Class 5 Flashcards
What are Cyriax Frictions?
repetitive, nongliding technique where a specific contact, such as the fingertips or thumb, is used to penetrate dense connective tissue and produce small movements between its fibers.
What are Indications/Uses of Cyriax Frictions?
To increase extensibility of connective tissue by promoting realignment and remodeling of its collagen fibers. Most often used when treating adhesions associated with chronic-stage orthopedic injuries, scars and Repetitive strain injuries.
What are Contraindications of Cyriax Frictions?
Same as MFR/direct myofascial techniques.
How to perform Cyriax Frictions Technique?
• Inform client that this is painful technique.
• Pain and tissue resistance serve as primary guidelines. Pain should be about 5/10 on a pain scale
• Prepare the tissue with heat or with GST/ dry petrissage or rhythmic compressions (approx. 5 minutes)
• Make sure all oil is removed
• Stabilize structure
• Direction of friction should be perpendicular (Cross- fiber) to the muscle, ligament or tendon
• Use reinforced finger tips or thumbs
• Sufficient tension is needed for the force of the friction to be effectively isolated from normal tissues but not so stretched that you are unable to penetrate the tissue. Rule of thumb: The deeper the tissues the less stretch needed
• Sheathed tendons should be treated in a stretched position.
• Tissue is moved as one unit to the “stretch point” without ever sliding over the skin (to stretch and separate fibers) this is why we remove the oil.
• Accurate palpation
• Use short strokes less than 1-2 cm (think using an eraser)
• Check in with client before one minute is up to see if the pain is lessening or increasing. Make necessary adjustments to stop or continue frictions
• Palpable softening or 1-2 minutes
• Stretch
• Ice if inflammation response is initiated
What is a Framing General Massage Technique?
• Serves to frame and connect the other techniques
• Is the principal palpation tool
• Imparts a sense of structure to the sequence
• Is chosen with the outcomes of the intervention in mind
What are the differences between general and specific massage techniques?
General massage techniques:
• Have a large amplitude
• Use a broad contact surface
• Engage and provide information about a large area or a large group of tissues E.g., effleurage
• Allow for palpation of connected areas
• Will change client state of well-being
Specific massage techniques:
• Have a small amplitude
• Use a small contact surface
• Engage and provide information about a small area or a small group of tissues E.g., specific compression
• Might be as much as a 15 minute intervention
We apply general techniques before specific ones in order to?
• Get a full palpatory scan of the tissues in a region
• Identify imbalances in the tissues that you may have missed during the client examination
• Assess the broader manifestations of a local problem
We apply superficial techniques before deeper ones in order to?
• Allow client to accommodate to your touch
• Enable you to palpate with your hands in most
relaxed and sensitive position
• Start treatment at most superficial layer of tissues with a problem (e.g., elevated resting tension) before trying to treat deeper layers
We apply massage techniques from the periphery to the center of the region, when you are treating?
• A circumscribed area of local pathology
• An area of local swelling
• Specifically used when treating acute and subacute
local injuries or scar tissue and when approaching areas
of apprehension or pain.
• Moving back to periphery reduces possibility of
kickback pain.
• Several treatments may be necessary before we treat
central area
If the outcome is to enhance return of lymph or venous blood we should use?
• Use centripetal pressure
• Use assistance of gravity when possible
• Begin proximally, proceed distally, return proximally, and repeat
• Maximize relaxation of proximal muscle groups
We apply massage techniques. from Proximal Distal to
proximal, What is the purpose of P-D-P?
• Restrictions and muscle tone are reduced to allow more efficient venous and lymphatic return from distal parts of the limb
If the outcome is to enhance return of lymph or venous blood:
- Use centripetal pressure
- Use assistance of gravity when possible
- Begin proximally, proceed distally, return
proximally, and repeat
- Maximize relaxation of proximal muscle groups
• With acute injury the injury site is considered
distal
• Does not necessarily apply to non-circulatory
You should address agonist, antagonist, and synergist groups, especially if you are applying?
• Neuromuscular techniques
• Connective tissue techniques
• Specific techniques with higher force in small areas or for long periods
What type of technique engages only the skin and may produce reflex effects but no mechanical effects?
SUPERFICIAL REFLEX TECHNIQUES
What type of technique produce mechanical effects on the lymphatics?
SUPERFICIAL FLUID TECHNIQUES
What type of technique
• Produces substantial tissue or joint motion without effort on the part of the client
• Engages multiple tissues and structures and have wide-ranging effects on fluid flow, connective tissue, and the
neural control of muscle tone
PASSIVE MOVEMENT TECHNIQUES
