Manual Therapy Flashcards
massage on pt with acute inflammation?
no, contrainidicated
which type of massage technique helps break adhesion and increases skin elasticity?
Petrissage (kneading)
massage on pt with cancer?
no, contrainidicated
massage on a pt with osteoporosis?
precaution, fracture
Physical effects of massage in the circulatory system:
- decreases BP & HR ❗️
- ↑ local circulation
- enhances venous return
massage on pt with DVT/thrombophlebitis?
no, contrainidicated
Precautions to massage:
- cardiac arrhythmias
- new scar tissue
- low BP
- osteoporosis
- swelling due to: CV insufficiency, kidney or liver disease pleural effusion
pt positioninf for massage:
- supine
- prone
- sitting
- side lying
Classic Western Massage (HOFFA Techniques)
- Effleurage
- Petrissage
- Friction
- kneading
- Tapotment (percussion)
- Vibration
Variations of Friction Massage:
- 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
Contraindications to massage:
- Cancer
- fever
- malignant melanoma
- sites of recent trauma
- hyperesthesia
- large open areas or burns
- ecchymosis
- acute inflammation
- acute RA
- DVT/thrombophlebitis
- infection to tissue being treated
massage on pt with hyperesthesia?
no, contrainidicated
massage on a pt with swelling due to: CV insufficiency, kidney or liver disease pleural effusion?
precaution
Which massage technique is used in sub-acute & chronic soft tissue injury to help absorb inflammatory exudates?
Friction, Repeatedly rubbing one surface over another (creates heat).
Indication to massage:
- decrease pain, edema, muscle spasm and adhesions
- increase ROM and joint flexibility
- promote healthy scar tissue formation
massage on pt with acute RA
no, contrainidicated
massage on pt with fever?
no, contraindicated (fighting an infection)
Variations of petrissage:
- 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).
massage on sites of recent fractures?
no, contraindicated
Which massage techniques is used to help mobilize secretions?
- Cupping
- Vibrations
massage on pt with malignant melanoma?
no, contrainidicated
Endangerment sites of massage:
- anterior neck
- axillary area
- umbilicus
- low back bet T12 & L3
- antecubital fossa
- elbow
- inguinal/groin area
- popliteal fossa
- eyes
Physcial effects of massage in the MSK system:
- ↑ muscle relaxation
- ↓ muscle spams/guarding
- ↑ joint mobility and flexibility
- ↑ O2 in muscles
- “milks” metabolic wastes to venous and lymphatic system
Massage techniques:
skilled, hands-on technique use to diagnose and treat soft tissue & joint dysfunction:
Manual Therapy
Variations of Effleurage:
- 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:
- Origin of lower traps to insertion
- Origin of middle traps to insertion
- Origin of upper traps to insertion
massage on pt with ecchymosis?
no, contraindicated
Which massage technique especially helps to increase circulation?
Tapotement (Percussion)
massage on pt with low BP?
precaution:
OH, check BP, document, wait a few minutes
How is the pressure and direction of massage application?
-
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
How is the direction of massage application on edema?
- massage proximally first to increase lymphatic flow
In which massage technique movement is rhythmic, rapid
& light and has stimulating effect?
Tapotement (Percussion)
massage on tissue with infection?
no, contrainidicated
massage on a new scar tissue?
precaution
Variations of tapotement (percussion):
- 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
Efflurage technique is used when during the massage ssesion?
Begin & end a session or as transition technique.
Physical effects of massage in the connective tissue:
- ↑ pliability of fascia,
- helps separate tissue muscle fibers
Manual Therapy Techniques:
- Massage (Hoffa Techniques)
- Soft Tissue Mobilization (STM)
- Myofascial Release (MFR) CPT code: 97140
What are the benefits of petrissage technique?
- increases local circulation
- milks muscle of waste products
- assists with venous & lymphatic return
- increases skin elasticity
- helps break up adhesions
Massage on a pt with cardiac arrhytmias?
precaution
massage on sites of recent trauma?
no, contrainidicated; rule out Fx
Benefit of friction massage technique:
- prevents adhesions between deeper tissues
- used in sub-acute & chronic soft tissue injury to help absorb inflammatory exudates
Indications to Massage:
- decrease pain, edema, muscle spasm, and adhesions
- increase ROM, joint flexibility
- promote healthy scar tissue formation
which petrissage technique alternates lifting and squeezing flexors and extensors?
Alternating 1-handed kneading
what is cross friction massage?
a type of friction massage in which force is applied across the
muscle/tendon fibers, no lotion is used.
