Massage

Question 1

What is Effleurage?

Answer 1

A gliding manipulation performed with light pressure that deforms subcutaneous tissue down to the layer of deep fascia.

Question 2

What mediums are used in Effleurage?

Answer 2

Lotion, oils, bee’s wax.

Question 3

What is the contact area for Effleurage?

Answer 3

Whole relaxed palmar surface of hand.

Question 4

What is the pressure applied in Effleurage?

Answer 4

Light.

Question 5

What is the direction of Effleurage?

Answer 5

Towards axillary or inguinal region.

Question 6

What are the indications for Effleurage?

Answer 6

Lymphatic congestions, dependent edema, edema or effusion, psychological effects, infant colic.

With edema, often times elevation of limb is utilized.

Question 7

What is Petrissage?

Answer 7

Kneading; a group of related techniques that repetitively compress, shear, and release muscle tissue.

Question 8

How is Petrissage applied?

Answer 8

Begin proximal and proceed distal.

Question 9

What are the four types of Petrissage?

Answer 9

Muscle squeezing, wringing, picking up (C-kneading), deep kneading technique.

Question 10

What is the contact area for Deep Kneading Technique?

Answer 10

Full palmar surface of hand (usually reinforced on wrist, fist/knuckles, forearm).

Question 11

What is the pressure applied in Deep Kneading Technique?

Answer 11

Light to heavy.

Question 12

What is the direction of Deep Kneading Technique?

Answer 12

Circular.

Question 13

What is the rate for Deep Kneading Technique?

Answer 13

10-25 cm/sec.

Question 14

What is the duration for Deep Kneading Technique?

Answer 14

20-60 seconds or more.

Question 15

What is the contact area for Muscle Squeezing?

Answer 15

Entire palmar surface; thumb, index finger (web space).

Question 16

What is the pressure applied in Muscle Squeezing?

Answer 16

Light to moderate.

Question 17

What is the direction of Muscle Squeezing?

Answer 17

Applied around the circumference of muscle belly and limbs.

Question 18

What are the indications for Muscle Squeezing?

Answer 18

Specific area/rx, increase circulation, mobilization of soft tissue.

Question 19

What is the contact area for Wringing?

Answer 19

Palmar surface of both hands.

Question 20

What is the pressure applied in Wringing?

Answer 20

Light to heavy.

Question 21

What is the direction of Wringing?

Answer 21

Across long axis of body segment.

Question 22

What is the contact area for Picking Up (C-Kneading)?

Answer 22

Palmar surface, especially between web space between thumb and index finger.

Question 23

What is the pressure applied in Picking Up (C-Kneading)?

Answer 23

Light to moderate.

Question 24

What is the direction of Picking Up (C-Kneading)?

Answer 24

Parallel to the long axis of body segment.

Question 25

What is the duration for Picking Up (C-Kneading)?

Answer 25

20-60 seconds or more.

Question 26

What is Tapotement?

Answer 26

Percussion, repeated rhythmical light striking.

Question 27

What are the uses of Tapotement?

Answer 27

Clearance of airways, proprioceptive stimulation, increasing levels of arousal, pain relief.

Question 28

What is the contact area for Tapotement?

Answer 28

Fingers, fingertips, ulnar border of hands, palms.

Question 29

What is the pressure applied in Tapotement?

Answer 29

Light to heavy (quick, light, and even).

Question 30

What is deep friction massage?

Answer 30

Deep circular or cross fiber massage. Applies stress to scar tissue as it matures to align collagen for normal mobility.

Question 31

What are the indications for deep friction massage?

Answer 31

Used to break up adhesions or minimize 'rough' surfaces between tendons and their sheaths; Increase Mobility of scar tissue.

Question 32

What are the contraindications for massage?

Answer 32

Inflammation due to infection; ossification in soft tissue structures; bursitis; RA; around nerves. Cancer, thrombolysis, acute inflammation

Question 33

What are the principles of deep friction massage?

Answer 33

Movements must have sufficient depth to reach lesions; direction of stroke is across the fibers; muscles must be put on slack; tendon must be put on stretch.

Question 34

What is the duration for deep friction massage?

Answer 34

1-10 minutes.