Manual Therapy/Traction

Question 1

What is the “psychological effect” of manual therapy like massage?

Answer 1

“Hands on” effect

Question 2

What are the indications for massage?

Answer 2

Superficial adhesions, circulatory stasis, congestion, edema/joint swelling, myalgia/trigger points, tension headaches, post exertion fatigue and stiffness

Question 3

What are the contraindications for massage?

Answer 3

Arteriosclerosis, thrombosis/embolism, severe varicosities, acute phlebitis, cellulitis, synovitis, abscesses and skin infections, acute inflammatory conditions

Question 4

What in the only way in which massage can be applied to areas of severe varicosities?

Answer 4

If done toward the heart

Question 5

In what direction is effleurage massage done?

Answer 5

Parallel with the orientation of the fibers of the targeted muscle tissue

Question 6

What type of massage is done by kneading the muscle with one or both hands and pulling the tissue up?

Answer 6

Petrissage

Question 7

What type of massage is done with long stroking motions (both superficial and deep) and applied with the palm of the hand or the flats of the fingers?

Answer 7

Effleurage

Question 8

What is the type of massage that is done as a series of rapid blows?

Answer 8

Tapotement or percussion

Question 9

“Tapping” in massage is done with what body part?

Answer 9

Tips of fingers

Question 10

“Hacking” in massage is done with what body part?

Answer 10

Ulnar border of the hand (chopping)

Question 11

“Slapping” in massage is done with what body part?

Answer 11

Fingers

Question 12

“Cupping” in massage is done with what body part?

Answer 12

Cupped hands

Question 13

Manual vibration done as massage is done in what direction?

Answer 13

Perpendicular to the orientation of the targeted muscle fibers and done distal to proximal

Question 14

G5, Genie Rub, and Thumper are all examples of what kind of therapy?

Answer 14

Mechanical vibration (massage)

Question 15

Decreasing congestion, edema, and stasis, milk tissue, and postural drainage are all indications for which type of mechanical vibration frequency?

Answer 15

LOW

Question 16

Analgesia, decreasing trigger points, pre-exercise warm up, relaxing spasticity, and superficial circulatory stimulation are all indication for which type of mechanical vibration frequency?

Answer 16

HIGH

Question 17

When is medium frequency used for mechanical vibration?

Answer 17

Mild cases of the high frequency indications like analgesia and decreasing trigger points

Question 18

What is the treatment time for trigger points with vibratory massage?

Answer 18

6-8 minutes (1 minute per)

Question 19

What is the treatment time for muscle relaxation with vibratory massage?

Answer 19

Up to 10 minutes

Question 20

What is the treatment time for postural drainage with vibratory massage?

Answer 20

Up to 15 minutes

Question 21

What is the treatment time for general body relaxation with vibratory massage?

Answer 21

5 minutes

Question 22

James Cyriax is known for what type of therapy?

Answer 22

Cross-friction massage

Question 23

What is cross-friction massage used for?

Answer 23

Lossening scar tissue/adhesions, absorption of local edema, mobilize ligaments, tendons, and scars, restore mobility and extensibility

Question 24

Cross-friction massage is done specifically to what part of anatomy?

Answer 24

Ligaments, tendons, muscles

Question 25

In what direction is cross-friction massage administered?

Answer 25

Perpendicular to orientation of tissue fibers

Question 26

What is unique about the administration of cross-friction massage?

Answer 26

No lotion used, done until numb, massage directly over pain

Question 27

What is the treatment time for cross-friction massage?

Answer 27

7-10 minutes or until numb

Question 28

What is the rope sign associated with trigger point therapy?

Answer 28

Taught band of fibers which can be "snapped" like a rope causing hyper-excitability in surrounding musculature (twitch response)

Question 29

What is myofascial release?

Answer 29

Applying pressure to tendons, ligaments, fascia, and nerves while actively or passively moving the tissue

Question 30

What four things does ART focus on?

Answer 30

Tissue texture, tension, movement, and function

Question 31

What is the goal of rolfing?

Answer 31

Balance the body within a gravitational field

Question 32

What is rolfing?

Answer 32

Deep massage with no lubricant

Question 33

What are the benefits to instrument assisted soft tissue mobilization?

Answer 33

Allow deeper pressure, less stress on hands/thumbs

Question 34

What is unique about the administration of FAKTR?

Answer 34

Active motion used as provocation

Question 35

What does FAKTR-PM stand for?

Answer 35

Functional, Kinetic, Treatment, Rehab, Provocation, Motion

Question 36

What are the indications for FAKTR treatment?

Answer 36

Tendinopathies, fascial syndrome, entrapment syndromes, ligament pain, scar tissue/adhesions, edema

Question 37

What is SASTM?

Answer 37

Sound assisted soft tissue mobilization

Question 38

Which of the instrument assisted techniques for massage is most expensive?

Answer 38

Graston

Question 39

What is traction?

Answer 39

Drawing or pulling apart of a body segment

Question 40

Which type of traction is not recommended and is associated with a wide variety of contraindications such as heart disease, migraines, sinus infections, etc.?

Answer 40

Inversion

Question 41

Lying supine and bringing knees to the chest is an example of what type of traction?

Answer 41

Positional

Question 42

What are the indications for spinal traction?

Answer 42

Disc protrusion/herniation, nerve root impingement, joint hypomobility, arthritis conditions of facet joints

Question 43

Which phase of intermittent spinal traction is shorter? Longer?

Answer 43

``` Shorter = relax phase Longer = hold phase ```

Question 44

What is the treatment time for spinal traction?

Answer 44

10-30 minutes

Question 45

What is the patient position for lumbar mechanical traction?

Answer 45

Supine or prone with hips/knees flexed

Question 46

What angle of pull is associated with lumbar mechanical traction?

Answer 46

0-30 degrees

Question 47

How is cervical traction administered differently from lumbar traction?

Answer 47

Over-the-door pulley system with a bag filled with water

Question 48

What is the angle associated with cervical traction administration?

Answer 48

0 degrees (head/neck is neutral)

Question 49

Which has a greater force: lumbar or cervical traction?

Answer 49

Lumbar (30-60% of body weight) while cervical is only at 10-30%