Contraindications PT

Question 1

Kinesio Tape

Answer 1

Elderly with thin skin – minimal stretch (10-20%)
• Diabetics – lower extremities
• Those patients who don’t listen to instruction
• CLINICIAN ERROR – Too much stretch on the
tape.

Question 2

Soft Tissue Work contra-indications

Answer 2

-arteriosclerosis
-Thrombosis/ embolism
-severe varicose veins
-acute phlebitis
-cellulitis (is a bacterial infection of the skin that occurs most commonly on the lower legs and in areas where the skin is damaged or inflamed)
synovitis
-abscesses
-skin infections
-local cancers
-pregnancy
-acute inflammatory injuries

Question 3

TENS

Answer 3

• pregnancy
• implanted electrical pacing device
• cardiac arrhythmias
• over the carotid sinus
• hypersensitivity
• reduced skin sensation
• patients with aversion to electricity (strong dislike)
• Pts who are allergic to electrodes, gel or tape.
• Electrodes over dermatological lesion -no go

Question 4

IASTM

Answer 4

ABSOLUTE:

• open wounds
• uncontrolled hypertension
• thrombophlebitis (nflammation of the wall of a vein with associated thrombosis, often occurring in the legs during pregnancy.)
• Inflammatory conditions due to infection
• contagious or infectious skin conditions
• hematoma (a solid swelling of clotted blood within the tissues)
• OSTEOMYELITIS
• UNSTABLE FRACTURE -woops

Relative:
Cancer 
Burn scars 
kidney dysfunction 
-pregnancy 
-medications: antigoagulatns, steroids, hormone replacement, NSAIDS, 
-RA, 
-Lymphedema, 
-Chronic  regional pain syndrome

Question 5

METS

Answer 5

Bony Block
 Non-Union Fracture
 Acute Inflammation or Infection
 Sharp or Acute Pain With Elongation
 Hematoma or Tissue Trauma
 Hypermobility
 Hypomobility Provides Stability or Neuromuscular
Control