Massage Flashcards

1
Q

What is lower crossed syndrome

A

postural imbalances that occurs in the lower back, pelvis and hips causing increased lordosis and anterior pelvic tilt

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2
Q

Why does lower crossed syndrome happen

A

Sedentary jobs, hunched posture creates a pattern of overload and leads to muscular imbalance between weak and tight muslces

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3
Q

What is a facilitated muscle and lower examples

A

A muscle that is short and tight e.g. erector spinae, rectus femoris(quadriceps)

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4
Q

How do you treat a facilitated muscle and why

A

Slow and deep effleuerage, petrissage, cff and stretching. To: lengthen the muscles, reduce tone and tension, loosen adhesions.

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5
Q

Why would quadriceps become facilitated?

A

Because anterior pelvic tilt incereases the angle between aiis and psis which brings the point of origin down shortening the muscle

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6
Q

What is an inhibited muscle and lower examples

A

A muscle that is weak and potentially lengthened due to inactivity e.g. hamstrings

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7
Q

How do you treat inhibited muscles and why

A

Fast and superficial effleurage and tapotement. To: stimulate the muscles and excite the nerve endings to get them active and blood flowing, advise strengthening exercises to counteract the imbalances

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8
Q

What is upper crossed syndrome?

A

Postural imbalances occurring in the shoulders, pecs and neck

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9
Q

Why does upper crossed syndrome happen

A

Due to sedentary lifestyles and jobs which causes muscular imbalances between weak and tight muscles

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10
Q

What is a facilitated muscle and upper examples

A

A muscle that is short and tight e.g. pectorals and upper traps

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11
Q

Why would the pectorals become facilitated?

A

A forward head tilt and the hunching of shoulders brings the point of origin forward shortening the muscles

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12
Q

What is an inhibited muscle and upper examples

A

A muscle that is weak and lengthened due to inactivity e.g. mid/lower traps and rhomboids

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13
Q

What are the symptoms of lower crossed syndrome

A

Anterior pelvic tilt
Increased lumbar lordosis
Hip pain
Lower back pain
Knee hyper extension
Joint dysfunction

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14
Q

What are the symptoms of upper crossed syndrome

A

Rounded shoulders
Forward head posture
Pain at antlantocciputal joint
Thoracic kyphosis
Cervical lordosis

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15
Q

What types of hand skills would you use 15 mins before an event and why?

A

Effleurage, vibrations and tapotement at a fast and superficial pace. To: stimulate the muscles pre-event, increase tone, mentally and physically prepare the body, stimulate nerve cell firing

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16
Q

What types of hand skills would you use up to 72hours before an event and why?

A

Effleurage, petrissage, vibrations, compressions at a fast and superficial pace. To: maintain the state of the muscles and optimise function pre-event

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17
Q

What handskills might you use post event and why?

A

Effleurage, petrissage, compressions, vibrations at a medium pace, and depth. To: reduce tone and relax the muscles, recover the body back to homeostasis, improve tissue mobility and reduce risk of adherences

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18
Q

What is the optimum time for post event massage

A

Best within 2hours to reduce cortisol and creatine kinase

19
Q

What is a contraindications

A

A situation, reason or symptom which might prevent massage

20
Q

What are the types of contraindications

A

Local - avoid the area
Precaution - modifiy treatment plan
Absolute - no massage appropriate

21
Q

Examples of local contraindiations

A

Bruising
Scar tissue
Inflammation

22
Q

Examples of precautionary contraindications

A

Diabetes
Hypotension
Arthritis

23
Q

Examples of absolute contraindications

A

Deep vein thrombosis
Ringworm
Chickenpox

24
Q

What are the physiological effects of effleurage

A

Venous return
Lymphatic drainage
Improves tissue mobility
Stretch muscles fibres

25
Why is effleurage used
To introduce touch, spread massage medium, warm the tissues and calm/stimulate
26
Why is petrissage used
to manipulate muscles by lifting, rolling and squeezing to separate muscle fibres by disrupting adhesions and reduce muscle spasms, calm/stimulate
27
What are the physiological effects of petrissage
Seperate muscle fibres Reduce adhesions Interchange of fluid and waste removal Change tone
28
Why are vibrations used
Either to stimulate nerve endings or relax the muscles
29
What are physiological effects of vibrations
Relaxation Stimulate nervous system Reduce pain sensitivity Change muscle tone
30
Why are compressions used
A compressive force applied to the belly of the muscle to reduce tone and relieve pain, calm/stimulate and reduce spasms
31
Physiological effects of compressions
Warming reduce tone Activates stretch reflex
32
Why is CFF used
To seperate muscle fibres and myofascial adhesions by working deep into the tissues to improve mobility, encourage type 3 collagen alignment and reduce tension
33
Physiological effects of CFF
Encourages remodelling and tissue mobility Restore and repair elasticity Loosen adhesions
34
Why is tapotement used
A percussive technique used to stimulate the nervous system and initiate sympathetic activity of the autonomic nervous system
35
Physiological effects of tapotement
Initial vasoconstriction followed by prolonged vasodilation, stimulate nerve endings, fight or flight, released adrenaline and nerve cell firing
36
Why is stretching used
Either maintenance or development stretches to reduce tone within the muscles
37
Effects of massage on integumentary system (skin)
Exfoliation Vasodilation Improve skin condition by manipulating sebaceous glands Increased skin elasticity
38
Effect of massage on CV and respiratory
Increased blood flow Increased parasympathetic activity Deep breathing and relaxation Increased pliability of intercostal muscles
39
Effect of massage on lymphatic and endocrine
Increased general wellbeing Reduce anxiety and stress Improved lymphatic drainage (flushing) Increased metabolic waste
40
Effect of massage on musculoskeletal
Increased venous return Increased blood flow Relieve DOMS Restoration and recovery
41
Effect of massage on digestive and urinary systems
Stimulates peristalsis decreased colonic transit time and pain Increased Bowel movements Increased blood flow
42
Effect of massage on nervous system
Return to homeostasis Stimulate parasympathetic system Decrease tension Relaxation Pain relief
43
What is informed consent and why is it important
Informed consent lets the patient know the nature of the techniques, benefits and any risks to reassure them to know what to expect from the treatment