Soft tissue

Question 1

injuries that can be self-inflicted, caused by another individual or entity, or caused by the environment

Answer 1

primary

Question 2

injuries that are essentially inflammatory response that occurs with the primary injury

Answer 2

secondary

Question 3

phases of healing

Answer 3

inflammatory
proliferative
remodeling

Question 4

during this phase there is pain at rest, with active motion, and when specific stress is applied to the injured structure

Answer 4

inflammatory

Question 5

inflammatory phase can last

Answer 5

1-6 days

Question 6

characteristic changes during this phase include capillary growth, granulation tissue formation and fibroblast proliferation with collagen synthesis and increased macrophage and mast cell activity

Answer 6

proliferative phase

Question 7

proliferative phase can last

Answer 7

5-15 days or up to 10 weeks

Question 8

phase that involves a conversion of the initial healing tissue to scar tissue, lengthy phase of contraction, and increasing tensile strength in the wound lasts for up to a year

Answer 8

remodeling phase

Question 9

acute stage guidelines for soft tissue massage

Answer 9

shortening/broadening techniques with active or passive pumping

Question 10

sub acute stage guidelines for soft tissue massage

Answer 10

shortening/broadening techniques, begin lengthening just short of resistance, pumping with increase vigor

Question 11

remodeling stage guidelines for soft tissue massage

Answer 11

muscle stretching, increase mobility to full range

Question 12

generally strokes in the direction of the muscle fibers

strokes are light and superficial

Answer 12

hoffa massage

Question 13

assess movement of skin around a focal point, assess quality of movement and end-feel

Answer 13

skin gliding

Question 14

use 2 or 3 fingers or knuckles, follow muscle in parallel direction then hook restriction

Answer 14

J stroke

Question 15

effective over bony prominences

Answer 15

skin rolling

Question 16

performed on muscle belly or where 2 muscles meet, moderate to deep pressure along the muscle fibers
enables muscle elongation and reduction of tension

Answer 16

longitudinal stroking

Question 17

useful to bring inflammation to area for healing, breaking adhesions, promote proper laying down of collagen fibers and decrease pain
movement is transverse or perpendicular to muscle fibers and deep
usually on tendons

Answer 17

cross fiber/cross friction massage

Question 18

used to evaluate muscle mobility in relationship to surrounding structures
allows muscle bully to broaden/lengthen
the muscle is grasped with both hands, pushing with the thumbs while pulling downward with the finders

Answer 18

muscle bending

Question 19

areas of tethered tissue resulting in adaptive shortening and muscle weakness
pt complains of areas of tightness and weakness, fatigue

Answer 19

myofascial release (MFR)

Question 20

series of pulses in the body that ebb and flow
high rates of these pulses could indicate possible dysfunction, reason for fatigue and low immune responses
fluctuations are caused by changes in cerebral spinal fluid flow and pressure

Answer 20

craniosacral therapy

Question 21

Use of diagonal patterns with a rotational component
stronger muscle facilitate weaker muscles
can be used with rhythmic stabilization and isometric contraction and different points in the ROM

Answer 21

movement therapy

Question 22

Alexander movement therapy treatment steps

Answer 22

awareness of habit
inhibition of habit
conscious control of habit

Question 23

Indirect treatment, good for acute or irritable conditions

Answer 23

strain-counterstrain

Question 24

Based on strain-counterstrain, but positional release utilizes a facilitating force (compression) to enhance the effect of the position

Answer 24

positional release

Question 25

Therapist applies pressure over adhesions in the tissue and the patient is asked to actively move the body part to elongate the muscle from a shortened position (3-5 times per treatment session)

Answer 25

active release technique