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Contraindications to Massage The
Contraindications to Massage The
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Acute Ulcerative Colitis and Crohn's Disease
Alarming Signs and Symptoms
Antibiotic Resistant Organisms
High Risk Pregnancy
Hypertension and ???
Inflammatory Skin Disorders
Massage and hemodynamics
Post-Traumatic Stress Disorder
Stroke or CVA
Vertebral Artery Dissection
1) Keyword List
Raised Body Temperature
Risk of Harm
2) Prevalence of Condition
(also known as
, from the Greek
meaning fire, or a
, from the
, meaning fever, and archaically known as
) is a frequent
that describes an increase in internal
to levels above normal. Fever is most accurately characterized as a temporary elevation in the body's thermoregulatory set-point, usually by about 1–2 °C.
Fever differs from
. Hyperthermia is an increase in body temperature over the body's thermoregulatory set-point, due to excessive heat production or insufficient
, or both.
discovered that fever is not a disease but a symptom of disease.
The elevation in thermoregulatory set-point means that the previous "normal body temperature" is considered
, and effector mechanisms kick in. The person who is developing the fever has a cold sensation, and an increase in
attempt to counteract the perceived
, thereby reaching the new thermoregulatory set-point. A fever is one of the body's mechanisms to try to neutralize the perceived threat inside the body, be it bacteria or a virus.¹
According to one common rule of thumb, fever is generally classified
Fever classification||~ Grade ||~
Fever is a common
of many medical conditions:
inflammatory bowel diseases
Tissue destruction, which can occur in
directly caused by the drug, e.g.
as an adverse reaction to drugs, e.g.
after drug discontinuation, e.g.
, most commonly
Thrombo-embolic processes, e.g.
deep venous thrombosis
Persistent fever which cannot be explained after repeated routine clinical inquiries, is called
fever of unknown origin
3) Relevant Literature
4) When & Why is it dangerous to work on patient with that condition
Potential danger to the therapist could be the historical and logical reason behind fever being listed as a contraindication. If the symptom of fever is present it indicates the possibility of the presence of infectious or communicable disease.
A second reason for the listing of fever as a CI is possibly due to the fact that it would be very unpleasant to receive massage therapy while having a fever.
Awarenesss of the variation in symptoms and possible causes of fever is important to the safety of the patient. Because of the serious nature of some causes of fever there is a need to know when to refer a patient to their physician for diagnosis. While there isn't much information available on the reason for fever being a contraindication, it can be a symptom or complication of disease or infection that should not be treated.
5) Alarming Signs and Symptoms to Watch For - Red Flags
Hyperpyrexia - Is classified as a fever greater than 43 ° C or 107.6 ° F and "...is a med
ical emergency because it approaches the upper limit compatible with human life." ¹
6) References to research that supports the reason why this condition is a Contraindication
I have not located any research supporting why Fever should be a Contraindication for Massage Therapy.
7)Optional - Benefits of Massage for this Conditions
I was able to locate one study supporting massage therapy's role in
fever. Because there is so little information about his subject I thought it was relevant to post this information here for our future consideration of whether this should be listed as an absolute CI.
"50 patients with high temperature were given back massotherapy. After 30 of the patients with 39.5 to approximately 40 degrees C of the body temperature were given a single back massotherapy about 30 minutes, the temperature fell to normal. 10 patients with 39.0 to approximately 39.5 degrees C twice (20 min/time), the temperature fell one degree for the first time, and it returned to normal for the second time. 6 patients with 38.5 to approximately 39.0 degrees C three times (15 min/time), the temperature to normal. 4 patients with 37.5 degrees 38.5 degrees C, 4 times (10 min/time) to normal. This method is simple and safe."²
Effects of back massotherapy on patients with high temperature [Chinese].
County People's Hospital, Si County, Anhui
Shanxi Journal of Nursing (SHANXI
J NURS), 1995 Apr; 9(2): 81
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