Massage Flashcards

1
Q

Therapeutic massage effects

A
  • Assessment
  • invigorate the body
  • promote relaxation
  • promote superficial blood flow
  • increased pain threshold
  • can promote lymph flow to reduce edema
  • increased soft tissue extensibility
  • decreased scar tissue
  • restore joint mobility
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2
Q

Massage indications

A
  • Pain
  • muscle spasm
  • edema
  • scar tissue adhesions
  • headache
  • muscle soreness
  • to increase local bloodflow
  • to assist with lymph drainage
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3
Q

Massage contraindications

A
  • arteriosclerosis
  • thrombosis
  • embolism
  • acute phlebitis
  • severe varicose veins
  • cellulitis/skin infections
  • acute inflammation
  • cancer
  • open wounds
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4
Q

Therapeutic massage vs rubdown

A
  • therapeutic= relating to tx for a disease or disorder. Pt required as part of treatment
  • Relaxation= pt desires rubdown to relax muscles or self due to overwork or tension
  • required vs desired
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5
Q

reflexive effects

A
  • massage seems to act on local sensory and motor nerves as well as the CNS
  • Capable of inducing sedation
  • slow, gentle, rhythmic and superficial effleurage may relieve tension & relax musculature
  • attempts to exert effects through the skin and superficial connective tissues via sensory receptors (reflex effects of the ANS)
  • Pain, circulation, and metabolism
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6
Q

Mechanical effects

A
  • mechanical effects are always accompanied by reflexive effects but with an inverse relationship
  • muscle elongation and mobilization of soft tissue adhesions
  • increases blood flow to skeletal muscle
  • may retard muscle atrophy following injury
  • increases skin temp
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7
Q

Resting poisiton

A

placing hands on client

  • used to enter their space
  • open, relaxed hands
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8
Q

Effleurage description/purpose

A
  • A motion gliding lightly over the skin without attempting to move deeper tissues
  • purpose:
  • to accustom pt to touch
  • to apply lube
  • to increase skin circulation
  • to increase rate of metabolic exchange in the periphery
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9
Q

Effleurage technique

A
  • Stroke is made with the heel of the hand, fingers slightly bent and the thumbs spread
  • stoking should be light at first
  • once unidirectional stroking has been established it should be maintained through tx
  • movement should be toward the heart
  • contact with the pt should be maintained at all times to enhance relaxation
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10
Q

Kneading or Petrissage description/purpose

A

kneading of soft tissue that presses and rolls the muscle under the fingers or hands

  • Purpose:
  • to increase venous and lymphatic return
  • to press metabolic waste products out of the target tissue
  • break up adhesions between the skin and underlying tissue
  • loosen adherent fibrous tissue
  • increase elasticity in the skin
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11
Q

Kneading or Petrissage technique

A
  • Application of pressure by repeatedly grasping and releasing the muscle tissue in a lifting and rolling motion
  • should move distal to proximal
  • knead parallel to or at right angles to muscle fibers
  • can also use skin rolling
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12
Q

Compression

A

Compress down into tissues, press tissues into underlying bone

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13
Q

compression technique

A
  • lift-press method
  • disconnect from body with each stroke
  • provides stimulatory effect to muscle spindle
  • use point of thumb, fingers, palm/heel of hand, fist, knuckles, forearm
  • apply compression at 90 degrees to tissue
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14
Q

vibration

A
  • used to stimulate muscle
  • acts of the GTO to cause reciprocal inhibition
  • Technique:
  • begins with compression
  • use forearm muscles in rhythmic motion
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15
Q

Shaking

A
  • Relaxes muscle groups or whole limbs
  • influences muscle spindle systems and joint proprioceptors
  • technique: lift and downward or side-to-side movement
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16
Q

rocking

A
  • Soothing, rhythmic motion using whole body
  • stimulates vestibular system as well as muscular system
  • technique:
  • up/down, side/side movement of body
  • find pts natural rhythm
17
Q

Tapotement or percussion

A
  • Percussion movements; series of brisk blows
  • administered with relaxed hands with rapid, alternating movements
  • Purpose:
  • stimulate subcutaneous tissues
  • increase circulation
  • stimulate peripheral nerve endings
18
Q

Hacking

A

alternate movements with ulnar border of hands

19
Q

slapping

A

alternate slapping with fingers

20
Q

beating

A

using half closed fists and beating with the hypothenar eminence of the hand

21
Q

Tapping

A

using the tips of fingers

22
Q

Cupping

A

using a concave cup formed by the fingers, thumb and hand together (used mostly for postural drainage)

23
Q

Friction

A
  • Small, deep movements to select tissue
  • utilizes shear forces
  • used to break up adhesions
  • no lubricant used
24
Q

Direction of stroke

A
  • Gliding: horizontal
  • kneading: vertical lifting
  • compression: vertical pressing down
  • vibration: down then back and forth in direction of fibers
  • Friction: vertical pressing down then back and forth across fibers
  • percussion/tapotement: vertical, abrupt snapped down