Techniques 1 Flashcards
Define grounding and centring
the initial introduction of therapists hands
therapist places their hands on the patients back while still draped, opportunity to assess breathing and focus on treatment
What are the uses for grounding and centring
- patient to feel initial contact
- therapist feels patients respiration
- allow therapist to focus on patient
- regain focus in times of patients emotional reaction
What are the indications of grounding and centring
- introduction to treatment
- refocus when focus is lost or needs to be reevaluated
What are the effects of grounding and centring
- initiates treatment for patient
- clear and focus + respiration assessment for therapist
- pause in treatment
What is the application of the technique of grounding and centring
- one hand placed on upper back, other placed on lower back
- hand and wrists are relaxed, allow weight of hands to rest on back
- minimal pressure
What are the biomechanics behind grounding and centring
facing patient in symmetrical stance, hands placed on back
Define draping
a cloth arranged over a patients body during a medical examination or treatment or surgery designed to provide a sterile field around area
What does draping provide?
- clear boundary
- another level of non-verbal communication
- protects clients clothes from oil or lube
Why is a clean, secure draping important?
practitioners hands may become entangled and boundary can change
What does draping require?
- large enough linens
- practice
- clear communication and consent
- covering areas that arent being massaged
Define palpation
to examine or explore by touching, usually as a diagnostic aid
Define touch
to cause or permit a part of the body, especially with hand or fingers to come in contact with so as to feel
Define intention
an aim that guides action
How is touch a form of communication?
the way you touch can communicate different things, doing so with intention. the receiver interprets the touch from their personal experiences
Quality of touch must be:
- clear in intent
- fluid in hand skills
- boundaries created and respected
- safe (environment and intent)
What are the 4 “T’s” of palpation?
- Temp - degree of hotness or coldness of body or enviroment
- Tone- normal state of elastic tension or partial contraction in resting muscles, normal firmness of tissue or organ
- Texture - distinctive physical composition or structure of something, especiallu with respect to the size, shape, and arrangement of its parts
- Tenderness - sensitivity to touch and pressure
Verbal communication should be established for___________.
safety and feedback
Describe the pain scale
1 - light pressure no pain/discomfort 2- deeper pressure no pain/discomfort 3- good pain 4- threshold 5-STOP for any reason
What is the purpose of the MT initial palpation evaulation?
to determine whether skeletal muscles and their connecive tissues are functioning normally or abnormally
helps determine type of strokes, amount of pressure
Anatomical palpation
used to locate specific structure, finger pressure firm, short duration, anatomically language used
Sensory palpation
used to describe structure using 4 Ts of palpation
finger pressure light, working towards firmer touch
requires more time - palpating for shape, movement, size etc
non anatomical description
Define muscle compressions
increasing physical pressure on a structure
What are the indications for compressions
inefficient circulation
muscle spasm/guarding/hypertonus
introductory
What are the effects of compressions
- when applied locally + quickly can be stimulatory
- when applied systemically + rhythmically can be sedative
- general mobilization of soft tissure
- increases location circulation mechanically
