Swedish Massage

Question 1

Physiological Effects of Message

Answer 1

-increase circulation
-reactive hyperemia
-increase lymphatic flow
-disperse waste, 02, increase lactic acid

Question 2

Reflexive Massage

Answer 2

-stimulates receptors in skin and fascia
-decreases pain
-ANS response (increase parasympathetic tone)
-GTO activation
-Gate control theory
-release of opiates

Question 3

GTO Activation

Answer 3

-stretch of muscle to relax it
-inhibitory to normalize tone

Question 4

Gate Control Theory

Answer 4

-cutaneous stimulation to block pain nerve fibers

Question 5

Mechanical Massage

Answer 5

-performed after reflexive to decrease pain and guarding
-deeper tissues
-loosens adhesions, scar tissue, trigger points
-realigns cartilage
-increase ROM

Question 6

Indications for Massage

Answer 6

-decrease SNS, muscle tone, prottective spasms
-evaluate restrictions
-realign cartilage
-reduce edema
-circulation
-increase ROM

Question 7

Containdications for Massage

Answer 7

-skin infections/open
-thrombosis/embolism or phlebitis, severe varicose veins
-new tendon transplant
-fracture/non union
-acute inflammation
-cellulitis
-synovitis
-absesses
-cancer
-fever

Question 8

Endangerment Sites

Answer 8

-ribs/sternum
-armpit, antecubital/cubital
-inguinal, umbilical
-neck
-popliteal
-spinous processes
-kidneys

Question 9

Rules of Massage

Answer 9

-table height (knuckles at table)
-build trust before touching
-draping
-position
-continuous muscle contact
-distal to procimal towards heart
-not over bones

Question 10

Order of Massage

Answer 10

-skin rolling (no lotion)
-Light effleurage
-Deep effleurage
-Petrissage
-Friction (or other technique)
-petrissage
-Deep effleurage
-light effleurage

Question 11

Skin Rolling

Answer 11

-evalutes skinn conectivity and underlying restrictions
-no lotion
-lifting skin

Question 12

Light Effleurage

Answer 12

-warm up and cool down
-light, continuous pressure
-get used to contact

Question 13

Deep Effleurage

Answer 13

-medium, continuous pressure distal (light) to heart (deeper)
-promotes relaxation
-decreases pain
-searching for spasms

Question 14

Petrissage

Answer 14

-kneading, deeper
-grasp and lift muscle and skin toward heart
-push waste to increase lymphatic and venous return
-loosen tissue and increase elasticity

Effect:
-spreads fibers
-tension of connective tissue
-proprioceptive input
-reduce collagen cross-linking

Question 15

Friction

Answer 15

-deep, circular or transverse mmts
-no skin mmt, move underlying tissues
-where a trigger point, adhesion or scar is felt
-realign collagen fibers

Question 16

Transverse Friction

Answer 16

-intense perpendicular to tendon
-should be painful, explain
-used for chronic tendon inflammation

Question 17

Percussion or Tapotement

Answer 17

-brisk, rapid blows with relaxed hands
-increase circulation

Question 18

Myofascial Trigger Points

Answer 18

-hyperirritable locus: taught band of tissue
-reffered pain, lump, decreased ROM, jump sign

Question 19

Trigger Point Massage

Answer 19

-related to acupressure
-find point until pain or jump sign
-press on point and maintain pressure (will increase pain then lessen)

Question 20

Myofascial Release

Answer 20

-mid pressure and stretch
-move in direction of restriction
-superficial to deep
-relieves soft tissue from abnormal grip of tight fascia

Question 21

Active Release Technique

Answer 21

-deep tissue to break down fibrotic adhesions that restrict movement and scar tissue
-apply pressure in direction of fibers while pt actively elongates muscle