Contraindications

Question 1

Contraindications for ROM

Answer 1

• should not be performed when motion is detrimental to the healing of tissues

Question 2

Contraindications for stretching include?

Answer 2

1. Acute inflammation
2. During soft tissue healing (e.g. following tendon repair)
3. ROM limited by bone-on-bone contact
4. Recent Fracture
5. Hypermobility
6. Hypomobility that allows for improved function (e.g. tenodesis grip)
7. Acute pain associated with stretching.

Question 3

List the absolute contraindications for Manipulations.

Answer 3

1. Joint ankylosis
2. Malignancy involving bone
3. diseases that affect the integrity of ligaments (RA and Down syndrome)
4. Arterial insufficiency
5. Active inflammatory and/or infective process

Question 4

List the relative contraindications for manipulation.

Answer 4

1. Arthrosis (DJD)
2. Metabolic bone disease (osteoporosis, Paget’s disease, and tuberculosis)
3. Hypermobility
4. Total joint replacement
5. Pregnancy
6. Spondylolisthesis
7. use of steriods
8. Radicular Symptoms