Soft Tissue Concepts Flashcards
difference between primary and secondary injuries?
primary- original injury
secondary- inflamm response that occurs with the primary injury
3 main phases of healing?
inflammatory
proliferative
remodeling
length of inflammatory phase?
1-6 days (1 week)
what happens in proliferative phase?
- cap. growth
- granulation tissue
- fibroblast prolif.
- collagen synthesis
- inc. macrophage act.
- inc. mast cell activity
length of proliferative phase?
5-15 days or longer (2-10 weeks)
remodeling phase happenings?
conversion of tissue to scar tissue, contraction of wound, increasing tensile strength
length of remodeling phase?
1 year
guidelines for acute stage soft tissue work?
shortening/broadening with active or passive pumping
guidelines for subacute stage soft tissue work?
shortening/broadening, begin lengthening just short of resistance, pumping with increased vigor
guidelines for remodeling stage soft tissue work?
mm stretching, inc. mobility to full ROM
Hoffa massage
light and superficial strokes in the direction of the mm fibers-
- effleurage, pettrisage, percussion
goal: inc. blood flow and relaxation
effleurage
stroking
pettrisage
kneading
percussion
using border of hand or cupped hand
what is the technique of assessing movement of skin around a focal point?
skin gliding
how do u treat an adhesion?
J stroke, lengthening or broadening
what do the parts of the J stroke do?
stroke parallel to mm fibers then hook the adhesion in the J- (stroke= lengthens, J= broadens)
what stroke technique uses ur elbow, thumb, fingers or knuckles over a mm belly or where 2 mm meet, uses mod. to deep pressure and enables mm elongation and reduction of tension?
longitudinal stroking, this lengthens!
what massage technique is useful to bring inflammation to area to promote healing and helps to break up adhesions and promote proper lying down of collagen fibers?
cross fiber friction massage! this broadens but does not lengthen
technique where u grab the mm belly with both hands, push up with thumbs while pulling downward with fingers- helps to evaluate mm mobility in regards to its surrounding structures
mm bending
what will a pt complain of if they have tethered tissue and need a myofascial release?
tightness, weakness and fatigue
What is the use of guided movements into painfree positions to break habitual patterns and treat movement abnormalities developed with age, bad posture or trauma. uses gentle sequencing and circular movements.
Feldenkrais movement therapy
What is the movement therapy that empasizes improving posture and body mechanics through conscious learning? positions of head and neck are primary emphasis. uses 3 steps: awareness of habit, inhibition of habit, conscious control of new non-dysfunctional habit
Alexander movement therapy
what is Rolfing?
series of 10 txs to fascia in attempt to balance the body
