Treatment Contraindications

Question 1

Lymphatic Treatment: absolute

Answer 1

• anuria
• necrotizing fasciitis
• patient unable to tolerate treatment
• patient does not consent

Question 2

Lymphatic Treatment: relative

Answer 2

• inability to tolerate excessive preload in CHF
• COPD
• Acute asthma exacerbation
• Unstable cardiac conditions
• Untreated coagulopathies or patients on anticoagulants
• Cancer
• Osseous fracture
• Bacterial infections
• Chronic infections
• Diseased organ
• Pregnancy
• Circulatory disorders

Question 3

BLT: Relative

Answer 3

• Fractures
• Anticoagulation, disseminated or focal neoplasm
• Open wounds
• Soft tissue or bony infections
• Recent post-operative conditions over the site of proposed treatment (wound dehiscence)
• Abscesses
• DVT (threat of embolism)
• Aortic Aneurysm

Question 4

FPR: absolute

Answer 4

1. Unstable fracture affected by treatment positioning
2. Manifestation of neurological symptoms brought on by the treatment position
3. Exacerbation of potentially life-threatening symptomatology by treatment position (EKG changes, drop in oxygen saturation) in a monitored patient

Question 5

FPR: relative

Answer 5

1. Treatment is not well tolerated or significant symptoms or signs occur during the process
2. Comorbidities that place the patient at risk for fracture, e.g., severe osteoporosis, malignancy
3. Moderate to severe joint instability
4. Spinal stenosis/nerve root impingement where positioning could exacerbate the condition

Question 6

Stills

Answer 6

-not advisable across recent wounds or fractures less than 6 weeks old

Question 7

INDICATIONS for Met/Art

Answer 7

1. Balance muscle tone
2. Strengthen weak muscles
3. Reduce asymmetrical motion
4. Enhance circulation of bodily fluids
5. Length shortened muscle
6. Well tolerated in all age groups
7. Apply Art when Met is not indicated (ex. infants)

Question 8

ST: Relative

Answer 8

1. Severe Osteoporosis

2. Acute Injuries

Question 9

ST: Absolute

Answer 9

1. Fracture or dislocation
2. Neurologic entrapment syndromes
3. Serious vascular compromise
4. Local malignancy
5. Local infection
6. Bleeding disorders

Question 10

MFR: Absolute

Answer 10

1. Lack of Patient Consent

2. Absence of SD

Question 11

MFR: Relative

Answer 11

1. Infection of soft tissue or bone
2. Fracture, Avulsion or dislocation
3. Metastatic disease
4. Soft tissue injuries (Thermal, Hematoma or Open wounds)
5. Post-op patient with wound dehiscence
6. Rheumatologic condition involving instability of cervical spine 7. DVT or Anticoagulation therapy

Question 12

MET

Answer 12

1. Local fracture
2. Local dislocation
3. Moderate-to-severe segmental instability in the cervical spine
4. Evocation of neurologic symptoms or signs on rotation of the neck.
5. Low vitality
6. Situations that could be worsened by muscle activity
7. Recent eye-surgery – use of Oculocephalogyric reflex
8. Unable/unwilling to follow verbal commands

Question 13

ART: Relative

Answer 13

1. Vertebral artery compromise (avoid combo of rotation/extension in the cervical spine)

Question 14

ART: Absolute

Answer 14

1. Local fracture or dislocation
2. Neurologic entrapment syndromes
3. Serious vascular compromise
4. Local malignancy
5. Local infection (e.g., cellulitis, abscess, septic arthritis, osteomyelitis)
6. Bleeding disorders

Question 15

HVLA: Absolute

Answer 15

1. Patient consent
2. Advanced RA
3. Down’s Syndrome
4. Vertebral/carotid artery disease

Question 16

HVLA: Relative

Answer 16

1. Inflammatory arthritidies
2. malignancy
3. acute radiculopathy
4. Klippel-Feil syndrome
5. Chiari malformation
6. achondroplastic dwarfism