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A physical therapist is preparing to administer electrical stimulation to a patient’s knee as part of their rehabilitation program. Which of the following conditions if present would be considered an absolute contraindication to the use of electrical currents in this patient?

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A 72-year-old individual presents to outpatient physical therapy with complaints of bilateral shoulder and hip stiffness, difficulty rising from a chair, and diffuse aching that is most severe in the morning and lasts throughout the day. Laboratory results reveal an elevated erythrocyte sedimentation rate (ESR). Which of the following is the MOST likely diagnosis?

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