soft tissue techniques Flashcards
What are the 4 primary interdependent soft tissue structures?
epithelial
nervous
muscular
connective
Scar tissue adhesions can affect ___ and ___ structures.
neurovascular, lymphatic
Scar tissue adhesions can result in…
- nerve conduction issues
- fluid balance issues
- reduced exchange of waste and metabolites from the region
What are the stages of soft tissue layer assessment?
- skin gliding
- finger sliding
- skin rolling
What are the stages of myofascial assessment?
- muscle tone
- muscle play
- muscle functional excursion
definition: a massage technique with rhythmic and continuous motion in one direction to increase blood flow in that direction, relaxes the patient and aides in dispersal of waste products
effleurage (french for “to skim”)
`(true/false) Effleurage should always be your first and last technique.
true
When a person performs effleurage their hands should move from a ___ to ___ direction.
distal to proximal
definition: massage technique where the basic movement is to compress, pick up, and then release the soft tissues
petrissage (french for “to knead”)
When a person performs petrissage their hands should move from a ___ to ___ direction.
proximal to distal
definition: applied pressure to the center of the restricted tissue… as restriction resolves, slack is taken up
sustained pressure mobilization
definition: while maintaining a sustained pressure technique, the therapist assesses for the degree of tissue tension caused by clockwise and counter-clockwise rotary motions
unlocking spiral mobilization
definition: involves sustained pressure applied at right angles or transverse to a bony contour or myofascial tissue to improve muscle and soft tissue play
perpendicular mobilization
definition: involves applying pressure longitudinally to restrictions along the edge of the muscle belly, to the seam between two muscles, or along bony contours
parallel mobilization
definition: used to evaluate for and treat increased tone and the loss of myofascial play.
The technique is applied through repeated, rhythmic deformation of a muscle belly, as one would strum the string of a guitar
perpendicular strumming
definition: involving repeated cross-grain manipulation of lesions of tendinous and ligamentous tissues
friction massage
What are contraindications for soft tissue mobilization?
- malignancy
- inflammatory skin condition
- fracture
- site of active hemorrhage
- obstructive edema
- localized infections
- aneurysm
What are indications for soft tissue mobilization?
- tendonitis
- tendinosis
- muscle strains, tears, and calcification
- ligamentous lesions
- fascial restrictions
- peripheral nerve lesions
- lymphatics
- scars
What are potential treatment responses for soft tissue mobilization?
- pain
- bruising
- tenderness to palpation
- increased swelling
origin of upper trap.
medial 1/3 of the superior nuchal line
EOP
nuchal ligament
Insertion of the upper trap.
lateral clavicle
acromion
Actions of upper trap.
ipsilateral SB and EXT
contralateral ROT
Origin of levator scapulae.
TP C1-C4
insertion of levator scapulae.
superior/medial border of the scapula
Actions of the levator scapulae
ipsilateral SB and EXT
