Indications/contraindications Flashcards

1
Q

Indications for IFC

A

Pain reduction

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2
Q

Contraindications for IFC (12)

A
  • Anterior cervical area
  • through the chest
  • through the head
  • pacemakers and ICD
  • Abdomen/pelvic/lumbar areas of pregnant women in 1st tri
  • metal implants
  • epilepsy
  • areas of hemorrhage
  • CA
  • Confused and unreliable patients
  • damaged skin
  • unknown etiology
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3
Q

Indications for Russian( NMES) (4)

A
  • muscle re-education
  • retard atrophy
  • muscle strengthening
  • decrease muscle spasm through fatigue
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4
Q

Contraindications for Russian (NMES) (12)

A
  • Anterior cervical area
  • through the chest
  • through the head
  • pacemakers and ICD
  • Abdomen/pelvic/lumbar areas of pregnant women in 1st tri
  • metal implants
  • epilepsy
  • areas of hemorrhage
  • CA
  • Confused and unreliable patients
  • damaged skin
  • unknown etiology
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5
Q

Indications for Hivolt/ microcurrnet

A

Stimulate healing

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6
Q

Indications ofr hi volts only (3)

A
  • Reduce edema
  • decrease spasm/gaurding
  • stimulate healing
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7
Q

Contraindications for hivolt/microcurrent (10)

A
  • Osteomyelitis
  • CA
  • Electrical implants
  • Anterior cervical area
  • through chest
  • through head
  • metal implants
  • abdomen/pelvis/lumbar area in 1st trimester of pregnancy
  • hemorrhage
  • unknown etiology
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8
Q

Indications for ultrasound (7)

A
  • Increased extensibility of collagen fibers of tendons and joint capsules
  • increased BF
  • increased cell metabolism
  • increased collagen synthesis
  • decreased joint stiffness
  • decrease muscle spasm
  • enhanced tendon, ligament, and muscle healing
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9
Q

Contraindications for ultrasound (12)

A
  • Malignancy
  • Hemorrhage
  • ischemia
  • thrombus
  • infection
  • gonads
  • eye
  • Pelvic/abdominal/lumnbar areas of pregnant women
  • spinal cord after laminectomy
  • plastic and cemented implants (metal is okay)
  • near or over electronic implants
  • unknown etiology
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10
Q

Precautions for ultrasound

A

Bony prominences

epiphyseal plates

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11
Q

Indications for diathermy (5)

A
  • OA
  • neck/back pain
  • ankle pain
  • dermal wound
  • msk injuries/pain
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12
Q

Contraindications for diathermy (11)

A
  • loss of sensation
  • electronic implants
  • surgically implanted metal
  • metal in contact with skin
  • Cancerous areas
  • pregnant patients
  • hemorrhage
  • ischemic areas
  • testes
  • eyes
  • open growth plates
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13
Q

Precautions for diathermy

5

A
  • pregnant operator should not exposed daily and should remain 3 ft from device
  • copper IUD
  • Other patients should be at 10 ft distance
  • Other EPA devices at 10 ft distance
  • mentally confused patients
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14
Q

Indications for cold laser (4)

A
  • pain
  • tendinopathy and epicondylitis
  • wound management
  • RA and OA
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15
Q

Contraindications for cold laser (7)

A
  • CA
  • Pregnancy (abdomen and pelvis)
  • direct exposure to eyes
  • hemorrhage
  • thyroid
  • over open wounds (unless covered with clear barrier)
  • epileptic patients
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16
Q

Precautions for cold laser (6)

A
  • infection
  • testicles
  • sympathetic ganglia, vagus, cardiac region of heart disease
  • open growth plates
  • bruises
  • photosensitive skin
17
Q

Indications for Thermotherapy (4)

A
  • decrease pain
  • decrease muscle spams
  • OA
  • RA
18
Q

Contraindications for thermotherapy (7)

A
  • impaired heat sensation
  • malignancy
  • thrombophlebitis
  • hemorrhage
  • abdomen/pelvis/ low back in pregnancy
  • acute inflammation/ inflammatory conditions
  • confused and unreliable patients
19
Q

Precautions for thermotherapy (6)

A
  • impaired circulation
  • over wounds
  • severe cardiac insufficiency
  • superficial metal implants
  • may cause decreased motor skill and and reaction time
  • can increase fever
20
Q

Indications for cryotherapy (4)

A
  • relive or decrease pain
  • decrease BF and metabolism
  • protect injured tissue
  • decrease muscle spams
21
Q

Contraindications for cryotherapy (8)

A
  • impaired cold sensation
  • cold-induced urticaria
  • raynauds
  • cryoglobulinemia
  • paroxysmal cold hemoglobinuria
  • open wounds
  • peripheral vascular disease
  • confused and unreliable patients
22
Q

Precautions for cryotherapy (8)

A
  • impaired circulation
  • thoracic area in pts with CAD
  • hypertensive pts
  • cardiovascular and cardiorespiratory disorders
  • superficial peripheral nerves
  • Hemiplegic
  • very young and very old
  • obesity
23
Q

Indications for Massage (7)

A
  • superficial adhesion
  • circulatory stasis
  • congestion
  • edema and joint swelling
  • myalgia and trigger points
  • tension headaches
  • postexertion fatigue and stiffness
24
Q

Contraindications for massage (8)

A
  • arteriosclerosis
  • thrombosis/embolism
  • severe varicosities
  • actue phlebitis
  • cellulitis
  • synovitis
  • abscesses and skin infections
  • acute inflammatory conditions
25
Q

Indications for traction (4)

A
  • disc protrusion/herniation
  • NR impingement
  • Joint hypomobility
  • arthritis conditions of facet joints
26
Q

Contraindications for traction (11)

A
  • infection/inflammation/tumor
  • fx/dislocation
  • hypermobility/instability
  • severe disc herniation
  • VBI/dysfunction
  • spinal stenosis
  • OP
  • Aortic aneurysm
  • abdominal hernia
  • uncontrolled hypertension
  • lumbar area in pregnancy
27
Q

Precautions for traction (6)

A
  • pain exacerbation
  • history of spinal surgery
  • spondylosis and sponylolysthesis
  • hypertension and respiratory disorders
  • dentures
  • TMD