hyperesthesia
  • Very hairy skin
17
Q

Light effleurage is contraindicated only if….

A

..if all massage is contraindicated

18
Q

Petrissage is generally contraindicated for:

A
  • Acute illness
  • Cardiovascular conditions
  • Fever
  • Continuous disease
19
Q

Petrissage is locally contraindicated on areas of:

A
  • nerve dysfunction
  • restricted circulation
  • unresponsive muscle
  • acute inflammation
  • newly formed scar tissue
  • bruising
  • varicosity
  • irritated or broken skin
20
Q

What are the contraindications for PROM (Passive Range of Movement)

A
  • blood poisoning
  • hemorrhage
  • bone pathology
  • where exercise would misalign any joint or bone
21
Q

What are the contraindications for AAROM (Active Assisted Range of Motion)

A

SAME FOR ALL ACTIVE EXERCISES

  • fever over 100’F
  • acute inflammation
  • serious cardiovascular diseases
  • skeletal pathologies (recent fx, dislocation, tumors, osteoporosis etc)
22
Q

What are the contraindications for ARROM (Active Resistance Range of Motion)

A

SAME FOR ALL ACTIVE EXERCISES

  • fever over 100’F
  • acute inflammation
  • serious cardiovascular diseases
  • skeletal pathologies (recent fx, dislocation, tumors, osteoporosis etc)
23
Q

What are the contraindications for course vibration on locally contraindicated areas?

A
  • kidneys, liver, spleen (Craig says you can do course vibrations on liver)
  • damaged joints
  • sacrum during pregnancy
  • nerve dysfunction
  • restricted circulation
  • unresponsive muscle
  • acute inflammation
  • bruising or varicosity
24
Q

When is Fine Vibration contraindicated?

A

Only if all massage is contraindicated

25
Q

Tapotement is locally contraindicated on areas of:

A
  • kidneys, liver, spleen
  • superficial bone structure
  • sacrum during pregnancy
  • nerve dysfunction
  • restricted circulation
  • unresponsive muscle
  • actue inflammation
  • bruising or varicosity
26
Q

Friction movements are generally contraindicated for:

A
  • bleeding, brusing and clotting problems
  • medications that increase brusing, including anticoagulants and antidepressants
  • medications that modify sensation, including pain killers, illicit drugs, and alcohol
27
Q

Friction is locally contraindicated on areas of:

A
  • rheumatoid arthritis
  • kidneys, liver, spleen
  • damaged joints
  • nerve dysfunction
  • restricted circulation
  • unresponsive muscle
  • acute inflammation
  • brusing or varicosity
28
Q
A

Contraindications (2 decks)

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