PTA145-Unit3-STM/Massage Flashcards

1
Q

What is STM?

A

Soft
Tissue
Mobilization

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2
Q

Name the 4 STM strokes

A
  • Effleurage
  • Petrissage
  • Friction
  • Tapotement
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3
Q

describe Effleurage

A
  • stroking of the skin
  • palm of the hand or the knuckles
  • superficial or deep
  • follow contour of the body
  • follow direction of muscles
  • does not move muscle
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4
Q

What are the effects of Effleurage?

A
  • slow, light stroke
  • rapid stroke
  • deep stroke
  • beginning
  • end
  • Transitional stroke
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5
Q

What are 3 types of Effleurage?

A

Palm Stroke
Transverse
Hand-over-hand

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6
Q

describe Petrissage

A
  • Lifting, Kneading, Rolling

* Targets the muscle

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7
Q

What are the effects of Petrissage?

A
  • Frees adhesions
  • Muscle milking
  • Assists in venous return
  • Muscle relaxtion
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8
Q

describe Friction

A
  • Deep pressure
  • Affecting muscle, tendon, or scar tissue
  • (not just skin)
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9
Q

what are the effects of Friction?

A
  • Mobilizes muscle
  • Minimize adhesions
  • Develops functional scar
  • Increases local blood flow
  • Analgesic effect
  • Types: circular, transverse
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10
Q

describe Tapotement

A
  • Cupping
  • Clapping
  • Vigorous vibration and shaking
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11
Q

what are the effects of Tapotement?

A

Applied to :
• Postural drainage
• Toughening residual limbs
• Muscle re-education

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12
Q

name 2 ways relaxation can be promoted in a patient

A

Induction

Contrast

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13
Q

describe Induction

A
  • Music
  • Dim light
  • Speak softly
  • Position
  • Mental imagery
  • Happy place
  • Close eyes
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14
Q

describe Contrast

A
  • Contract/tense

* Then relax the muscle

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15
Q

name 5 things to consider when applying Massage?

A
  • duration
  • direction
  • stroke speed
  • type of massage
  • frequency
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16
Q

4 examples of Duration

A

Cervical – 10 mins
UE – 15 mins
LE – 15-20 mins
Full back – 20 mins

17
Q

2 things about Stroke Speed

A
  • Rhythmical

- Slowish

18
Q

2 things about Direction

A
  • Along fibers

- Towards the heart

19
Q

How do you know which Type of Massage?

A
  • do patient assessment
  • depending on patient response to palpation
  • is there edema?
  • what is pain level?
  • etc
20
Q

What about Frequency?

A
  • depends on why
  • Where they are in the treatment?
  • Muscle spasms
21
Q

Which massage stoke begins, ends, and provides a transition between other types of stokes?

A

Effleurage

22
Q

List 11 indications for STM/massage

A
  • Arthritis
  • Bursitis
  • Adhesions
  • Low back pain
  • Cervical pain
  • Sprains and strains
  • Bruises
  • Joint injuries
  • Fractures
  • Tendon injuries
  • NOT acute
23
Q

list 10 contraindications for STM/massage

A
  • Open wounds
  • Acute skin conditions/infections
  • Acute inflammatory conditions
  • Acute sensitivity
  • Superficial malignant tumors
  • Acute edema
  • Edema caused by CV insufficiency
  • Thrombophlebitis
  • Varicose veins
  • Hematoma
24
Q

name 5 systems affected by massage

A
  • cardiovascular
  • venous & lymphatic systems
  • neuromuscular
  • pain control
  • psychological
25
Q

list 4 cardiovascular responses to massage

A
  • Vasodilation
  • Vigorous massage – will increase BP (precaution)
  • Massage for relaxation – will decrease BP, HR, respiration
  • Effects are after 30 minutes
26
Q

list 3 venous & lymphatic responses to massage

A
  • Edema reduction – uncork the bottle/traffic jam – start proximal, move distal
  • Increase venous & lymphatic flow
  • Increased permeability – help absorption of
27
Q

list 3 neuromuscular responses to massage

A
  • Decreased excitability
  • Increased extensibility- combine with stretch
  • Decrease DOMS – massage after exercise (within 2 hours)
28
Q

list 2 pain control responses of massage

A
  • Gate control therapy

* Interruption of pain-spasm-pain – get muscle to relax to address underlying cause of pain, benefits for up to 24 hours

29
Q

list 5 psychological responses to massage

A
  • Decreased anxiety
  • Decreased depression
  • Decreased mental stress
  • If too delicate or too strenuous, may irritate rather than relax
  • Allow patient feedback
30
Q

In what direction do we perform our strokes?

A

towards the heart

31
Q

What is Therapeutic Massage?

A

the systematic manipulation of the body’s tissues

- this means “hands on”

32
Q

Why use Therapeutic Massage?

A
  • promote local and systemic relaxation or invigorization
  • increase local blood flow
  • break down adhesions
  • encourage venous and lymphatic return
33
Q

What are the primary effects of Therapeutic Massage?

A
  • Increased blood flow
  • Increased venous and lymphatic drainage
  • Sedation
  • Pain reduction
  • Elongation of muscle fibers and other soft tissue
  • Hypotonicity
34
Q

What goes in the O of the SOAP?

A

“STM”

  • modified Hoffa method
  • left or right
  • extremity or part
  • patient position
  • technique / strokes
  • duration