Special Populations & Adaptations Flashcards

A patient with chronic kidney disease requests Graston treatment. How should this be handled?

Answer: Treat with caution and medical guidance, as kidney dysfunction is a listed contraindication concern

Kidney dysfunction is a precaution because the body must process byproducts of tissue microtrauma.

Which sign after treatment in an anticoagulated patient indicates pressure was likely excessive?

Answer: Large ecchymosis rather than mild transient petechiae

Significant bruising signals excessive force, especially in patients with clotting impairment.

An older adult with knee osteoarthritis and limited mobility needs Graston treatment. Which positioning approach is best?

Answer: Choose comfortable, supported positions such as seated or supine with pillows

Adapting positioning for comfort and support improves safety and tolerance in older adults.

Which statement best describes the use of Graston over an area with a known active malignancy?

Answer: It is contraindicated over the tumor site

Active cancer at the treatment site is a contraindication to instrument treatment.

A patient with Ehlers-Danlos syndrome (hypermobility type) has shoulder pain. Which consideration is most relevant?

Answer: Use gentle pressure and emphasize stabilization exercise over mobility

Connective tissue disorders cause fragile tissue and excess laxity, so gentle treatment and strengthening are emphasized.

Which population typically requires the shortest treatment time per area to start?

Answer: First-time patients with low pain tolerance

New or sensitive patients should start with brief exposure to gauge tissue and pain response.

A patient recently started a fluoroquinolone antibiotic and presents with Achilles pain. Why is caution warranted?

Answer: Fluoroquinolones are associated with tendinopathy and tendon rupture risk

Fluoroquinolones carry an FDA warning for tendinitis and tendon rupture, so aggressive tendon loading should be avoided.