Massage Therapy

Question 1

What are the different strokes of a basic Sports Massage?

Answer 1

Effleurage
Petrissage
Friction
Tapotment
Vibration/Jostling
Rhythmic compressions
Active assistive release

Question 2

Purpose of Effleurage

Answer 2

Used as a beginning stroke for each body part
Helps with a general assessment of the tissue
Relaxes patient

Question 3

Cautions/Contraindications for Effleurage

Answer 3

Not used over or distal to an area of edema or severe hematoma
Inflamed tissue
Varicose veins
Open wounds or rashes
Cysts, tumors, or hematomas

Question 4

Purpose of Petrissage

Answer 4

Used to loosen and soften the tissue
May have an indirect effect on fluid movement
Preps the area for further treatments
Assess the tissue

Question 5

Cautions/Contraindications for Petrissage

Answer 5

Not used over or distal to an area of edema or severe hematoma
Inflamed tissue
Varicose veins
Open wounds or rashes
Cysts, tumors, or hematomas

Question 6

What is Jostling

Answer 6

More vigorous form of shaking
Stimulates mechanoreceptors and provides kinesthetic feedback to help reduce muscle tension (relaxation) or guarding
Do NOT perform on a pt. with history of dislocations

Question 7

What is the order of the Lymphatic Vessel Network

Answer 7

Initial Vessels –> Collecting Capillaries –> Lymphagias (Lymph Nodes) –> Right Lymphatic Duct or Thoracic Duct –> Terminus –> Circulation

Question 8

Benefits of Lymphatic Facilitation

Answer 8

Decrease secondary edema formation via protein removal
Limit hematoma organization to damaged tissue
Decrease pain

Question 9

Absolute contraindications for Lymphatic Facilitation

Answer 9

Current infection anywhere in body
Kidney dysfunction
Active tuberculosis 
Current thrombosis, embolism, or phlebitis
Congestive heart failure

Question 10

Relative contraindications

Answer 10

Malignant disease
Monitor closely if hypotensive
Do not work over: thyroid if hyperactive, sternum if asthmatic, open wounds

Question 11

Types of strokes for Lympatic Facilitation

Answer 11

Stationary circles
Long strokes
Respiratory pump

Question 12

What are the 3 stages of Lymphatic Facilitation

Answer 12

Start the Siphon (get things moving towards catchments)
Clear the way (clearing catchments)
Promote edema uptake and superficial flow

Question 13

What are the 2 parts of starting the siphon

Answer 13

1. Fill the terminus

2. Empty the terminus

Question 14

What is muscle tone?

Answer 14

Underlying tension in the muscle that serves as a background for contraction

Question 15

Treatments for motion restrictions

Answer 15

Stretching
Motion
Possibly surgery

Question 16

Treatment techniques for motion restrictions

Answer 16

Muscle pin and stretch

Muscle bending

Question 17

What is performed during a muscle pin and stretch

Answer 17

Identify restricted region of muscle
Pin affected muscle against bony background
Apply stretching force using appropriate lever
Continue until release of tissue tension is noted
Reassess and repeat if needed

Question 18

What is performed for the muscle bending technique

Answer 18

Identify restricted muscle
Apply manual stretch to muscle belly to lengthen
Have patient gently contract muscle for 5-10 seconds
Reassess and repeat up to 6 times

Question 19

Indications for neuromuscular techniques

Answer 19

Any limited and/or painful movement

Question 20

Contraindications for neuromuscular techniques

Answer 20

Don't perform during acute phase
Acute swelling/inflammation
Open wounds or sutures
Local infection
Acute rheumatoid arthritis 
Malignancy

Question 21

Goals of proprioceptive techniques

Answer 21

Inhibit muscle spasm that restricts ROM and causes pain

Enhance the effectiveness of trigger points and positional release techniques

Question 22

Proprioceptive techniques

Answer 22

Contract-Relax
Reciprocal inhibition
Contract relax active contraction (CRAC)

Question 23

What muscle is contracted during contract-relax

Answer 23

Agonist

Question 24

What muscle is contracted during reciprocal inhibition

Answer 24

Antagonist