CP II: Precautions and Contraindications (Exam 1)

STM Precaution

Skin rashes / irritations

STM Precaution

Hypoesthesia / hyperesthesia (sensation)

STM Precaution

Osteoporosis

STM Precaution

Extremely hairy areas

STM Precaution

Pregnancy

STM Precaution

Elderly

STM Contraindication

Open wound, hematoma, deep bruising, burns, blisters

STM Contraindication

gross edema with risk of skin tear

STM Contraindication

skin cancer

STM Contraindication

within 3-6 months of radiation treatment in the area

STM Contraindication

septic arthritis

STM Contraindication

acute/chronic skin infections

STM Contraindication

DVT

STM Contraindication

Cellulitis

STM Contraindication

constant, severe pain or pain not relieved with rest

ROM Testing Precaution

early stages after surgery

ROM Testing Precaution

Venous stasis & thrombus formation

ROM Testing Precaution

Myocardial infarction, CABG, percutaneous transluminal angioplasty

ROM Testing Precaution

Sedative holidays

ROM Testing Contraindication

motion disruptive to healing process

ROM Testing Contraindication

patient response or the condition is life threatening

MMT Precaution

Abdominal surgery or hernia

MMT Precaution

Newly united fracture

MMT Precaution

Bony ankylosis

MMT Precaution

Hematoma (also contraindication for STM)

MMT Precaution

Prolonged immobilization

MMT Contraindication

Cerebral palsy

MMT Contraindication

CV disease / brain injury

MMT Contraindication

Parkinson's disease

MMT Contraindication

Dislocated / untreated fracture

MMT Contraindication

Myositis ossificans

MMT Contraindication

Pain

MMT Contraindication

inflammatory disease in muscle or joint

MMT Contraindication

severe cardiac or respiratory disease

MMT Contraindication

subluxed joint

MMT Contraindication

hemophilia

MMT Contraindication

advanced osteoporosis

Joint Mobilization Precaution

Inflammatory joint process

Joint Mobilization Precaution

Minor osteoporosis

Joint Mobilization Precaution

Disc herniation or protrusion

Joint Mobilization Precaution

Spondylolisthesis

Joint Mobilization Precaution

Hypermobility or ligamentous laxity

Joint Mobilization Precaution

Hypertension

Joint Mobilization Precaution

Severe degenerative joint disease

Joint Mobilization Precaution

Severe kyphosis or scoliosis

Joint Mobilization Precaution

Systemic infections

Joint Mobilization Precaution

Psychological dependence on techniques

Joint Mobilization Precaution

Pain with a psychological overlay

Joint Mobilization Contraindication

Bone tumor

Joint Mobilization Contraindication

Bone infection

Joint Mobilization Contraindication

Bone fracture

Joint Mobilization Contraindication

Bone dislocation

Joint Mobilization Contraindication

Osteomalacia, osteoporosis

Joint Mobilization Contraindication

Bone dysplasia or fusion

Joint Mobilization Contraindication

Recent surgery or surgical fusion

Joint Mobilization Contraindication

Long-term corticosteroid medication

Joint Mobilization Contraindication

Rheumatoid arthritis

Joint Mobilization Contraindication

Ligamentous rupture, instability

Joint Mobilization Contraindication

Acute myelopathy

Joint Mobilization Contraindication

Spinal cord compression

Joint Mobilization Contraindication

Cauda equina syndrome

Joint Mobilization Contraindication

Sudden vomiting, nausea, or vertigo

Joint Mobilization Contraindication

Vertebral basilar insufficiency

Joint Mobilization Contraindication

Carotid artery disease

Joint Mobilization Contraindication

Aortic aneurysm

Joint Mobilization Contraindication

Bleeding diatheses

Joint Mobilization Contraindication

Angina pectoris

Joint Mobilization Contraindication

Untreated cardiac insufficiency / dysthymia

Joint Mobilization Contraindication

Acute abdominal pain

Joint Mobilization Contraindication

Lack of clinical examination or diagnosis

Joint Mobilization Contraindication

Lack of clinical skill

Joint Mobilization Contraindication

Lack of client consent