4.4 Manual Therapy - Soft Tissue Flashcards
1
Q
Which soft tissue mobilization physiologic effects are this?
- Light massage
- Sensory stimulation of cutaneous receptor (skin & superficial fascia)
A
Reflexive Effects
2
Q
Which soft tissue mobilization physiologic effects are this?
- increased lymphatic & capillary dilation
- increased tissue temperature & lymphatic flow
- increased oxygen
- decreased lactic acid
- decrease pain
A
Autonomic Nervous System (ANS)
3
Q
What type of effect is this?
- increased pressure
- deeper tissues
- pressure receptor
A
Mechanical Effects
4
Q
What type of effect is this?
- “hands on”
- direct help
- decreased anxiety
A
Psychological Effects
5
Q
What type of manual therapy is this?
- rolling is described as a self release technique
- rolling-induced global effects on muscle tone from changes in the parasympathetic system, reflexes and pain tolerance may have
- single episode of stretching and foam rolling does not affect short-term ITB stiffness
A
Myofascial Release
6
Q
What type of manual therapy is this?
- Upward Stroke: sustained pressure
- Return Stroke: maintain light pressure
- Smooth, rhythmical & relaxed application
- builds towards deeper pressure
- follow natural body contours
- decrease pressure over bony prominences
A
Effleurage
7
Q
What type of manual therapy is this?
- kneading manipulations
- stationary or start proximally & move distally
- deeper pressure
- Upwards Stroke: towards the heart
- Shorter strokes than effleurage
- Static contact with skin while moving over the muscle
- moving proximal to distal
- more pressure than effleurage
- pressure & release helps “pump” out the blood
A
Petrissage
8
Q
What type of manual therapy is this?
- Indication: Chronic tendinitis/tenosynovitis
- Process:
place tendon on stretch, stroke thumb/forefinger perpindicular across fibers, <10 min, Ice - Goal: inflammatory response
A
Cross Fiber/Transverse Friction (connective tissue)
9
Q
What type of manual therapy is this?
- Indication: Hypersensitive bundel/nodule
- Goal: increase ROM
A
Trigger Point Therapy
- Trigger Point release: pressure as tolerate 1-5 min
- Strain/Counterstrain: Pressure on TP, passively shorten muscle, 90 sec
- Active Release: Maintain pressure AROM of muscle, 3-5x