L6/7 Soft Tissue Flashcards

1
Q

Massage therapy includes

A

kneading
wringing
skin rolling
rhythmic percussion
cupping

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2
Q

Manual therapy includes

A

joint mob
manual traction
soft tissue mob
compression bandaging

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3
Q

Goal of STM

A

break down adhesions
increase circulation
improve ROM
reduce swelling
decease pain
restore function

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4
Q

Contraindications of STM

A

acute/emergency conditions
fever
open wounds
malignancy
blood disorders
RA flares

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5
Q

Precautions of STM

A

recent surgery
burns
fractures
decreased sensation or oversensation
osteoporosis
varicose veins

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6
Q

Effleurage

A

gliding strokes, slow
can be a flush, movement of fluids (acute). Stretching (deep)

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7
Q

Petrissage

A

kneading, lifting
improve mobility
circulation
decompression

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8
Q

Tapotement

A

rapid percussive movements
stimulating effect

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9
Q

Scar mobilization

A

circles, perpendicular and parallel to scar
can work on post op scars
5-10 min
expect 4-8 weeks of work

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10
Q

Cross Friction Massage

A

repetitive non gliding movement of finger tips
helps to increase blood flow, break up adhesions

focusing on tendon stretches tissue

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11
Q

Short term effects w/STM

A

LBP
Patellofemoral pain

not effective for headaches

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12
Q

Why do we do STM?

A

pt expectations
revenue generating
b/c predecessors did it
confirmation bias
press and guess

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13
Q

5 Rs of Rehab

A

Reset
Reeducate
reinforce
reload
return

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14
Q

purpose of taping

A

stability to unstable segments
swelling
neuromuscular facilitation
postural corrections

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15
Q

Taping variables

A

rigidity
breathability
length of time worn
skin irritation
dependence

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16
Q

Athletic taping

A

rigid cotton tape
can be done with pre wrap under
short <1 day duration of application
most supportive
least breathable

17
Q

McConnell Taping

A

breathable, less irritable Coverall tape
Leuko-tape to pull or stabilize

strong evidence helps with pain and functional ability

possibly causes skin irritation, dependence

18
Q

Kinesio-tape

A

reduce pain/swelling, increase circulation, minimize bruising, support. drains lymph

up to 5 days of wear time
water resistant
latex free

19
Q

Depth and kinesiotape

A

Ultra light = epidermis
Super light = dermis
Paper off = superficial fascia
Moderate = deep fascia
Severe = tendon
Full = ligament

20
Q

Using broad slow manual strokes with your hands to reduce edema is which type of soft tissue mobilization?

A

effluerage

21
Q

Important principles of soft tissue mobilization to maximize the therapeutic effect include

A

pt expectations
PT body mechanics
consent
education

22
Q

What is positional release therapy?

A

Mild pressure at the trigger point for 90 seconds

23
Q

Active Release Technique protocol involves a particular order. If the initial treatment was well tolerated what could you do to potentially get more benefit?

A

increase number of AROM reps
Increase pressure on the trigger point
Increase the amount of stretch by adding PROM at the end of the available AROM

24
Q

Active Release Technique benefits

A

restore free motion of all soft tissues
release entrapped nerves, vasculature, lymph
re-establish optimal texture

25
Steps of ART
find tender spot position pt put pressure PROM or AROM pressure should be close to parallel
26
Positional Release Therapy
applying pressure to manipulate the nervous system to interrupt pain/spasm usually when muscle is in a shortened position, relaxing the nerve can help the muscle stretch/contract/heal
27
Effects of positional release therapy
reduce muscle hypertonicity increase local circulation increase ROM improve lymphatic flow decrease pain increase strength
28
IASTM
easier on PT hands, lose real-time feedback quicker than traditional enhance fibroblast activity tools applied at 30-60° for 40-120s increase pressure/angle based on response
29
STM effects
break up adhesions decrease tone increase ROM, decrease pain, increase circulation