Quiz #2 Therapeutic Massage Flashcards
examples of massage
- Swedish massage
- Myofascial release
- Rolfing
- Shiatsu
- Trigger point therapy
- Sports massage
- Graston
- Neuromuscular therapy
- Craniosacral therapy
- Reflexology
mechanical stim done via what
rhythmic application of pressure & stretch
2 categories of physiological effects of massage
– Reflexive: Stimulation of sensory receptors, Autonomic nervous system
– Mechanical: Create changes in structures through direct pressure
* inc mechanical effects = dec reflexive effects
start w mechanical or reflexive
- Need to start with reflexive techniques, followed by mechanical technqiues
reflexive effects
Effects on Pain: Gate Control Theory (Endogenous Opiate Release)
Effects on Circulation: Capillary dilation (= inc BV & BF =inc temp), Movement of fluids (= inc lymphatic flow = dec edema)
Effects on Metabolism: Does not change metabolism, Movement helps with removal of waste and introduction of fresh blood and oxygen
mechanical effects
- Techniques that:
– Stretch muscles
– Elongate fascia
– Mobilize soft-tissue adhesions/restrictions - Application to deeper tissue adhesions/restrictions in:
– Muscles
– Tendons
– Fascia
mechanical effects on m.
– Mechanical stretch of the intramuscular connective
tissue
– Relieve pain and discomfort related to myofascial trigger points
– inc bf to skeletal muscle
– Slow down muscle atrophy after injury
– inc ROM (stretching muscle & scar tissue)
– Does NOT inc muscle strength or tone
mechanical effects on skin
– inc skin temperature
– inc sweating
– Loosen adhesions and softens scars between skin & underlying tissue
– Toughens & softens the skin
– Removes dead cells after prolonged time in a cast
physiological effects of massage (vague ones)
- Feeling of being helped
- Sedative effect
- Lower psycho-emotional and somatic arousal
– i.e. tension and anxiety - Application should inspire:
– Confidence
– Well-being
secondary effects Psychoneuroimmunological:
Feeling of relaxation causes:
* dec in anxiety & cortisol levels
* Improved T-cell function
secondary effects energetic
Energetic
– Influence body’s biomagnetic field pattern
* Improves energy flow
misconceived effects
It does NOT:
– Remove lactic acid
– Improve physical performance
– dec muscle fatigue
– inc arterial blood flow
– inc muscle temperature
important factors to consider before strating
- Patient position
- Elevation of injured area, if possible
- Therapist position
- Use of lubricant
- Start with superficial strokes to spread lubricant
Pressure in the direction of venous flow
Direction of lymphatic flow
Do not cause pain
Pressure
Rhythm
Begin & end with effleurage - Overlap strokes
- Direction of force in line with direction of muscle fibers
- Duration
- Consider the contours of the body, bony prominences
swedish masssage components
– Effleurage
– Petrissage
– Tapotment
– Vibration
effleurage
- Gliding stroke to start & end massage
– Spreads lubricant
– Accustom patient to physical contact of AT
– Allows AT to localize spasm, soreness, trigger points, pressure points
– Promotes relaxation & sensory reflexes - Helps venous and lymphatic flow
- Increases superficial circulation
Deep stroking is a type of effleurage, with more pressure, producing a mechanical effect
