Exam 3: Massage

Question 1

What should physical therapists call “massage”

Answer 1

soft tissue mobilization

Question 2

_____ effects of massage is that mobilization of sensory receptors in the skin and superficial connective tissues can cause sedation and relieve tension

Answer 2

reflexive

Question 3

What are the reflexive effects of massage

Answer 3

sedation and tension relief

Question 4

What effects does massage have on circulation

Answer 4

1. dilation of lymphatic vessels and small blood vessels from soft touch
2. movement of blood through vein and lymphatics from kneading muscles

Question 5

How does massage provide pain relief

Answer 5

pain gate control theory and both ascending and descending mechanisms

Question 6

Massage activates (small/large) diameter afferents that can block transmission of smaller/slower neurons

Answer 6

large

Question 7

Massage can stimulate painful areas of the skin or myofascial that release ______/_____

Answer 7

endorphins/enkephalins

Question 8

Massage mobilizes edema by (increasing/decreasing) lymph flow

Answer 8

increasing

Question 9

_____ effects of massage refers to techniques used to stretch a muscle, elongate fascia, or mobilize soft tissue adhesions.

Answer 9

mechanical

Question 10

Massage breaks up ____ tissue

Answer 10

fibrotic

Question 11

What effects does massage have on muscle

Answer 11

trigger point therapy can relieve pain
increase blood flow to muscle
increases flexibility by reducing spasm/excitability

Question 12

What effects does massage have on skin

Answer 12

increases skin temp
increase sweating
loosens adhesions and softens scars

Question 13

What are the psychological effects of massage

Answer 13

hands on effect can help the patient feel like someone cares

it can reduce/increase tension and anxiety depending on the patient

Question 14

What are the 6 indications for massge

Answer 14

pain
decreased circulation
edema
decreased ROM
fibrosis
trigger points

Question 15

What are 8 contraindications for massage

Answer 15

Thrombosis
embolism
cellulitis
abscesses
skin infections
cancer
acute inflammatory conditions
over possible fx

Question 16

What are the four characteristics of a true trigger point

Answer 16

taught band
muscle spasms
tenderness
referred pain

Question 17

What are the different types of massage

Answer 17

effleurage
petrissage
Tapotement or percussion
vibration
friction
transverse friction

Question 18

What type of massage involves gliding over the skin lightly without trying to move the underlying muscle

Answer 18

effleurage

Question 19

What type of massage is primarily used to accustom the patient to physical contact with the clinician

Answer 19

effleurage

Question 20

Effleurage massage is an excellent way to locate what three things

Answer 20

tenderness, spasms, and trigger points

Question 21

What type of massage involves kneading manipulations that press and roll the muscles by gently squeezing and lifting

Answer 21

petrissage

Question 22

When performing petrissage should you move from proximal to distal or distal to proximal

Answer 22

distal to proximal

Question 23

What type of massage involves a series of brisk blows administered with relaxed hands and following each other in rapid alternating movements

Answer 23

tapotement or percussion

Question 24

What are the different techniques of tapotement massage

Answer 24

hacking, slapping, beating, tapping, cupping

Question 25

What type of massage involves fine, tremulous movements made by the hand or fingers places firmly in contact with the part being treated

Answer 25

vibration

Question 26

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

Answer 26

friction massge

Question 27

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

Answer 27

transverse friction massage

Question 28

What is the uncorking effect?

Answer 28

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

Question 29

Generally, PT's should start and end with ______ and | apply pressure in line with _____ flow

Answer 29

effleurage; venous