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Modalities > Manual Therapy > Flashcards

Manual Therapy Flashcards

1
Q

massage on pt with acute inflammation?

A

no, contrainidicated

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2
Q

which type of massage technique helps break adhesion and increases skin elasticity?

A

Petrissage (kneading)

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3
Q

massage on pt with cancer?

A

no, contrainidicated

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4
Q

massage on a pt with osteoporosis?

A

precaution, fracture

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5
Q

Physical effects of massage in the circulatory system:

A
  • decreases BP & HR ❗️
  • ↑ local circulation
  • enhances venous return
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6
Q

massage on pt with DVT/thrombophlebitis?

A

no, contrainidicated

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7
Q

Precautions to massage:

A
  • cardiac arrhythmias
  • new scar tissue
  • low BP
  • osteoporosis
  • swelling due to: CV insufficiency, kidney or liver disease pleural effusion
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8
Q

pt positioninf for massage:

A
  • supine
  • prone
  • sitting
  • side lying
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9
Q

Classic Western Massage (HOFFA Techniques)

A
  1. Effleurage
  2. Petrissage
  3. Friction
  4. kneading
  5. Tapotment (percussion)
  6. Vibration
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10
Q

Variations of Friction Massage:

A
  • Superficial Warming Friction: palms or knuckles
  • Deep Transverse (Cross-friction): force applied across the muscle/tendon
  • Circular motion: tendons or ligaments, 3-4 gradually deeper
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11
Q

Contraindications to massage:

A
  1. Cancer
  2. fever
  3. malignant melanoma
  4. sites of recent trauma
  5. hyperesthesia
  6. large open areas or burns
  7. ecchymosis
  8. acute inflammation
  9. acute RA
  10. DVT/thrombophlebitis
  11. infection to tissue being treated
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12
Q

massage on pt with hyperesthesia?

A

no, contrainidicated

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13
Q

massage on a pt with swelling due to: CV insufficiency, kidney or liver disease pleural effusion?

A

precaution

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14
Q

Which massage technique is used in sub-acute & chronic soft tissue injury to help absorb inflammatory exudates?

A

Friction, Repeatedly rubbing one surface over another (creates heat).

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15
Q

Indication to massage:

A
  • decrease pain, edema, muscle spasm and adhesions
  • increase ROM and joint flexibility
  • promote healthy scar tissue formation
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16
Q

massage on pt with acute RA

A

no, contrainidicated

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17
Q

massage on pt with fever?

A

no, contraindicated (fighting an infection)

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18
Q

Variations of petrissage:

A
  • 1-handed kneading (lumbrical grip)
  • 2-handed kneading (alternating hands)
  • Alternating 1-hand kneading: alternating flexors & extensors
  • Circular 2-handed petrissage (counterclockwise direction)
  • Alternating finger to thumb petrissage (between the thumb of one hand & the fingers of the other hand).
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19
Q

massage on sites of recent fractures?

A

no, contraindicated

20
Q

Which massage techniques is used to help mobilize secretions?

A
  • Cupping
  • Vibrations
21
Q

massage on pt with malignant melanoma?

A

no, contrainidicated

22
Q

Endangerment sites of massage:

A
  • anterior neck
  • axillary area
  • umbilicus
  • low back bet T12 & L3
  • antecubital fossa
  • elbow
  • inguinal/groin area
  • popliteal fossa
  • eyes
23
Q

Physcial effects of massage in the MSK system:

A
  • ↑ muscle relaxation
  • ↓ muscle spams/guarding
  • ↑ joint mobility and flexibility
  • ↑ O2 in muscles
  • “milks” metabolic wastes to venous and lymphatic system
24
Q

Massage techniques:

A
25
Q

skilled, hands-on technique use to diagnose and treat soft tissue & joint dysfunction:

A

Manual Therapy

26
Q

Variations of Effleurage:

A
  • Sliding Effleurage:  Performed with palm & fingers of the hands, thumbs, fists or forearms.
  • Shingles Effleurage:  Stroking of hands with alternating strokes overlaying each other (like roof shingles).
  • Horizontal Stroking:   Strokes goes across the width of the body.
  • Knuckling: As it slides over the skin, fist gradually turns over ending with the palm of the hand.
  • 3 count Stroking of Traps:
    1. ​Origin of lower traps to insertion
    2. Origin of middle traps to insertion
    3. Origin of upper traps to insertion
27
Q

massage on pt with ecchymosis?

A

no, contraindicated

28
Q

Which massage technique especially helps to increase circulation?

A

Tapotement (Percussion)

29
Q

massage on pt with low BP?

A

precaution:

OH, check BP, document, wait a few minutes

30
Q

How is the pressure and direction of massage application?

A
  • Pressure:
    • Light to deep to light pressure.
    • NO pressure on return stroke.
  • Direction:
    • Relative to muscle fibers (parallel or perpendicular)
    • Relative to body (distal to proximal; in line with the venous & lymph flow).
    • Exception: +edema, massage proximally first to increase lymphatic flow
31
Q

How is the direction of massage application on edema?

A
  • massage proximally first to increase lymphatic flow ​
32
Q

In which massage technique movement is rhythmic, rapid
& light and has stimulating effect?

A

Tapotement (Percussion)

33
Q

massage on tissue with infection?

A

no, contrainidicated

34
Q

massage on a new scar tissue?

A

precaution

35
Q

Variations of tapotement (percussion):

A
  • Tapping/ Plucking: fingertips
  • Hacking: alternating, thumb up
  • 2 handed Hacking: hands together
  • Beating: ulnar side of a loosely closed fist
  • Cupping (used in chest PT): postural drainage positions
  • Slapping: palms
36
Q

Efflurage technique is used when during the massage ssesion?

A

Begin & end a session or as transition technique.

37
Q

Physical effects of massage in the connective tissue:

A
  • ↑ pliability of fascia,
  • helps separate tissue muscle fibers
38
Q

Manual Therapy Techniques:

A
  • Massage (Hoffa Techniques)
  • Soft Tissue Mobilization (STM)
  • Myofascial Release (MFR) CPT code: 97140
39
Q

What are the benefits of petrissage technique?

A
  • increases local circulation
  • milks muscle of waste products
  • assists with venous & lymphatic return
  • increases skin elasticity
  • helps break up adhesions
40
Q

Massage on a pt with cardiac arrhytmias?

A

precaution

41
Q

massage on sites of recent trauma?

A

no, contrainidicated; rule out Fx

42
Q

Benefit of friction massage technique:

A
  • prevents adhesions between deeper tissues
  • used in sub-acute & chronic soft tissue injury to help absorb inflammatory exudates
43
Q

Indications to Massage:

A
  • decrease pain, edema, muscle spasm, and adhesions
  • increase ROM, joint flexibility
  • promote healthy scar tissue formation
44
Q

which petrissage technique alternates lifting and squeezing flexors and extensors?

A

Alternating 1-handed kneading

45
Q

what is cross friction massage?

A

a type of friction massage in which force is applied across the
muscle/tendon fibers, no lotion is used.

Modalities (14 decks)

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