Applications/ sequences/treatment planning/ contraindications Flashcards
clinical application patient groups for massage
musculoskeletal disorders
respiratory disorders
long-term or terminal illness sufferers
specific musculoskeletal disorder use for massage
soft tissue injuries athletes - pre-event, post -event WRMSDs Mechanical neck pain Mechanical low back pain
soft tissue injuries
strains, sprains, tendinopathy etc
respiratory disorders that may benefit from massage
COPD, CF (percussion, vibs, & shaking)
contraindications
A condition or situation that makes using the specified procedure harmful.
indesirable effects of massage in varicose vein
increased blood flow
increased lymphatic flow
compression and shear
applied too early in healing and disturb the healing and cause bleeding.
other situations in which massage can have a negative effect
lubricant allergy
infection - can spread
increased excess metabolic activity in tissue - calcification
absolute contraindication
acute infection cancer TB open wound/burn foreign body/bone fragment circulatory disease skin disease e.g. psoriasis 48-72hours post injury
examples of acute infections that can cause contraindication
bone e.g. osteomyelitis joint e.g. septic arthritis muscle subcutaneous tissue e.g. cellulitis acute generalised infection - febril conditions
Potential signs of cancer
intractable pain fatigue/ feeling of being generally unwell unexplained weight loss fever lumps
examples of circulatory disease
superficialThrombophlebitis or DVT(Deep vein thrombosis)
signs of DVT
Calf swelling
Erythema
Increase temp.
PAIN
Risk factors for DVT
Immboility smoking cancer pregnancy oestrogen therapy dehydration blood disorder cannulae
myositis ossificans
An extra-osseous non-neoplastic growth of new bone.
most common sites of myositis ossificans
Most common sites = Brachioradialis & Quadriceps
what is the most common patient of myositis ossificans
Often post-traumatic in teens & 20’s but can be genetic (multiple spontaneous sites)
potential contraindications
Cancer – Malignant disease
Fragile skin
Collagenous weakening e.g. diabetes, advanced RA(rheumatoid arthritis), long-term steroid use
Cardiac pathology – increase BP, reflex fx (neck, chest, mid-thoracic)
Dermatomyositis – re. Total body massage only
immune disorder where body attacks skin & muscle
situations in which caution is required for massage
Cancer Stationary pressure care to avoid peripheral nerves Intramuscular haematomas Over front / side of neck e.g. thyroid gland or carotid sinus
general considerations for accurate medical diagnosis
ACCURATE MEDICAL DIAGNOSIS & Hx PHYSICAL EXAMINATION CHECK FOR C/I MASSAGE – only part of total Rx PATIENT POSITION – comfort, support Rx area, cover appropriately minimise trunk rotation/flex stance (in direction of technique) base of support (BOS) move with technique (avoid excessive reaching)
treatment planning
PLAN Assess & set goals Treat Constant feedback from pt: verbal vs. non-verbal Re-assess comparable signs
parameters of treatment planning
PARAMETERS Sequence plan Directions Pressure / Depth position of lesion healing stage Rate & Rhythm Duration lesion, size, rate, pt. age, changes in s&s Frequency of Rx
