Soft Tissue Concepts

Question 1

difference between primary and secondary injuries?

Answer 1

primary- original injury

secondary- inflamm response that occurs with the primary injury

Question 2

3 main phases of healing?

Answer 2

inflammatory
proliferative
remodeling

Question 3

length of inflammatory phase?

Answer 3

1-6 days (1 week)

Question 4

what happens in proliferative phase?

Answer 4

• cap. growth
• granulation tissue
• fibroblast prolif.
• collagen synthesis
• inc. macrophage act.
• inc. mast cell activity

Question 5

length of proliferative phase?

Answer 5

5-15 days or longer (2-10 weeks)

Question 6

remodeling phase happenings?

Answer 6

conversion of tissue to scar tissue, contraction of wound, increasing tensile strength

Question 7

length of remodeling phase?

Answer 7

1 year

Question 8

guidelines for acute stage soft tissue work?

Answer 8

shortening/broadening with active or passive pumping

Question 9

guidelines for subacute stage soft tissue work?

Answer 9

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

Question 10

guidelines for remodeling stage soft tissue work?

Answer 10

mm stretching, inc. mobility to full ROM

Question 11

Hoffa massage

Answer 11

light and superficial strokes in the direction of the mm fibers-

• effleurage, pettrisage, percussion
  goal: inc. blood flow and relaxation

Question 12

effleurage

Answer 12

stroking

Question 13

pettrisage

Answer 13

kneading

Question 14

percussion

Answer 14

using border of hand or cupped hand

Question 15

what is the technique of assessing movement of skin around a focal point?

Answer 15

skin gliding

Question 16

how do u treat an adhesion?

Answer 16

J stroke, lengthening or broadening

Question 17

what do the parts of the J stroke do?

Answer 17

stroke parallel to mm fibers then hook the adhesion in the J- (stroke= lengthens, J= broadens)

Question 18

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?

Answer 18

longitudinal stroking, this lengthens!

Question 19

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?

Answer 19

cross fiber friction massage! this broadens but does not lengthen

Question 20

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

Answer 20

mm bending

Question 21

what will a pt complain of if they have tethered tissue and need a myofascial release?

Answer 21

tightness, weakness and fatigue

Question 22

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.

Answer 22

Feldenkrais movement therapy

Question 23

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

Answer 23

Alexander movement therapy

Question 24

what is Rolfing?

Answer 24

series of 10 txs to fascia in attempt to balance the body