Hands on Practice

Question 1

How to perform holding?

Answer 1

• Done with a full, open, relaxed hand
• Used to introduce to touch
• Allows the client to become accustomed to your touch
• Creates stillness

Question 2

What are the indications & contraindications for holding?

Answer 2

I :
- Introduce to touch prior to undraping
- Bring attention to an area
- Calm a muscle spasm
CI :
- Over areas of open wound

Question 3

What are the effects of holding?

Answer 3

• Brings heat to an area
• Calms the sympathetic firing
• Bring proprioceptive awareness to an area
• Allows client to establish time to evaluate presence of touchW

Question 4

How to perform rocking?

Answer 4

1. Using full firm hand, starting with the legs, begin to rock the client back and forth
2. Work your way up to the back

Question 5

What are the indications and contraindications of rocking?

Answer 5

I :
- Introduce touch
- Finish and to gently wake client
CI :
- Client resistance

Question 6

How to perform stroking?

Answer 6

1. Use fingertips, lightly, but make contact
2. Steady, light, movement

Question 7

What are the indications and contraindications for stroking?

Answer 7

I :
- At the start or finish of the massage
CI :
- Client preference

Question 8

What are the indications and contraindications of effleurage?

Answer 8

I :
- Part of the regular massage protocol
CI :
- Tortuous varicose veins
- Thrombus
- Certain heart conditions

Question 9

What are the effects of effleurage?

Answer 9

• Fast superficial strokes are stimulation
• Slow superficial strokes are soothing
• Slow deep application stimulates parasympathetic firing
• Increase venous return, drainage

Question 10

What are the indications and contraindications of petrissage?

Answer 10

I :
- Separate tissues
- Reduce fibrosing and adhesions
- Release hypertonic muscles
CI :
- Flaccid tissue / atrophied muscle
- Technique and depth dependent
- Acute inflammation

Question 11

What are the effects of petrissage?

Answer 11

• Reduce hypertonicity
• Loosen muscles, connective tissue, adhesions
• Increases circulation therefore increasing nutrient / waste exchange

Question 12

What are the indications & contraindications of compression?

Answer 12

I :
- Used when gliding techniques should not or can not be done
- May be used over clothes or when lubricant cannot be used
- In areas of excessive body hair or ticklish areas
CI :
- Underlying injury
- Client’s comfort
- Local circulatory issues, such as DVT

Question 13

What are effects of compressions?

Answer 13

• Enhances circulation
• Causes muscle spindles to fire by the creation of a load tension in the muscles

Question 14

What are the indications and contraindications of stripping?

Answer 14

I :
- Muscle adhesions
- Specific muscle hypertonicity within the belly
CI :
- Flaccid muscle
- Acute inflammation
- Thrombus
- Bruising
- Cyst
- Numbness

Question 15

What are the effects of stripping?

Answer 15

• Separate muscle fibers
• Breaks down adhesions

Question 16

What are the indications & contraindications of shaking?

Answer 16

I :
- Hypertonic muscle
- Client having trouble relaxing
CI :
- Client comfort

Question 17

What are the effects of shaking?

Answer 17

• Increases circulation
• Decreases muscle hypertonicity

Question 18

What are the indications & contraindications of vibrations?

Answer 18

I :
- Muscle hypertonicity
- Congested sinuses
CI :
- Client comfort

Question 19

What are the effects of vibration?

Answer 19

• Less than 30 seconds may stimulate the muscle
• More than 30 seconds may relax the muscle

Question 20

What are the indications & contraindications of tapotement?

Answer 20

I :
- Stimulate the area, use a fast pace
- Relax the area, use a slow pace
CI :
- Client comfort
- Osteoporosis

Question 21

What are the effects of tapotement?

Answer 21

• Stimulates the nervous system, specifically proprioceptors
• Increase circulation
• Decreases hypertonicity
• Cupping on thorax may loosen mucus of conditions like chronic bronchitic or cystic fibrosis