Manual Theapy Flashcards
Contraindications of Manual therapy
● Systemic or localized infection ● Acute circulatory conditions (DVT, etc) ● Malignancy in the area ● Open wound at site ● Recent fracture at site ● Hematoma in area ● Hypersensitive skin in area ● Advanced diabetes ● Rheumatoid arthritis (if in a flare) ● Cellulitis
Precautions for Manual Therapy
● Joint effusion or inflammation
● Rheumatoid arthritis (if not in a flare)
● Osteoporosis
● Steroid or anticoagulant therapy
What are indications of musculoskeletal pain
○ Pain reported with activity and that is relieved by rest
○ Pain that is relieved or provoked by particular motions or positions
○ Pain altered by changes related to sitting or standing posture
With transverse friction massage, what direction is your pressure moving
Perpendicular to normal orientation of fibers
Effects of transverse friction massage
Traumatic hypermedia (increasing blood flow to the area) Pain relief ( gate control theory ) Assist with collagen orientation
What manual therapy should you preform with tendinitis
Transverse friction massage
Transverse friction massage indications
acute, subacute, or chronic ligament, tendon, or muscle injuries
Contraindications for transverse friction massage
hematomas, open skin, frail skin
Purpose of scar massage
to stimulate collagen to lay down scar tissue appropriately (avoid hypertrophic and keloid scars), maintain scar mobility, and desensitize scars as needed
Before preforming a scar massage, ensure incision is….
ensure incision is clean, dry, intact prior to performing
Theory behind myofascial release
Based on principle that trauma or structural abnormalities creates inappropriate fascial strain, because of an inability of the deep fascia to absorb or distribute forces
● Strains to deep fascia results in slow tightening of the fascia; these fascial restrictions eventually lead to postural impairments
Myofascial Release Purpose:
Apply gentle sustained pressure to deep fascia to release restrictions and restore normal pain-free function
What is ischemic compression
Pressure applied to center of trigger point
Theory behind ischemic compression
sustained pressure deprives trigger point of oxygen; temporary blockage of circulation! —->reactive hyperemia that in turn reduces overall energy crisis and breaks pain cycle
Effect of soft tissue mobilization
increases circulation and skin temperature of the massaged area via vasodilation
Types of massage/STM
○ Effleurage
○ Petrissage
○ Strumming
What type of soft tissue massage is used to reduce edema
Retrograde massage
Describe the technique for retrograde massage
With sustained pressure go distally to proximally (move only in one direction)
What is the intention of retrograde massage?
Reduce edema : Intention is to push the fluid back towards the lymphatic system and assist with edema control
Relative contraindications of soft tissue mobilization
● Cancer ● Kidney dysfunction ● Pregnancy ● Rheumatoid arthritis ● Varicose veins ● Osteoporosis ● Lymphedema ● Fracture ● Chronic regional pain syndrome ● Use of certain medications (e.g., anticoagulants, steroids, or nonsteroidal anti-inflammatory drugs)
Absolute contraindications of soft tissue mobilization
● Open wound ● Unhealed suture sites ● Thrombophlebitis ● Uncontrolled hypertension ● Skin infection ● Hematoma ● Myositis ossificans ● Unstable fractures
What is Nociceptive pain
Increased sensitivity of peripheral afferent nerves
