Manual therapies and traction Flashcards
What are the contraindications for massage?
- Arteriosclerosis
- Thrombosis/embolism
- Severe varicosities
- Acute phlebitis
- Cellulitis
- Synovitis
- Abscesses and skin infections
- Acute inflammatory conditions
What are two instrument assisted soft tissue techniques?
Graston
Trigger point therapy
What is effleurage?
Long stroking motions (superficial and deep) applied with palm of hands or pads of fingers in parallel with the orientation of the fibers of the targeted muscle tissue
What is petrissage?
• Kneading the muscle with one or both hands • Pulling tissue up with fingers/hand – squeezing – pinching – rolling
What is tapotement/percussion?
• Series of rapid blows • Rhythmic mechanical motion over tissue – Tapping – with the tips of the fingers – Hacking – ulnar border of the hand (chopping) – Slapping – with fingers – Cupping – cupped hands
What is manual vibration?
• Shaking or trembling of underlying tissue
• Keep hand in contact with skin and muscle
• Quick back and forth motion
• Perpendicular to the orientation of the
targeted muscle fibers
• Work distal to proximal
What is mechanical vibration?
• Deep, rapid, short duration percussion • Use mechanical vibratory device – G5 – Genie Rub – Thumper
What are the effects of frequency?
• High – analgesia – decrease trigger points – pre-exercise warm-up – relax spasticity – superficial circulatory stimulation • Medium – similar to high, but milder • Low – decrease congestion – decrease edema – decrease stasis – milk tissue – postural drainage
What is cross friction massage?
• James Cyriax • Used over ligaments, tendons, muscles • Small treatment area • Used to: – loosen scar tissue and adhesions – aid in absorption of local edema/effusion – mobilize ligaments, tendons, scars – restore mobility and extensibility
What is rope sign and twitch response?
taught band of fibers which can be
“snapped” like a rope causing hyper-excitability
in surrounding musculature (known as a twitch
response)
T/F
Rope sign and twitch response are observed in normal tissue?
False
What are the 3 components of trigger points therapy (Janet Travell MD)
– Ischemic Compression
• digital pressure applied up to one minute or a
series of 7-10 second applications of pressure
– Stripping
• sliding along tissue with increasing pressure
• pause over trigger point, but continue
– Spray and Stretch (Travell)
• Vapocoolant spray combined with stretching
What is myofascial release?
• Involves applying pressure to tendons,
ligaments, fascia, and nerves while actively
or passively moving the tissue.
What is ART?
Active release technique • Restore strength, flexibility, and motion and function to soft tissues • Release entrapped nerves, circulatory structures, and lymphatics
What are the 4 tissue aspects focused on with ART?
Texture, Tension, Movement, Function
