Indications/Contraindications Flashcards
Indications to Interferential Current (1)
- Pain reduction- acute and chronic
Contraindications to Interferential Current (12)
- anterior cervical area
- through the chest
- through the head
- pacemakers and implantable cardioverter-defibrilators (ICD)
- abdomen, pelvis, lumbar areas of pregnant women in their 1st trimester
- metal implants
- epilepsy
- areas of hemorrhage
- cancer
- confused and unreliable patients
- damaged skin
- unknown etiology
Indications to Neuromuscular Electrical Stimulation (NMES) (4)
- muscle re-education
- retard atrophy
- muscle strengthening
- decrease muscle spasm through fatigue
Contraindications to Neuromuscular Electrical Stimulation (NMES) (12)
- anterior cervical area
- through the chest
- through the head
- pacemakers and implantable cardioverter-defibrilators (ICD)
- abdomen, pelvis, lumbar areas of pregnant women in their 1st trimester
- metal implants
- epilepsy
- areas of hemorrhage
- cancer
- confused and unreliable patients
- damaged skin
- unknown etiology
Indications to Electrical Stimulation for Tissue Healing and Repair (ESTHR) (2)
- reduce edema
2. decrease spasm/guarding (pelvic floor)
Contraindications to Electrical Stimulation for Tissue Healing and Repair (ESTHR) (10)
- osteomyelitis (traps infection in the bone)
- cancer
- electronic implants
- anterior cervical area
- through the chest
- through the head
- over metal implants
- abdomen, pelvis, lumbar areas of pregnant women in their 1st trimester
- areas of hemorrhage
- unknown etiology
Indications to Ultrasound (7)
- increase extensibility of collagen fibers of tendons and joint capsules
- increase blood flow
- increase cell metabolism
- increase collagen synthesis
- decreased joint stiffness
- decreased muscle spasm
- enhanced tendon, ligament, and muscle healing
Contraindications to Ultrasound (12)
- malignancy
- hemorrhage
- ischemia
- thrombus
- infection
- gonads
- eye
- abdomen, pelvis, lumbar areas of pregnant women
- spinal cord after laminectomy
- plastic and cemented implants (metal is ok)
- near or over electronic implants
- unknown etiology
Indications to Short Wave Diathermy (5)
- osteoarthritis
- neck/back pain
- ankle pain
- dermal wounds
- other musculoskeletal injures/pain
Contraindications to Short Wave Diathermy (10)
- loss of sensation
- electronic implants (even if device is gone but leads remain)
- surgically implanted metal
- metal in contact with the skin
- cancer
- abdomen, pelvis, lumbar areas of pregnant women
- areas of hemorrhage
- testes
- eyes
- open growth plates in children
Indications to Cold Laser (4)
- pain
- tendinopathy and epicondylitis
- wound management
- rheumatoid and osteoarthritis
Contraindications to Cold Laser (7)
- cancer
- abdomen, pelvis areas of pregnant women
- avoid direct exposure to eyes
- areas of hemorrhage
- over the thyroid gland
- directly over open wounds, unless covered with a clear protective barrier
- epileptic patients
Indications to Thermotherapy (4)
- decrease pain
- decrease muscle spasm
- osteoarthritis
- rheumatoid arthritis
Contraindications to Thermotherapy (7)
- areas of impairing heat sensation
- malignancy
- thrombophelebitis
- areas of hemorrhage
- abdomen, pelvis, lumbar areas of pregnant women
- acute inflammation/inflammatory conditions
- confused and unreliable patients
Indications to Cryotherapy (4)
- relive or decrease pain
- decrease blood flow and metabolism
- protect injured tissue
- decrease muscle spasm
Contraindications to Cryotherapy (8)
- impaired cold sensation
- cold-induced urticaria (cold allergy)
- Raynaud’s disease/phenomenon
- cryoglobulinemia
- paroxysmal cold hemoglobinuria
- open wounds
- peripheral vascular disease
- confused and unreliable patient
Indications to Massage (7)
- superficial adhesions
- circulatory stasis
- congestion
- edema and joint swelling
- myalgia/trigger points
- tension headaches
- postexertion fatigue and stiffness
Contraindications to Massage (8)
- arteriosclerosis
- thrombosis/embolism
- severe varicosities
- acute phlebitis
- cellulitis
- synovitis
- abscesses and skin infections
- acute inflammatory conditions
Indications to Traction (4)
- disc protrusion/herniation
- nerve root impingement
- joint hypomobility
- arthritis conditions of facet joints
Contraindications to Traction (11)
- infection, inflammation, tumor
- fracture/dislocation
- hypermobility/instability
- serve disk herniation
- vertebral artery insufficiency/dysfunction (cervical only)
- spinal stenosis
- osteoporosis
- aortic aneurysm
- abdominal hernia
- hypertension (uncontrolled)
- pregnancy (lumbar only)