Massage

Question 1

Physiologic effects of massage 4

Answer 1

1. Decrease pain via gate control, release endorphins, remove proinflammatory chemicals
2. Increase vasodilation
3. Improve lymphatic flow. mechanically move fluids and metabolic waste out of interstitial space and into lymphatic system
4. Mechanical effects- increase length of soft tissue (scars,muscle, fascia, tendon or ligament). break up adhesions. promote remodeling of collagen fibers

Question 2

Mechanical effects of massage 5

Answer 2

1. Increase length of soft tissue
2. break up adhesions
3. promote remodeling of collagen fibers
4. soften scar tissue
5. remove lactic acid

Question 3

Psychologic effects 2

Answer 3

1. Relaxing effect

2. Feeling of being helped

Question 4

Effleurage

Answer 4

Stroking technique
light amount of pressure
parallel with muscle fibers
purpose to exam, acclimate, relax, decrease pain via gate control

Question 5

Petrissage

Answer 5

Kneading technique
parallel with muscle fibers
purpose: increase length of tissue, circulation and lymphatic flow
break up adhesions and decrease pain

Question 6

Tapotement

Answer 6

percussion, light tapping technique
Purpose: decrease pain gate control
increase muscle relaxation and circulation

Question 7

Vibration

Answer 7

increase relaxation and decrease pain via gate control

Question 8

Friction Massage 2 types

Answer 8

1. Trigger/Circular point massage

2. Cross friction/ Transverse massage

Question 9

Trigger point

Answer 9

local areas of tenderness that feel like nodular lumps
Technique is firm pressure applied in a small circular fashion
Increases circulation and length of soft tissue
Breaks up adhesions

Question 10

Transverse friction

Answer 10

Firm pressure, as much as patient can tolerate
Small movements perpendicular to muscle, scar etc
Purpose: re-align collagen fibers and strengthen scar- Wolffs law
may help inflammatory phase progress

Question 11

Manual lymph drainage

Answer 11

body part should be elevated
start proximally, but work distal to proximal
slow repetitive strokes to push fluid along lymphatic system

Question 12

Myofascial Release

Answer 12

Relieves fascial adhesions

Fascia that surrounds muscles, tendons, nerves, bones and organs

Question 13

Contraindications to Massage

Answer 13

Atherosclerosis,
Thrombosis
embolism
severe varicose veins
acute phlebitis- vein inflammation
cellulitis
Synovitis
abscesses
skin infection
cancer
acute inflammatory conditions
fracture or open wound