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Physical agents > Physical agents indications and contraindications > Flashcards

Physical agents indications and contraindications Flashcards

1
Q

contraindications for superficial thermotherapy

A 
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
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2
Q

paraffin contraindications

A

allergic rash
open wounds
recent scars or sutures
skin infections

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3
Q

paraffin indications

A

pain from arthritis or other inflammatory conditions in late subacute or chronic phases
joint stifness
most commonly used on hand/wrist

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4
Q

whirlpool indications

A

subacute and chronic musculoskeletal conditions

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5
Q

whirlpool contraindications

A

WOUND MANAGEMENT!!!!

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6
Q

whirlpool precautions

A 
decreased temperature sensation 
impaired cognition
recent skin graft
confusion/disorientation
deconditioned state
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7
Q

cryotherapy precautions

A 
hypertension
impaired temperature sensation 
open wound
over superficial nerve
very old or very yong pts
cognitive changes
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8
Q

cryotherapy indications/goals

A 
pain reduction
reduce or elimiate soft tissue inflammation /swelling
reduce muscle spasm
reduce spasticity
cryokinetics
cryostretch 
management of symptoms in MS
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9
Q

cryotherapy contraindications

A 
cold hypersensitivity
cold intolerance
cryoglobulinemia
peripheral vascular disease
impaired temperature sensation
raynauds disease
paroxysmal cold hemoglobinuria
over regenerating peripheral nerves
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10
Q

US precautions

A

acute inflammation
breast implants
open epiphyses
over healing fractures

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11
Q

US contraindications

A 
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
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12
Q

US goals and indications

A 
modulate pain
increase connective tissue extensibility
reduce or eliminate soft tissue inflammation
accelerate rate of tissue healing
reduce or eliminate spasm
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13
Q

phonophoresis indications/goals

A

pain modulation

decrease inflammation in subacue / chronic musculoskeletal conditions

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14
Q

indications/goal for thermal (continuous) short wave diathermy

A

increase joint ROM
pain managment
increased tissue healing

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15
Q

indications/goals for nonthermal (pulsed) short wave diathermy

A

pain control
decrease edema
resolution of acute and chronic infections
wound control and soft tissue healing

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16
Q

contraindications for short wave diathermy

A 
pregnancy
cardiac pacemakers
neural stimulators
implanted/transcutaneous devices such as insulin pump
open epiphyses
metal implants and jewelry 
malignancy 
near testes or eyes
over diseased organs
over metal loops
17
Q

short wave diathermy precautions

A

use near other electrical devices such as computers, radios, cell phones
very obese patients (fat heated excessively )
pts or ohters nearby using intrauterine devices
pregnancy of therapist or other working personnel

18
Q

goals/indications for mechanical traction

A 
decrease joint stiffness
decrease meniscoid blocking muscle spasm
degenerative disc
disc protrusion 
joint disease
modulate discogenic pain
modulate subacute or chronic joint pain
reduce nerve root impingement
19
Q

precautions for mechanical traction

A 
claustrophobia
hiatal hernia
vascular compromise
pregnancy
impaired cognition
osteoporosis
tumor
infection
RA
protracted steriod use
20
Q

mechanical traction contraindications

A 
acute sprains/strains and inflammation
spondylolisthesis
fractures
postop spinal surgery
spinal joint instability or hypermobility 
spinal cord compression
hypertension
increased peripheralization of pain
numbness or tingling
decreased myotomal strength
decreased reflex response 
RA
spinal tumors or infections
osteoporosis
very old or very young
vascular compromise (VBI)
21
Q

intermittent mechanical compression goals/indications

A 
amputation
decrease chronic edema
postmastectomy lymphedema
stasis ulcer
venous insufficiency
subacute injuries such as ankle sprains
22
Q

intermittent mechanical compression precautions

A

impaired sensation
malignancy
uncontrolled hypertension
over area with superficial peripheral nerve

23
Q

intermittent mechanical compression contraindications

A 
acute inflammation
trauma or fracture
acute DVT and thrombophlebitis
obstructed lymph or venous return
arterial revascularization
acute pulmonary edema
diminished sensation
cancer
edema with cardiac or renal impairment
impaired cognition
infection in treatment area 
hypoproteinemia
very  young or very old patients
24
Q

tilt table indications

A 
prolonged bed rest
prolonged immobilization
spinal cord injury
traumatic brain injury
orthostatic hypotension 
spasticity
25
Q

negative meds for ionto

A

salicylate - pain relief
acetate - calcium deposit
dexamethasone - anti inflammation
iodine - soften scars

26
Q

positive meds for ionto

A 
hydrocortisone - anti inflammation
lidocaine - pain relief
magnesium or calcium - muscle spasm
lithium - gout
zinc - dermal ulcers
copper - fungal infections

Physical agents (1 decks)

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