Indications/Contraindications Flashcards

1
Q

Indications to Interferential Current (1)

A
  1. Pain reduction- acute and chronic
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2
Q

Contraindications to Interferential Current (12)

A
  1. anterior cervical area
  2. through the chest
  3. through the head
  4. pacemakers and implantable cardioverter-defibrilators (ICD)
  5. abdomen, pelvis, lumbar areas of pregnant women in their 1st trimester
  6. metal implants
  7. epilepsy
  8. areas of hemorrhage
  9. cancer
  10. confused and unreliable patients
  11. damaged skin
  12. unknown etiology
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3
Q

Indications to Neuromuscular Electrical Stimulation (NMES) (4)

A
  1. muscle re-education
  2. retard atrophy
  3. muscle strengthening
  4. decrease muscle spasm through fatigue
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4
Q

Contraindications to Neuromuscular Electrical Stimulation (NMES) (12)

A
  1. anterior cervical area
  2. through the chest
  3. through the head
  4. pacemakers and implantable cardioverter-defibrilators (ICD)
  5. abdomen, pelvis, lumbar areas of pregnant women in their 1st trimester
  6. metal implants
  7. epilepsy
  8. areas of hemorrhage
  9. cancer
  10. confused and unreliable patients
  11. damaged skin
  12. unknown etiology
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5
Q

Indications to Electrical Stimulation for Tissue Healing and Repair (ESTHR) (2)

A
  1. reduce edema

2. decrease spasm/guarding (pelvic floor)

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6
Q

Contraindications to Electrical Stimulation for Tissue Healing and Repair (ESTHR) (10)

A
  1. osteomyelitis (traps infection in the bone)
  2. cancer
  3. electronic implants
  4. anterior cervical area
  5. through the chest
  6. through the head
  7. over metal implants
  8. abdomen, pelvis, lumbar areas of pregnant women in their 1st trimester
  9. areas of hemorrhage
  10. unknown etiology
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7
Q

Indications to Ultrasound (7)

A
  1. increase extensibility of collagen fibers of tendons and joint capsules
  2. increase blood flow
  3. increase cell metabolism
  4. increase collagen synthesis
  5. decreased joint stiffness
  6. decreased muscle spasm
  7. enhanced tendon, ligament, and muscle healing
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8
Q

Contraindications to Ultrasound (12)

A
  1. malignancy
  2. hemorrhage
  3. ischemia
  4. thrombus
  5. infection
  6. gonads
  7. eye
  8. abdomen, pelvis, lumbar areas of pregnant women
  9. spinal cord after laminectomy
  10. plastic and cemented implants (metal is ok)
  11. near or over electronic implants
  12. unknown etiology
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9
Q

Indications to Short Wave Diathermy (5)

A
  1. osteoarthritis
  2. neck/back pain
  3. ankle pain
  4. dermal wounds
  5. other musculoskeletal injures/pain
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10
Q

Contraindications to Short Wave Diathermy (10)

A
  1. loss of sensation
  2. electronic implants (even if device is gone but leads remain)
  3. surgically implanted metal
  4. metal in contact with the skin
  5. cancer
  6. abdomen, pelvis, lumbar areas of pregnant women
  7. areas of hemorrhage
  8. testes
  9. eyes
  10. open growth plates in children
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11
Q

Indications to Cold Laser (4)

A
  1. pain
  2. tendinopathy and epicondylitis
  3. wound management
  4. rheumatoid and osteoarthritis
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12
Q

Contraindications to Cold Laser (7)

A
  1. cancer
  2. abdomen, pelvis areas of pregnant women
  3. avoid direct exposure to eyes
  4. areas of hemorrhage
  5. over the thyroid gland
  6. directly over open wounds, unless covered with a clear protective barrier
  7. epileptic patients
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13
Q

Indications to Thermotherapy (4)

A
  1. decrease pain
  2. decrease muscle spasm
  3. osteoarthritis
  4. rheumatoid arthritis
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14
Q

Contraindications to Thermotherapy (7)

A
  1. areas of impairing heat sensation
  2. malignancy
  3. thrombophelebitis
  4. areas of hemorrhage
  5. abdomen, pelvis, lumbar areas of pregnant women
  6. acute inflammation/inflammatory conditions
  7. confused and unreliable patients
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15
Q

Indications to Cryotherapy (4)

A
  1. relive or decrease pain
  2. decrease blood flow and metabolism
  3. protect injured tissue
  4. decrease muscle spasm
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16
Q

Contraindications to Cryotherapy (8)

A
  1. impaired cold sensation
  2. cold-induced urticaria (cold allergy)
  3. Raynaud’s disease/phenomenon
  4. cryoglobulinemia
  5. paroxysmal cold hemoglobinuria
  6. open wounds
  7. peripheral vascular disease
  8. confused and unreliable patient
17
Q

Indications to Massage (7)

A
  1. superficial adhesions
  2. circulatory stasis
  3. congestion
  4. edema and joint swelling
  5. myalgia/trigger points
  6. tension headaches
  7. postexertion fatigue and stiffness
18
Q

Contraindications to Massage (8)

A
  1. arteriosclerosis
  2. thrombosis/embolism
  3. severe varicosities
  4. acute phlebitis
  5. cellulitis
  6. synovitis
  7. abscesses and skin infections
  8. acute inflammatory conditions
19
Q

Indications to Traction (4)

A
  1. disc protrusion/herniation
  2. nerve root impingement
  3. joint hypomobility
  4. arthritis conditions of facet joints
20
Q

Contraindications to Traction (11)

A
  1. infection, inflammation, tumor
  2. fracture/dislocation
  3. hypermobility/instability
  4. serve disk herniation
  5. vertebral artery insufficiency/dysfunction (cervical only)
  6. spinal stenosis
  7. osteoporosis
  8. aortic aneurysm
  9. abdominal hernia
  10. hypertension (uncontrolled)
  11. pregnancy (lumbar only)