Which of the following is a precaution or safety guideline when using SAM?

• A. Near growth plates
• B. Diabetes mellitus
• C. Tension headaches
• D. Myopia

Answer: (A)

Focusing on protecting developing bones is key when using rehabilitation aids with younger patients. Growth plates (physes) are the zones at the ends of long bones where growth occurs, and they’re made of softer cartilage than mature bone. Because they’re weaker, they’re vulnerable to injury from excessive forces, rapid loading, or awkward positions. So, when employing SAM, it’s important to avoid applying high loads, aggressive movements, or sustained pressure over areas with active growth plates. Use lower intensities, gradual progression, proper alignment, and close supervision to prevent injuries that could disturb normal bone growth. The other options aren’t direct safety precautions for devices like SAM regarding growth plate risk.