Thermotherapy Indications/Precuations/Contraindications Flashcards
cryotherapy indications
-inflammation or pain
-acute edema
-muscle guarding or temporary spasticity reduction
-muscle facilitation
cryotherapy precautions
-superficial nerves
-open wounds
-uncontrolled HTN
-altered sensation or mentation
-vulnerable populations (dementia, infants)
cryotherapy contraindications: “CCC RRP”
-Cold hypersensitivity/intolerance
-Cryoglobulinemia
-Circulatory compromise
-Regenerating nerves
-Raynaud’s phenomenon
-Paroxysmal cold hemoglobinuria
thermotherapy indications
-pain or muscle spasm
-inc soft tissue extensibility
-dec jt stiffness
-inc circulation or metabolism
thermotherapy precautions
-acute injury
-impaired circulation
-vulnerable populations (ex: people unable to communicate)
-edema
-implants
-open wounds
-over topical agents
thermotherapy contraindications: “IPA BOOTI”
-Impaired sensation or mentation
-Pregnancy: avoid full-body heating or any heating that could affect the fetus
-Arterial disease/DVT
-Bleeding or hemorrhage
-Over an area of compromised circulation
-Over an area of malignancy
-Thrombophlebitis (risk of blood clot)
-Irradiation to eyes or reproductive organs
hydrotherapy indications
-superficial heating or cooling
-water exercise
-pain or edema control
-wound care (removal of necrotic tissue ONLY)
hydrotherapy precautions (local immersion)
-dec temp sensation
-impaired cognition
-recent skin graft
hydrotherapy precautions (full body immersion, hot water)
-dec temp sensation
-impaired cognition
-recent skin graft
-poor thermoregulation
-CV medications
-urinary incontinence
-aquaphobia
-respiratory issues
hydrotherapy contraindications (local immersion)
-maceration
-bleeding
hydrotherapy contraindications (full body immersion)
-unstable cardiac disorder
-bowel incontinence
-severe epilepsy
-suicidal
-potential for cross-contamination
-pregnancy
US indications
-dec pain or muscle spasm
-inc connective tissue extensibility
-reduce inflammation
-accelerate rate of tissue/wound healing
US precautions
-acute inflammation (avoid thermal/continuous US)
-breast implants
-over healing fx (avoid high-dosage)
-directly over joint cement or plastic components
US contraindications
-impaired circulation, cognition, or sensation
-over open epiphyseal plates
-over malignant tumors, thrombophlebitis, or myositis ossificans
-recently irradiated tissue
-over/near cardiac pacemaker
-over abdomen, low back, uterus, or pelvis during pregnancy
