Mettler Electronics Corp.— Rev.J_09/13/17
34
5.3 Contraindications for Therapeutic Ultrasound
1. Therapeutic ultrasound should not be applied over the pregnant or potentially
pregnant uterus. Therefore, therapeutic ultrasound should not be applied over the
uterus unless specific assurance can be attained from the patient that she is not
pregnant.
2. Patients who have cardiac pacemakers should be protected from direct ultrasound
exposure over the thorax to protect the lead wires and pacer from such exposure.
3. Therapeutic ultrasound should not be applied to the eye.
4. Applications of therapeutic intensities of ultrasound should be avoided over the heart.
5. Neoplastic tissues or space occupying lesions should not be exposed to ultrasound.
6. Ultrasound should not be applied to the testes to avoid increases in temperature.
7. Areas of thrombophlebitis should not be treated with therapeutic ultrasound due to
the increased possibility of clotting or dislodging a thrombus. Conditions where this
might occur are deep vein thrombosis, emboli and severe atherosclerosis.
8. Tissues previously treated by deep x–ray or other radiation should not be exposed to
therapeutic ultrasound.
9. Ultrasonic treatment over the stellate ganglion, the spinal cord after laminectomy,
subcutaneous major nerves and the cranium should be avoided.
10. Do not treat ischemic tissues in individuals with vascular disease where the blood
supply would be unable to follow the increase in metabolic demand and tissue
necrosis might result.
11. Ultrasound should not be applied over the epiphyseal areas (bone growth centers) of
the bones of growing children.
5.4 Contraindications for Neuromuscular Electrical
Stimulation
1. Electrical neuromuscular stimulation should not be administered to individuals who
are or may be pregnant.
2. Do not stimulate a patient who has a cardiac demand pacemaker.
3. Patients with implanted electronic devices should not be subjected to stimulation.
4. Placement of electrodes across the chest laterally or anterior/posterior creates a
possible hazard with cardiac patients and is therefore not recommended. Do not use
transthoracically in any mode. Great care should be exercised in applying the electrical
stimulus current to any region of the thorax because the stimulus current may produce
cardiac arrhythmia. In patients with known heart disease, electrical stimulation should
be used only after careful physician evaluation and patient instruction.
5. Place electrodes in such a way to avoid stimulation of the carotid sinus (neck) region.
6. Patients with arterial or venous thrombosis, or thrombophlebitis are at risk of
developing embolisms when electrical stimulation is applied over or adjacent to the
To Next Page
Loading...