Sports Massage Flashcards

(65 cards)

1
Q

Purpose of athletic massage

A

•Enables athletes to attain their highest potential by accelerating the body’s natural restorative process
•mx reduces chance of injury by eliminating conditions in the soft tissue that are at risk
• when injury occurs, mx helps restore mobility + flexibility to injured mms and reducing recovery time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Adaptive sports mx

A

•sports mx for athletes with disabilities, either development or physical
•requires additional knowledge + training
•mx techs are the Same although may be used at different times
•not only for competitive athletes, these techniques are effective on any active person for assessing + working on soft tissue conditions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The athletic or sports massage therapist should have a thorough understanding of?

A

•Should have a thorough understanding of anatomy, physiology, kinesiology, Biomechanics, massage techniques
•Skeletal system, muscular system, connective tissue and fascia
•circulatory system, nervous system, especially neuromuscular functions
•knowledge of particular sports, which mm groups are used

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How to improve strength or endurance

A

To improve strength or endurance, appropriate stress must be applied to overload the system forcing the body to adapt to the heavier load

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Pushing strength + endurance past there limits can cause

A

•Increases metabolic waste build up in tissue
•Strains in mm or connective tissue
• inflammation + associated fibrosis
•spasms + pain that restrict movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

☆Benefits + effects of sports massage

A

☆Goal of athletic massage is to enhance athletic performance
☆Performance is regulated by efficiency, precision and freedom with which the athlete is able to move

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

☆Effects of athletic massage

A

•causes hyperemia
•enhances local venous (veins) + lymph circulation
•reduces mm spasms
•identifies + reduces mm tension
•helps break down mm adhesions
•reduces fibrosis
•helps realign collagen fibers
•encourages better performance
•improves mm flexibility
•identifies+ eliminates stress points
•reduces mm stiffness
•reduces ischemic pain
•helps injuries heal more quickly + stronger
• offers relaxation + recuperation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Techniques of athletic mx

A

•Neuromuscular techniques
•myofascial techniques
•lymph massage
•compression
~deep compression
•deep pressure
•transverse or cross fiber friction
•Deep myofascial
•shaking + jostling
•active jt mvmts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Neuromuscular techs

A

Identify + relieve TPs, reduces tension + hypertonicity in mms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Myofascial techs

A

Address restrictive fascia + adhesions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Lymph massage

A

Enhances fluid mvmt + decreases swelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Compression

A

Create hyperemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Deep compression

A

Stretch, broaden + separate mm fibers + release histamines + acetylcholine
~compression used to pre-event + during training, encourages hyperemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Deep pressure

A

Also called static touch, ischemic compression or TP release
~amount of pressure varies to individuals px threshold + condition of tissue
~if pressure radiates + refers to another area = active TP
~pressure is used on TPs to deactivate them + increase functions to referred area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Transverse or cross fiber friction -> deep myofascial techniques

A

Applied by rubbing across fibers of mm, tendon or ligament
~reduces fibrosis + encourages collagen proliferation
~used during subacute + chronic stages of healing contraindicated during acute stages on healing + inflammation
~used to stretch mms + separate fibers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Shaking + jostling

A

Good way to relieve intensity of deep work, releases tension that can result from manipulations, loosen fascia + improves lymph movement
~important not to overextend any joint (especially knee and elbow)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Active joint movement

A

Active assisted + resisted
PNF
MET

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

General applications of athletic massage

A

•Event mx
~ pre-event mx
~ intra-event mx
~ post-event mx
•restorative/Training mx
•rehabilitation/treatment mx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Event massage

A

Delivered at site of event, helps athlete prepare or recover from event

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Restorative/Training massage

A

During training, helps athlete train harder with fewer injuries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Rehabilitation/ treatment massage

A

During rehabilitation to recover from injury + less chance of reinjury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Pre-event massage

A

•used in addition to proper warm up, ideally given at end of warmup
•10-30 mins
•given 15 mins to 2hrs before event
•goal is fast pace and invigorating, enhances circulation + flexibility in areas going to be used, decrease mm tension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Pre-event massage techniques used

A

Compression, light xff, shaking, jostling, rolling, kneading, ROM+stretching

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Intra-event massage

A

•no more than 10-15 mins
•given between events to recover from one activity + prepare for another
•moves blood/lymph back towards heart
•addresses areas of concern, enhances local circulation to area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Intra-event massage techniques used
Gliding/kneading, quiet any tension or spasms with position release or METs
26
Post-event massage
•15-30 mins, slow paced •within 1st hour or 2 hours after events, after athlete has a chance to cool •goal to "flushing out" by enhancing local fluid mvmt, decrease mm tension + spasm, focus on mms stressed during event
27
Post-event techs used
Light + deep gliding, kneading, compression, jostling, generalized friction, light stretching
28
Training massage
Restorative, preventative, maintenance massage
29
Training mx benefits
• increase local fluid • helps identify, address areas of tenderness/restrictions • locate + deactivate TPs • increase ROM + flexibility • makes more intense, frequent workouts possible
30
Training mx applications + effects
•initial strokes warm up area + helps locate stresses areas requiring attention •TPs can be released •minor fascial restrictions can be decreased •response + flexibility can be increased •mm boudness (mm bundles) can be alleviated, so mm contraction/relaxation are more efficient •breaks down adhesions that might be from old injury •mx involves all parts of body, concentration on mms used in sport
31
Training mx techniques
•Techs vary to each mx •all techs used in pre/post •gliding kneading used but less • joint movements very effective
32
Training mx goals
•identify + release hypertonicity/ mm spasms •Fascial restrictions •Enhancing or restoring flexibility or ROM
33
tender points
•Often located in taut bands in mm body (TPs) or where mm ends + joints the tendon sheath (stress points) •musculotendinous junction is where many mm fibers terminate, makes it vulnerable to strain, microtrauma, development of adhesions + fibrosis, become tender stress points, also where blood flow is the lowest, fatigue occurs
34
Treating tender points
•deep pressure indicate first clue to future problems, early tx can stop an injury before it affects athletes performance ~once identified deactivate TP with ischemic compression, or position release, followed by MET to help return mm to normal resting length ~stress points are treated with compression + XFF, if extensive can be followed by ice ~fascial restrictions treated with myofascial techs
35
Tender points application
•some can be deep + intense, does not mean pxful, work within clts px tolerance, discomfort can be apart of tx, help with deep breathing + relaxation techs •do not persist if mm becomes tighter, could worsen condition or cause an injury
36
Treating tender points should be preformed on days
•Where training is light or athlete isn't training •Other than the day before event, allow couples days of training before event
37
☆Rehabilitation mx accomplishes
•shortens healing time for injuries •helps reduce swelling and edema •assists in forming strong/pliable scar tissue •Maintains or increases ROM •eliminates splitting in associated mm tissue •located + deactivates TPs
38
Rehabilitation massage modalities used
•lymph mx •neuromuscular techs •myofascial techs •hydrotherapy •Swedish techs
39
General rules for rehabilitation mx
• do not mx injury site directly or stretch tissue during acute stage •never cause px. Px is a guid. Less px =more gain •Apply xxf, stretching only after inflammation/swelling has subsided •when in doubt don't ~refer to someone else who knows tx mx, or gain knowledge and understanding before tx •Mx should only be given by properly trained therapist + with physicians approval
40
Benefits of rehabilitation mx
•reduces swelling + px •increases rate of healing •reduces scar tissue production •improves quality of healed tissue •reduces fibrosis •nearly eliminates transverse adhesions
41
Athletic injuries
•Athletic bodies are continously exposed to stress, fatigue, sometimes microtraumas or serious injuries •Most injuries caused by trauma (contact or fall) or from repeated stresses to an area of the body ~ usually a result from over training, fatigue, poor tissue integrity, muscular weakness, imbalance or Biomechanical deviation
42
Traumatic injuries are often
•Broken bones •Dislocated joints •Torn ligaments
43
Categories of athletic injuries
•Chronic injury •Acute injuries •Strains •Sprains
44
Grade 1 strain
Mild strain ~severe over stretching of fibrosis tissue with little to no damage ~full ROM + strength
45
Grade 2 strain
Moderate to severe pain ~some tearing of fibrosis tissue, swelling, possible discoloration ~reduced ROM + strength
46
Grade 3 strain
There will be immediate pain ~severe or complete tissue rupture ~extensive swelling + tissue deformity ~no ROM + Strength
47
Stages of healing- Acute
•First 24-72 hours after incident •Direct mx is contraindicated, prompt first aid reduces secondary injury (from swelling) using PRICE
48
Acute treatment
Inflammation stage ~Control + reduce swelling -lymph mx
49
Stages of healing- Subacute
Generative stage ~after 2-3 day rest ~collagen fibers begin mending damage in tissue
50
Subacute tx
Generative stage ~reduce residual swelling- lymph mx
51
Contrast therapy
Used to increase circulation mx is gentle myofascial techs. Gentle xff, px free ROM exercises do not want to aggravate injury or damage healing tissue
52
Remodeling- maturation stage
•healing tissue well on way to recovery
53
Remodeling- maturation stage tx
•Ice pack or ice mx followed by deep work to minimize inflammation •Myofascial tech around + at injury site •Neuromuscular tech on associated/Compensating structers to relieve tension •Treat TPs or myofascial restrictions
54
Result from Chronic injuries
Has a gradual onset, tends to last a long time or recurs often, usually the result of repetitive/stressful activity ~sometimes labeled as overuse syndrome
55
chronic injuries causes
Microtears, which in turn causes local, low grade inflammation, can lead to taut bands, reduced circulation, pain, dysfunction
56
Techniques used for chronic injuries
•Myofascial to reduce adhesions + fascial restrictions •Cross friction •Neuromuscular to reduce TPs + mm tension •Hydrotherapy (heat soften mms, cold to reduce local inflammation) •Swedish mm moments to increase circulation, promote relaxation, treat Compensating structers
57
Connective tissue connects
•Mm to tendons •Tendons to bones •Bones to bones
58
Layers of fascia- Epimysium
Covers individual mm
59
Layers of fascia- perimysium
Separates the mm bundles (fascicles)
60
Layers of fascia- Endomysium
Covers each mm fiber
61
Layers of fascia- Sacrolemma
(Cell wall) and endomysium intimately connected + act as a unit so when the mm fibers contract + shortens, the fascia covering moves right along with it
62
Cause of fascia injury
Overstretching and breaking of collagen fibers
63
Healing process
•Cell damage initiates infam •Swelling occurs to immobilized the area + brings leukocytes (white blood cells) + fibroblasts (building collagen fiber/scar tissue)- negative effects, creates pressure on tissue, causing further damage •Coagen fibers that extend in random directions are laid down, reconnecting tissue, this forms scar tissue ~ criss cross formation forms undesirable adhesions between the layers of fascia that can restrict mobility/flexibility + greater chance of re-injury
64
Why we treat with PRICE
•Greatly reduces swelling, which the space between the ends of injuries mms + connective tissue layers are minimized •As tissue heals, proper therapy including mx encourages new fibers to form along appropriate lines of stress. •Properly applied transverse friction + gentle stretching produce strong pliable tissue at the same time Breaks down unwanted interfiber cross-links + adhesions
65
Contraindicated rehabilitation mx
Unless advised by an athletes physician, athletic mx is CI: ~abnormal conditions ~acute injury ~ilness + disease