Massage Therapy Flashcards
What are the different strokes of a basic Sports Massage?
Effleurage Petrissage Friction Tapotment Vibration/Jostling Rhythmic compressions Active assistive release
Purpose of Effleurage
Used as a beginning stroke for each body part
Helps with a general assessment of the tissue
Relaxes patient
Cautions/Contraindications for Effleurage
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
Purpose of Petrissage
Used to loosen and soften the tissue
May have an indirect effect on fluid movement
Preps the area for further treatments
Assess the tissue
Cautions/Contraindications for Petrissage
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
What is Jostling
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
What is the order of the Lymphatic Vessel Network
Initial Vessels –> Collecting Capillaries –> Lymphagias (Lymph Nodes) –> Right Lymphatic Duct or Thoracic Duct –> Terminus –> Circulation
Benefits of Lymphatic Facilitation
Decrease secondary edema formation via protein removal
Limit hematoma organization to damaged tissue
Decrease pain
Absolute contraindications for Lymphatic Facilitation
Current infection anywhere in body Kidney dysfunction Active tuberculosis Current thrombosis, embolism, or phlebitis Congestive heart failure
Relative contraindications
Malignant disease
Monitor closely if hypotensive
Do not work over: thyroid if hyperactive, sternum if asthmatic, open wounds
Types of strokes for Lympatic Facilitation
Stationary circles
Long strokes
Respiratory pump
What are the 3 stages of Lymphatic Facilitation
Start the Siphon (get things moving towards catchments)
Clear the way (clearing catchments)
Promote edema uptake and superficial flow
What are the 2 parts of starting the siphon
- Fill the terminus
2. Empty the terminus
What is muscle tone?
Underlying tension in the muscle that serves as a background for contraction
Treatments for motion restrictions
Stretching
Motion
Possibly surgery
Treatment techniques for motion restrictions
Muscle pin and stretch
Muscle bending
What is performed during a muscle pin and stretch
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
What is performed for the muscle bending technique
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
Indications for neuromuscular techniques
Any limited and/or painful movement
Contraindications for neuromuscular techniques
Don't perform during acute phase Acute swelling/inflammation Open wounds or sutures Local infection Acute rheumatoid arthritis Malignancy
Goals of proprioceptive techniques
Inhibit muscle spasm that restricts ROM and causes pain
Enhance the effectiveness of trigger points and positional release techniques
Proprioceptive techniques
Contract-Relax
Reciprocal inhibition
Contract relax active contraction (CRAC)
What muscle is contracted during contract-relax
Agonist
What muscle is contracted during reciprocal inhibition
Antagonist
