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Anatomy > Swedish Massage > Flashcards

Swedish Massage Flashcards

1
Q

Direction

A

Towards the heart

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2
Q

Pressure

A

To issue end feel

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3
Q

Rhythm

A

Smooth and flowing, even

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4
Q

Rate

A

Match to clients breathing

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5
Q

Duration

A

Client or tissue tolerance

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6
Q

How can u tell when tissue is over treated

A

Angry red hyperemia

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7
Q

What are the roles of the parasympathetic system and sympathetic systems

A

Parasympathetic, rest and digest

Sympathetic, fight or flight

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8
Q

What are the physical effects on the body of chronic stress?

A 
Disease, 
suppressed immune system,
 isomnia, 
TMJ dysfunction, 
hypertonicity, 
skin eruptions
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9
Q

What is the symptom picture of a client presenting with a increased sympathetic state?

A 
Tight facial expression, 
apical breathing, 
anxiety, 
sleep disturbance, 
hypertonicity, 
 effects
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10
Q

Name 4 perpetuating factors of trigger points in the muscle/fascial tissue?

A 
Chronic infection, 
muscle constriction, 
inactivity, 
repetitive activity, 
muscle/bone imbalances 
Untreated injury
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11
Q

What is the main difference between an active trigger point and a latent one

A

Active tp you feel all the time

Latent tp you feel with palpation

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12
Q

How do we determine where there are facial restrictions

A

Fascial glides going all directions

Skin rolling

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13
Q

What are 3 assessment techniques we use to determine fascial restriction

A

Glides
Skin rolling
AROM

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14
Q

What are 3 indicators of a release in fascial adhesion

A

Release of adhesion
Puckering stops
Pain decrease
Palpable release of heat

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15
Q

What is reflex muscle guarding

A

Compensating muscles going into protective spasm,
Response to pain or injury,
Natural splint

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16
Q

What is a contraindication to consider when treating a spasm that is reflexive muscle guarding in nature?

A

Don’t remove spasm to early until healing has started.

Do not stretch

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17
Q

What is the pain spasm cycle?

A

Muscle contraction = lack of movement = tissue ischemia = pain = muscle spasm

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18
Q

What techniques would you use on a muscle spasm and what general effects are you trying to achieve

A
  • Effleurage and petrissage

- reduce pain, increase blood flow, decrease trigger points on compensating muscles

19
Q

What is a tension headache

A

Muscle in origin

Caused by muscle tension

20
Q

What are the health history questions that you may ask to help you determine the nature of the headache

A 
How often/ how long
Where does it hurt
What relieves and aggravates it 
Onset, activity or rest
Dental work 
Stress 
Are you having one now?
What meds are you taking
21
Q

Muscles that you would probably want to address In a typical tension headache, what are there actions?

A

Subocciptals- stabilize, extend neck
Temporalis- closes jaw
Cervical erectors- rotation, side Flexion
Upper traps- extend neck, Contralateral rotation, Lateral Flexion
Masseter- closes jaw

22
Q

Name 4 contraindications/ precautions to consider when working with the temporomandibular joint

A 
Dental surgery 
Don't work over corotive pulse 
Always stay unilateral 
Careful around styloid process 
Never articulate joint superiorly
23
Q

What are the muscles of mastication and what are there actions

A 
Masseter- closes jaw
Temporalis- closes jaw
Digastric- retracts jaw
Mylohoid- depresses mandible 
Medial pterygoid- closes jaw
Lateral pterygoid- opens/ protrudes jaw, moves side to side
24
Q

What is the difference between functional and structural postural dysfunction

A

Functional- muscles and fascia

Postural- Boney changes

25
Q

Name muscles that are primarily postural

A 
QLs 
Erectors 
Pecs
Rectus femorus 
Hamstrings
Adductors
Intercostals 
Upper traps, 
iliopsoas
Gastrox
26
Q

Muscles that are primarily phasic

A 
Lower/mid traps
Rhomboids 
Gluts
Rectus abdominis 
Tibias anterior 
Mid/lateral quads
27
Q

How would you treat stressed postural muscles differently then stressed phasic muscles

A

Postural- fascial release, stretching, TPs

Phasic- stimulating, Swedish, TPs

28
Q

What are some implications for the head and neck with regards to chronic head forward posture associated with hyperkyphosis

A

TMJ,

Wear and tear of cervical spine

29
Q

Name the primary muscles you will be treating with hyper kyphosis and what techniques you will be employing

A 
Pecs- stretch 
Intercostals
Rhomboids 
Sub scapularus 
Traps
Erectors 
Sub occiptals
30
Q

What joints will likely have a decreased rom with hyperkyphosis

A

Intercostal
Gh joint (glenohumeral)
Cervical spine

31
Q

What draping considerations will you make to treat hyperkyphosis

A 
V draping 
Abdominal draping
Towel under back
Pillows under shoulders
Pillows under knees
32
Q

What muscle are shortened and tight with hyperlordosis

A 
Qls 
Lumbar erectors 
It band
TFL
Rectus femoris 
iliopsoas
33
Q

What muscles Are stretched and taut with kyperlordosis

A

Hamstrings
Rectus abdominis
Gluts
Internal/ external abdominal obliques

34
Q

What joints will likely have a decreased rom with hyperlordosis

A

Lumbar

Hip joint

35
Q

Where will fascial work be indicated with hyperlordosis

A

Anterior hip

iliopsoas

36
Q

What is the expected outcome with a structural hyperlordosis vs a functional one

A

Functional can bring back into alignment, correction effects

37
Q

What are some causes of ITB contracture

A 
Activity
Inactivity
Occupational
Anything that puts both knee and hip in flexed position
Anterior pelvic tilt
Ples planis (foot pronation)
38
Q

What is the typical symptom picture of ITB contracture

A 
Shortening of ITB
Pain felt along thigh and into knee
Fibrotic nodules along the ITB
Hypertoned and TPs in TFL
Lumbar pain with anterior pelvic tilt
Si (sacroiliac) joint hypermobility with anterior pelvic tilt
39
Q

Do to the potential discomfort of an ITB treatment, how can you work with your client to ensure that an effective treatment is performed without being too aggressive

A
  • Positioning- side lying, pillows under knee
  • Do not randomly stretch fascia, asses areas of restriction
  • if on anti inflamatories, no frictions or aggressive technique
  • diaphragmatic breathing
  • lots and clearing and effleurage
40
Q

What muscles should likely be treated with ITB contracture

A 
ITB
TFL
Gluts 
iliopsoas
Adductors 
Rectus femoris 
QLs
41
Q

What is ITB contracture

A

A contracture or thickening of ITB.

When ITB becomes contracted, the bio mechanics of knee and hip are restricted

42
Q

What muscles will likely be shortened and tight with a hyperkyphotic presentation

A 
Sub occiptals 
Anterior deltoid
Intercostals 
Upper traps
Levator scapula
43
Q

What muscles will likely be tight and weak with a hyperkyphotic presentation

A

Rhomboids
Mid/lower traps
Latissimus Dorsi
Thoracic erectors

44
Q

How do you treat over stressed phasic muscles and postural muscles differently

A

phasic

  • when over stressed are weakened and over stretched, tight.
  • teapotment, cold treatments, TPs , increase circulation, NO fascia work, stimulating work, NO heat

Postural muscles

  • are shortened and tight
  • TPs, stretching, working with heat, long movements, frictions

Anatomy (6 decks)

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