STM

Question 1

contraindications to massage?

Answer 1

1. Severe distress
2. Acute inflammation
3. Loss of structural integrity
4. Skin conditions
5. Spreading disease by circulation (malignant malinoma)
6. Bleeding and bruising
7. Edema

Question 2

cautions to massage?

Answer 2

1. Decreased sensation
2. Increased sensitivity to touch
3. Cardiovascular disorders (applying pressure to vericose veins)
4. Compromised immunity
5. Osteoporosis

Question 3

What is the purpose for effleurage?

Answer 3

1. Begins and ends massage
2. Accustoms patient to touch of PT
3. PT can assess tissue
4. Distributes lubricant
5. Deep technique provides passive stretch to muscle and facilitates circulation

Question 4

What are the types of efflurage

Answer 4

1. palm stroking (“C” hands)
2. 2 or 3 finger stroke
3. circular stroke
4. stripping
5. shingles
6. bilateral tree stroking
7. 3 count stroke
8. horizontal stroke
9. knuckling

Question 5

What is the purpose of petrissage?

Answer 5

1. Serves to “milk” the muscle of waste products
2. Increases local circulation
3. Assists venous/lymphatic return
4. Assists in freeing adhesions

Question 6

What are the petrissage techniques?

Answer 6

1. Two-handed kneading
2. One-handed kneading
3. Alternating finger-to-thumb
4. Skin rolling

Question 7

What is the purpose of tapotement?

Answer 7

Often used at end of session because it is stimulating

Question 8

What are the tapotement techniques?

Answer 8

Hacking, rapping, cupping, tapping

Question 9

What is friction massage used for?

Answer 9

• Overuse injuries, strains, or sprains result in micro-tears in a muscle/ligament/tendon
• *Repeated oscillatory movement of adherent structures and surrounding structures can decrease pain, increase circulation, and enhance reorientation of fibers of connective tissue**

Question 10

how long should you apply friction massage?

Answer 10

• Friction for 1–2 minutes until sensitivity subsides; Increase intensity.
• Complete treatment should take about 3-6 minutes
• Pt should feel immediate improvement in symptoms following each treatment
• Finish by icing the site of treatment
• Generally completed 3 times/week

Question 11

How are trigger points released?

Answer 11

ischemic compression

• first ask pt to rate pain 1-10
• apply pressure 20-60 seconds
• reassess pain level
• gradually increase pressure until tension subsides
• *stretch muscle after** move m throughout its full range

Question 12

How does myofascial release help?

Answer 12

• Alleviates tightness and restores motion and function
• Releases fascial restrictions throughout the body, including areas of previous injury to eliminate pain
• Restores mobility to tissue that is scarred or adhered
• when fascia becomes tight it can cause pain and restrict motion

Question 13

how is myofascial release performed?

Answer 13

1. Place hand(s) firmly to engage skin, push hand(s) and feel for the myofascial restrictions
2. Apply gentle but firm pressure into the restriction for a sustained period of time
3. After the elastic and muscular component releases, you then encounter a “dead halt” which is the collagenous barrier
4. Therapist must then wait at the collagenous barrier with gentle but firm pressure for a minimum of 90-120 seconds before the collagenous barrier will respond by softening. Holding for 3-5 minutes may help release multiple layers of fascial restrictions

Question 14

How do you perform SCS technique?

Answer 14

1. Locate the tender point
2. Find position of comfort or mobile point
3. Monitor point response taking pressure off tissue
4. Hold 90 seconds
5. Return to neutral slowly
6. Recheck tender point - 70% improved