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508 midterm 1 > Soft tissue mobilization > Flashcards

Soft tissue mobilization Flashcards

1
Q

What does the word massage come from?

A

the arabic word for mass meaning to press

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2
Q

what is massage definition

A

the manipulation of soft tissue of body with hands in order to produce effects in the nervous, muscular, and circulatory systems to help restore function

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3
Q

Mechanical effects of massage

A

1) remove dead skin cells
2) allows better function for the glands
3) increases lubricant effect
4) increases warmth
5) treatment scar tissue
6) in the lungs it frees adherent mucus from bronchial tree
7) encourages hyperaemia

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4
Q

Physiological effects - circulatory system of massage

A

1) change in skin color due to increased blood flow, velocity and visscosity
2) effect on BP, HR, skin temperature, conductivity, and oxygen consumption
3) incrased release of histamine from mast calls, basophills and platelets from blood (dilation of minute blood vessels, flush, and slight swelling)

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5
Q

Physiological effects - nervous system of massage

A

1) inhibitory influence on a motor neuron excitability but no carryover
2) releases endorphine

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6
Q

Physiological effects - MS system of massage

A

affects muscle fatigue
affects muscle tone

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7
Q

Psychological effect of massage

A

1) positive effects of well being
2) increase feeling of relaxation and rest
3) decreases anxiety level and stress hormone level
4) increased levels of immunoglobin A - improve the immune system
5) Helps in reducing depression and adjustment disorders
6) improves pain outcomes, mental energy, and self rated health
7) improve sleep

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8
Q

Absolute contraindications for massage

A

1) tissue inflammation or malignancy
2) circulatory disorders
3) abnormal sensations
4) skin disorders
5) early bruising
6) unhealed scars or open wounds
7) adjacent to recent fracture sites
8) acute inflammation and tubercular infection of joint and tissue
9) h/o or suspected DVT
10) burns
11) advanced osteoporosis

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9
Q

Relative Contraindications

A

1) older people
2) those with fragile skin
3) early stage of osteoporosis
4) children
5) adults with learning or physical disabilities
6) people recovering form infections and bone issues

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10
Q

How to determine indications?

A

based on the examination, observations and palpation, determine the nature of the tissue glide

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11
Q

check before starting massage that

A

1) you are able to reach the body part
2) stand in walk or lunge standing
3) change in position without hesitation

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12
Q

where should your hands be

A

in full contact with the patient the whole time and be relaxed yourself

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13
Q

what is the contact medium

A

to reduce friction you should use powder, oils, liquid oils and creams

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14
Q

what are the boundaries for upper limb massage

A

neck to fingers

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15
Q

what are the boundaries for the lower limb

A

groin to toe

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16
Q

what are the boundaries for the back

A

head to buttock

17
Q

what are the boundaries for the neck

A

head to T12

18
Q

what are the boundaries for the face

A

hairline to just below clavicle

19
Q

what should the temperature of the room be for massage

A

warm

20
Q

what should you do for ticklish subjects?

A

1) always put hand in very firm contact and never lift hands off by tackling
2) no one hand component
3) light works tickle so perform manipulations with depth

21
Q

why would you use soft tissue mobilization (STM)

A

1) decrease muscle tension
2) improve skin mobility and reduce scar tissue adhesion or limitation
3) general patient relaxation
4) move fluid trapped in tissue
5) stretching or lengthening fascia

22
Q

Effleurage

A

very light, gentle brushing technique applied to muscle and soft tissue from distal to proximal for lymth drainage . Pressure should be on the palms of the hands and it is a continuous stroke

23
Q

what is the goal of effleurage

A

relaxation; increased venous and lymphatic drainage
Good for people with edema

24
Q

Stroking

A

A long superficial stroke applied along the length of the tissue. Deeper than effleurage. PT should move along the muscle fibers applying pressure on the way up

25
Q

Stroking goal

A

relaxation

26
Q

Petrissage

A

groups of techniques that involve compression of soft tissue. Kneading by using the hand and fingers together

27
Q

Petrissage goal

A

release areas of muscle fibrosis and to “milk” the muscle of waste product

28
Q

Strumming

A

The application of repeated rhythmic deformations of a muscle belly in a strumming fashion

29
Q

Cross Friction massage

A

repeated cross-grain massage applied to tendon and tendon sheaths. move 2-3 cycles per second for 3-5 minutes

30
Q

Goal of cross friction massage

A

increase mobility and extensibility of MS tissues; prevent and treat inflammatory scar tissue

31
Q

Contraindications for cross friction massage

A

1) hematomas
2) debilited or open skin
3) peripheral nerve or diminished sensation

32
Q

Therapeutic effects of cross friction massage

A

1) increase blood and lymph flow
2) removal of chemical irritant by products of inflammation
3) reduces venous congestion (edema)
4) stimulates mechanoreceptors
5) reduce scar tissue and improve scar tissue mobility

33
Q

Skin rolling

A

the gathering up of tissue between the thumb, index and middle finger to continue a rolling pattern over the tissue.

34
Q

goal of skin rolling

A

to assist with movement of superficial layer and superficial fascia

35
Q

Graston or IASTM

A

1) used designed stainless steel tool to treat scar tissue
2) allows for faster rehab
3) requires additional training

36
Q

Strain counterstain

A
  • used passive positioning to relieve muscle, joint, and tissue tightness
  • PT identifies specific pain points and hold the position for 90 secs to 3 mins to relax the soft tissue, reduce pain and stiffness
  • requires additional training
37
Q

Manual lymphatic drainage

A
  • used specific manual hand movements that allow for anatomical lymph pathways, helping to move fluid and improve circulation
    -manual lympathic drainage for headaches, migraines, swollen legs
38
Q

Trigger point / myofascial release

A
  • treatment for chronic muscle pain and immobility
  • focuses on reducing pain by easing the tension and tightness in the specified areas of pain
39
Q

Cupping

A

-using suction to create negative pressure and allow for myofascial decompression
- wet, dry, static, or dynamic

508 midterm 1 (6 decks)

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