Physical agents indications and contraindications Flashcards
contraindications for superficial thermotherapy
acute and early subacute traumatic and inflammatory conditions decreased circulation decreased sensation DVT impaired cognition malignant tumors tendoncy toward hemorrage or edema very young or very old patients
paraffin contraindications
allergic rash
open wounds
recent scars or sutures
skin infections
paraffin indications
pain from arthritis or other inflammatory conditions in late subacute or chronic phases
joint stifness
most commonly used on hand/wrist
whirlpool indications
subacute and chronic musculoskeletal conditions
whirlpool contraindications
WOUND MANAGEMENT!!!!
whirlpool precautions
decreased temperature sensation impaired cognition recent skin graft confusion/disorientation deconditioned state
cryotherapy precautions
hypertension impaired temperature sensation open wound over superficial nerve very old or very yong pts cognitive changes
cryotherapy indications/goals
pain reduction reduce or elimiate soft tissue inflammation /swelling reduce muscle spasm reduce spasticity cryokinetics cryostretch management of symptoms in MS
cryotherapy contraindications
cold hypersensitivity cold intolerance cryoglobulinemia peripheral vascular disease impaired temperature sensation raynauds disease paroxysmal cold hemoglobinuria over regenerating peripheral nerves
US precautions
acute inflammation
breast implants
open epiphyses
over healing fractures
US contraindications
impaired circulation impaired cognitive function impaired sensation malignant tumors over / near area with thrombophlebitis joint cement over vital organs (brain, ear, eye, heart, etc) exposed or unprotected spinal cord over cardiac pacemakers over abdomen/low back during pregnancy
US goals and indications
modulate pain increase connective tissue extensibility reduce or eliminate soft tissue inflammation accelerate rate of tissue healing reduce or eliminate spasm
phonophoresis indications/goals
pain modulation
decrease inflammation in subacue / chronic musculoskeletal conditions
indications/goal for thermal (continuous) short wave diathermy
increase joint ROM
pain managment
increased tissue healing
indications/goals for nonthermal (pulsed) short wave diathermy
pain control
decrease edema
resolution of acute and chronic infections
wound control and soft tissue healing