Special Populations & Adaptations Flashcards

A patient with osteoporosis seeks treatment for thoracic myofascial pain. What is the best adaptation?

Answer: Use light pressure and avoid forceful strokes over bony prominences

Osteoporosis is a relative contraindication, so pressure is reduced, especially over bone, to avoid fracture risk.

Which condition is considered an absolute contraindication to Graston Technique over the affected area?

Answer: Thrombophlebitis

Thrombophlebitis carries a risk of dislodging a clot, so instrument treatment is contraindicated.

A patient with fibromyalgia has widespread tenderness. Which Graston strategy is most appropriate?

Answer: Begin with very light pressure and short sessions, progressing based on tolerance

Patients with heightened pain sensitivity require gentle, graded exposure to avoid flare-ups.

Over which area should Graston treatment be avoided in a patient with prominent varicose veins on the calf?

Answer: Directly over the varicosities

Varicose veins are a relative contraindication and instruments should not be applied directly over them.

A cancer survivor in remission with lymphedema of the arm requests Graston treatment. What is the best course of action?

Answer: Consult with the physician and avoid treating the lymphedematous area without clearance

Lymphedema and cancer history warrant medical clearance and caution to avoid worsening lymphatic compromise.

A post-surgical patient is 10 days out from knee arthroscopy with portal incisions not fully closed. What should the clinician do?

Answer: Avoid instrument treatment over the incision sites until fully healed

Unhealed suture or incision sites are contraindicated for instrument treatment.

Which patient factor most warrants decreased treatment intensity in a geriatric population?

Answer: Polypharmacy including blood thinners

Older adults often take multiple medications, including anticoagulants, which increase bruising risk.