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Zimmer PhySys - Contraindications - Electrotherapy

Zimmer PhySys
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Indications / Contraindications
1.2 Contraindications - Electrotherapy
1
Page 3
General
Contraindications
• Unclear pain symptoms
• Acute inflammation (local, systemic)
• (Suspected) cardiovascular diseases
• (Suspected) epilepsy
• Peripheral arterial occlusive disease, stage IIb or higher according to Fontaine
• Purulent processes
• Fever
• Generalised infections
• Benign and malignant tumours
• Thrombophlebitis
• Phlebothrombosis with the risk of emboli
• Cardiac pacemaker and other implanted electronic devices
• Transcardial current flow
• Metal implants in the circulation territory when galvanic or unipolar currents are used with
pulse widths of more than 1 ms
• Psychoses
• In cases of limited skin sensitivity
• Use on or near open wounds or over fractures
The following should
also be borne in mind in
the case of TENS therapy
• Pain that can be causally relieved
• Primarily psychogenic pain (TENS therapy is ineffective)
• Central pain syndrome, such as thalamic pain syndrome
Contraindications which
should also be borne in
mind
Muscle treatment with surged group pulses (surge currents) for:
• loss of consciousness, reduced state of consciousness
• Reflex inhibition (e.g. in the case of fractures)
• Muscle inflammation
• Facial muscles
• If the electric stimulation therapy triggers persistent pain
• Infants, young children
• If spasticity increases
• Pregnancy
Special caution:
• In the case of a bleeding tendency following acute trauma or fracture
• Following surgical procedures if muscle contraction can disrupt the healing process
Precautions for certain
current forms
Diadynamic current, Träbert current
• Careful electrode technique is necessary to avoid possible skin injury due to high galvanic
component of the diadynamic currents.
• Careful dosing in the case of sensitivity disorders
Electroacupuncture
• No needle acupuncture in the case of coagulation disorders