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Manual Therapy Skills > Techniques 1 > Flashcards

Techniques 1 Flashcards

1
Q

Define grounding and centring

A

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

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2
Q

What are the uses for grounding and centring

A
  • patient to feel initial contact
  • therapist feels patients respiration
  • allow therapist to focus on patient
  • regain focus in times of patients emotional reaction
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3
Q

What are the indications of grounding and centring

A
  • introduction to treatment

- refocus when focus is lost or needs to be reevaluated

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4
Q

What are the effects of grounding and centring

A
  • initiates treatment for patient
  • clear and focus + respiration assessment for therapist
  • pause in treatment
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5
Q

What is the application of the technique of grounding and centring

A
  • 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
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6
Q

What are the biomechanics behind grounding and centring

A

facing patient in symmetrical stance, hands placed on back

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7
Q

Define draping

A

a cloth arranged over a patients body during a medical examination or treatment or surgery designed to provide a sterile field around area

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8
Q

What does draping provide?

A
  • clear boundary
  • another level of non-verbal communication
  • protects clients clothes from oil or lube
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9
Q

Why is a clean, secure draping important?

A

practitioners hands may become entangled and boundary can change

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10
Q

What does draping require?

A
  • large enough linens
  • practice
  • clear communication and consent
  • covering areas that arent being massaged
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11
Q

Define palpation

A

to examine or explore by touching, usually as a diagnostic aid

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12
Q

Define touch

A

to cause or permit a part of the body, especially with hand or fingers to come in contact with so as to feel

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13
Q

Define intention

A

an aim that guides action

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14
Q

How is touch a form of communication?

A

the way you touch can communicate different things, doing so with intention. the receiver interprets the touch from their personal experiences

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15
Q

Quality of touch must be:

A
  • clear in intent
  • fluid in hand skills
  • boundaries created and respected
  • safe (environment and intent)
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16
Q

What are the 4 “T’s” of palpation?

A
  1. Temp - degree of hotness or coldness of body or enviroment
  2. Tone- normal state of elastic tension or partial contraction in resting muscles, normal firmness of tissue or organ
  3. Texture - distinctive physical composition or structure of something, especiallu with respect to the size, shape, and arrangement of its parts
  4. Tenderness - sensitivity to touch and pressure
17
Q

Verbal communication should be established for___________.

A

safety and feedback

18
Q

Describe the pain scale

A 
1 - light pressure no pain/discomfort
2- deeper pressure no pain/discomfort
3- good pain
4- threshold
5-STOP for any reason
19
Q

What is the purpose of the MT initial palpation evaulation?

A

to determine whether skeletal muscles and their connecive tissues are functioning normally or abnormally

helps determine type of strokes, amount of pressure

20
Q

Anatomical palpation

A

used to locate specific structure, finger pressure firm, short duration, anatomically language used

21
Q

Sensory palpation

A

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

22
Q

Define muscle compressions

A

increasing physical pressure on a structure

23
Q

What are the indications for compressions

A

inefficient circulation
muscle spasm/guarding/hypertonus
introductory

24
Q

What are the effects of compressions

A
  • when applied locally + quickly can be stimulatory
  • when applied systemically + rhythmically can be sedative
  • general mobilization of soft tissure
  • increases location circulation mechanically
25
Q

Define rocking

A

a rhythmic rocking back and forth applied to the body with one or two hands, observing S curve

26
Q

what are the indications for rocking

A

muscle spasm, guarding, hypertonus

27
Q

what are the effects of rocking

A
  • locally+quickly can be stimulatory
  • systemically + rhythically can be sedative
  • general mobilization of soft tissure
28
Q

What are precautions/contraindications of rocking

A
  • nausea or dizziness
  • unstable joints
  • inner ear infection
29
Q

What is the definition of effleurage

A

rhythmic stroking, gliding motion applied in direction of venous flow using entire hand contact, smooth continuous fashion with pressure on upstroke and light return pressure

30
Q

What are the indications of effleurage

A
  • introduction
  • conditions w/ poor/inefficient circulation
  • local areas of edema
  • muscle tension
  • transition technique
31
Q

What are the effects of effleurage

A
  • distributing lube
  • introduction/finishing stroke
  • stimulatory
  • sedative
  • general mobilization of soft tissue
  • decreases muscle hypertonicity
  • increases local circulation mechanically
32
Q

Define stroking

A

to rub gently in one direction over a comparatively extended area of the body. pressure is maintained throughout the stroke

33
Q

What are the types of stroking

A

palmar, fingertip, knuckle, thumb, ulnar border

34
Q

What are the indications of light stroking

A

stimulation of sensory nerves

increase venous/lymphatic return

35
Q

What are the indications of deep stroking

A

conditions w/ poor circulation
local areas of edema
muscle tension
transition/finishing technique

36
Q

What are the effects of light stroking

A
  • with course of nerve sedative
  • against course of nerve stimulatory
  • moderate pain through reflexive effect
  • finishing stroke
37
Q

What are the effects of deep stroking

A
  • locally + quickly stimulatory
  • systemically + rhythmically sedative
  • general mobilization of soft tissue
  • parallel to muscle fibres can stretch tissues
  • decrease muscle hypertonicity
  • increases local circulation manually

Manual Therapy Skills (3 decks)

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