Exam 3: Massage Flashcards
What should physical therapists call “massage”
soft tissue mobilization
_____ effects of massage is that mobilization of sensory receptors in the skin and superficial connective tissues can cause sedation and relieve tension
reflexive
What are the reflexive effects of massage
sedation and tension relief
What effects does massage have on circulation
- dilation of lymphatic vessels and small blood vessels from soft touch
- movement of blood through vein and lymphatics from kneading muscles
How does massage provide pain relief
pain gate control theory and both ascending and descending mechanisms
Massage activates (small/large) diameter afferents that can block transmission of smaller/slower neurons
large
Massage can stimulate painful areas of the skin or myofascial that release ______/_____
endorphins/enkephalins
Massage mobilizes edema by (increasing/decreasing) lymph flow
increasing
_____ effects of massage refers to techniques used to stretch a muscle, elongate fascia, or mobilize soft tissue adhesions.
mechanical
Massage breaks up ____ tissue
fibrotic
What effects does massage have on muscle
trigger point therapy can relieve pain
increase blood flow to muscle
increases flexibility by reducing spasm/excitability
What effects does massage have on skin
increases skin temp
increase sweating
loosens adhesions and softens scars
What are the psychological effects of massage
hands on effect can help the patient feel like someone cares
it can reduce/increase tension and anxiety depending on the patient
What are the 6 indications for massge
pain decreased circulation edema decreased ROM fibrosis trigger points
What are 8 contraindications for massage
Thrombosis embolism cellulitis abscesses skin infections cancer acute inflammatory conditions over possible fx
What are the four characteristics of a true trigger point
taught band
muscle spasms
tenderness
referred pain
What are the different types of massage
effleurage petrissage Tapotement or percussion vibration friction transverse friction
What type of massage involves gliding over the skin lightly without trying to move the underlying muscle
effleurage
What type of massage is primarily used to accustom the patient to physical contact with the clinician
effleurage
Effleurage massage is an excellent way to locate what three things
tenderness, spasms, and trigger points
What type of massage involves kneading manipulations that press and roll the muscles by gently squeezing and lifting
petrissage
When performing petrissage should you move from proximal to distal or distal to proximal
distal to proximal
What type of massage involves a series of brisk blows administered with relaxed hands and following each other in rapid alternating movements
tapotement or percussion
What are the different techniques of tapotement massage
hacking, slapping, beating, tapping, cupping
What type of massage involves fine, tremulous movements made by the hand or fingers places firmly in contact with the part being treated
vibration
What type of massage involves superficial tissues that are moved over the underlying structures by keeping the hand or fingers in firm contact with the skin
friction massge
What type of massage involves a painful technique in which the finger or thumb is placed with pressure on one side of a tendon and then moved perpendicularly across the fibers of the tendon
transverse friction massage
What is the uncorking effect?
In there is swelling in the ankle, start by massaging the calf and thigh to prepare the body for an increase in fluid movements before you move down to the ankle
Generally, PT’s should start and end with ______ and
apply pressure in line with _____ flow
effleurage; venous
