Indications/contraindications Flashcards
1
Q
Indications for IFC
A
Pain reduction
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
3
Q
Indications for Russian( NMES) (4)
A
- muscle re-education
- retard atrophy
- muscle strengthening
- decrease muscle spasm through fatigue
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
5
Q
Indications for Hivolt/ microcurrnet
A
Stimulate healing
6
Q
Indications ofr hi volts only (3)
A
- Reduce edema
- decrease spasm/gaurding
- stimulate healing
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
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
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
10
Q
Precautions for ultrasound
A
Bony prominences
epiphyseal plates
11
Q
Indications for diathermy (5)
A
- OA
- neck/back pain
- ankle pain
- dermal wound
- msk injuries/pain
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
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
14
Q
Indications for cold laser (4)
A
- pain
- tendinopathy and epicondylitis
- wound management
- RA and OA
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
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
