Indication and Contraindications For ALL Physical Agents – Flashcards
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Indication for Thermal Diathermy
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Pain,Spasm, Chronic conditions of tendon, ligament, muscle increase collagen extensibility prior to stretching
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Precaution for Ultrasound
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acute inflammation epiphyseal plates fractures brest implants
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Indication for E-Stim
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Retarding/preventing disuse atrophy mainting ROM Re-educating muscle relaxation of muscle spasm increase local blood supply
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Contraindications for Postural Drainage
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CHF, pulmonary edema, pleural effusion, pneumothorax, cardiac arrythmia, unstable angina, recent MI, pulmonary embolus, hemoptysis
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Precautions for Heat
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Acute inury, pregnancy, impaired circulation, edema, cardiac insufficiency, metal in area
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Indication for Spinal Traction
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Spinal nerve root impingement, spinal root swelling, spondylolisthesis, joint hypomobility, DJD, extrinsic muscle guarding, herniated disc
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Indication for Cryotherapy
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inflammation, edema, pain, modification of spatiscity, symptom management of M.S.
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Contraindication for Spinal Traction
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Spinal infection, osteoporosis, malgnancy, evidence of cord pressure, pregnancy, RA, spinal insability
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Contraindication for Heat
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Recent or potential hemmorhage- Fainting Thrombophlebitis- Bleeding Impaired mentation/sensation malignant tumor IR irradiation of the eyes
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Contraindication for US
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Malignancy, tuberculosis, Psoriasis, Radiation, pregnancy DVT, thrombophlebitis, osteoporosis, Fracture, Pacemaker
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Contraindication for all forms of diathermy
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metal implants, pacemaker, malignancy, pregnancy, eyes, testes, growing epiphyses, implanted/transutaneous neural stimulators
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Indication for US
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soft tissue shortening, pain, dermal ulcers, surgical skin incision, resorption of calcium deposits, bone fractures, carpal tunnel, phonophoresis, tendon injuries
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Precautions for ALL diathermy
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presence of electronic eqiupment or magnetic obesity, copper-bearing intrauterine contraceptive devices
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Indication for Restraints
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disoriented/confused behavior self abusive, agitated, decreased level of consciousness
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Contraindication for Lymphedema Tx
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acute infection (anitbotic 2-4 days prior to tx) active CA presence of CHF thrombosis
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Contraindication for E-stim
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demand type pacemakers, transcerebal electrode placement areas of venous/arterial thrombosis thrombophlebitis pregnancy
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Precaution for E-stim
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cardiac disease impaired mentation/sensation malignant tumor skin irritation/open wounds iontophoresis after other physical agents
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Indication for Chest Physical Therapy
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acute/chronic respiratory conditions inability to expel secretions ineffective cough ateloctasis pneumonia
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Contraindication for percussion
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over fracture over osteoperotic bone unstable angina anticoagulation therapy pulmonary embolus
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Indication for Nonthermal diathermy
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control pain edema wound/nerve/bone healing neuropathy
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Precaution for Ultraviolet
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photosensitizing drugs photosensitive patients recent exposure to x-ray
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Contraindication for Ultraviolet
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irradiationto eyes presence of skin CA cardiac/kidney/liver disease systemic lupus fever pulmonary tuberculosis
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Indication for Ultraviolet
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Psoriasis Wound healing
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Precaution for Full Body Immersion
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impaired mentation, after ingestion of alocohol, fear of water, patients on cardiovascular meds, repiratory problems, pregnancy, MS, poor thermal regulation
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Contraindication for Full Body Immersion
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cardiac instability, infectious condition, bowel/bladder incontinence, severe epilepsy, suicidal patient
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Indication for Cardiac Rehabilitation
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medically stable after: MI, Angina, CABG, cardiac surgery, heart transplant
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Indication for External compression
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edema lymphedema prevent DVT Venous statis ulcer Residul shaping
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Contraindication for External Compresison
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Heart failure, acute DVT, thrombophlebitis, obstructed lymphatic/venous return, ulcers, acute local skin infection, significant hypoproteinemia, acute fracture/trauma
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Precaution for External Compression
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impaired sensation/mentation, uncontrolled hypertension, cancer, stroke, significant vascular insufficiency, superficial peripheral nerves
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Contraindication for Nonthermal Diathermy
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Deep tissues, pacemaker, electronic device, metal implants,
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Contraindication for Cryotherapy
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cold hypersensitivity, cold intolerance, cryoglobylinemia, raynaud's disease, circulatory compromise, peripheral vascular disease
