Indication and Contraindications For ALL Physical Agents

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Indication for Thermal Diathermy

Pain,Spasm, Chronic conditions of tendon, ligament, muscle
increase collagen extensibility prior to stretching

Precaution for Ultrasound

acute inflammation
epiphyseal plates
fractures
brest implants

Indication for E-Stim

Retarding/preventing disuse atrophy
mainting ROM
Re-educating muscle
relaxation of muscle spasm
increase local blood supply

Contraindications for Postural Drainage

CHF, pulmonary edema, pleural effusion, pneumothorax, cardiac arrythmia, unstable angina, recent MI, pulmonary embolus, hemoptysis

Precautions for Heat

Acute inury, pregnancy, impaired circulation, edema, cardiac insufficiency, metal in area

Indication for Spinal Traction

Spinal nerve root impingement, spinal root swelling, spondylolisthesis, joint hypomobility, DJD, extrinsic muscle guarding, herniated disc

Indication for Cryotherapy

inflammation, edema, pain, modification of spatiscity, symptom management of M.S.

Contraindication for Spinal Traction

Spinal infection, osteoporosis, malgnancy, evidence of cord pressure, pregnancy, RA, spinal insability

Contraindication for Heat

Recent or potential hemmorhage- Fainting
Thrombophlebitis- Bleeding
Impaired mentation/sensation
malignant tumor
IR irradiation of the eyes

Contraindication for US

Malignancy, tuberculosis, Psoriasis, Radiation, pregnancy DVT, thrombophlebitis, osteoporosis, Fracture, Pacemaker

Contraindication for all forms of diathermy

metal implants, pacemaker, malignancy, pregnancy, eyes, testes, growing epiphyses, implanted/transutaneous neural stimulators

Indication for US

soft tissue shortening, pain, dermal ulcers, surgical skin incision, resorption of calcium deposits, bone fractures, carpal tunnel, phonophoresis, tendon injuries

Precautions for ALL diathermy

presence of electronic eqiupment or magnetic
obesity,
copper-bearing intrauterine contraceptive devices

Indication for Restraints

disoriented/confused behavior
self abusive,
agitated,
decreased level of consciousness

Contraindication for Lymphedema Tx

acute infection (anitbotic 2-4 days prior to tx)
active CA
presence of CHF
thrombosis

Contraindication for E-stim

demand type pacemakers,
transcerebal electrode placement
areas of venous/arterial thrombosis
thrombophlebitis
pregnancy

Precaution for E-stim

cardiac disease
impaired mentation/sensation
malignant tumor
skin irritation/open wounds
iontophoresis after other physical agents

Indication for Chest Physical Therapy

acute/chronic respiratory conditions
inability to expel secretions
ineffective cough
ateloctasis
pneumonia

Contraindication for percussion

over fracture
over osteoperotic bone
unstable angina
anticoagulation therapy
pulmonary embolus

Indication for Nonthermal diathermy

control pain
edema
wound/nerve/bone healing
neuropathy

Precaution for Ultraviolet

photosensitizing drugs
photosensitive patients
recent exposure to x-ray

Contraindication for Ultraviolet

irradiationto eyes
presence of skin CA
cardiac/kidney/liver disease
systemic lupus
fever
pulmonary tuberculosis

Indication for Ultraviolet

Psoriasis
Wound healing

Precaution for Full Body Immersion

impaired mentation, after ingestion of alocohol, fear of water, patients on cardiovascular meds, repiratory problems, pregnancy, MS, poor thermal regulation

Contraindication for Full Body Immersion

cardiac instability, infectious condition, bowel/bladder incontinence, severe epilepsy, suicidal patient

Indication for Cardiac Rehabilitation

medically stable after: MI, Angina, CABG, cardiac surgery, heart transplant

Indication for External compression

edema
lymphedema
prevent DVT
Venous statis ulcer
Residul shaping

Contraindication for External Compresison

Heart failure, acute DVT, thrombophlebitis, obstructed lymphatic/venous return, ulcers, acute local skin infection, significant hypoproteinemia, acute fracture/trauma

Precaution for External Compression

impaired sensation/mentation, uncontrolled hypertension, cancer, stroke, significant vascular insufficiency, superficial peripheral nerves

Contraindication for Nonthermal Diathermy

Deep tissues, pacemaker, electronic device, metal implants,

Contraindication for Cryotherapy

cold hypersensitivity, cold intolerance, cryoglobylinemia, raynaud's disease, circulatory compromise, peripheral vascular disease

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