Therapeutic Massage Flashcards
Discuss therapeutic massage and mobilisations in terms of:
- Physiological mechanism
o Mechanical modality
o Used to manipulate the body’s soft tissues
o Effective in promoting local and systemic relaxation, increasing local blood flow, breaking down adhesions and encouraging venous return
o Act of rubbing, kneading or stroking the superficial parts of the body with the hand or an instrument for the purposes of modifying nutrition, restoring power of movement or breaking up adhesions
- The amount of pressure applied and the speed of the stroke, may effect the results of the massage:
o Light, slow strokes – evokes systemic relaxation
o Fast, deep strokes - increases
- Therapeutic effects:
o Mechanical: • Assist in venous and lymphatic flow • Stretching of superficial tissue • Loosen scar tissue o Physiologic • Metabolism • Venostasis • Edema
- Benefits for use:
o Relaxtion
o Pain relief
o Reduction of edema
o Increase ROM
o Metabolically prepare injured or involved muscles for exercise
o Enhanced immune function?
o Neurological changes
o Encourage confidence of patient
o Evaluate patients soft tissues
o Prepare healthy muscles for strenuous sports activity
o Assist the body in recovering from the aftereffects of strenuous activity
- Indications:
o Tense muscles
o Scar tissue
o Edema
o Pain
- Contraindications:
o Arteriosclerosis o Thrombosis/ Embolism o Severe varicose veins o Acute Phlebitis o Cellulitis o Synovitis o Abscesses o Skin Infections o Local Cancers o Pregnancy (abdominal) o Acute inflammatory injuries of joints, muscles or skin
Discuss the basic techniques of therapeutic massage and its variants:
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Therapeutic effects of massage:
Mechanical and physiologic
Mechanical:
- assists in venous and lymphatic flow
- stretching of superficial tissue
- loosten scar tissue
Physiologic:
- metabolism
- venostasis
- edema
Goals ofmassage:
Mobilise interstitial fluid • Reduce or modify oedema • Increase blood flow • Decrease muscle soreness or stiffness • Alleviate pain • Prevent or eliminate adhesions • Facilitate relaxation  Benefits: Relaxation • Pain relief • Reduction of edema • Increase ROM • Metabolically prepare injured or involved muscles for exercise • Enhanced immune function? • Neurological changes • Eg – massage reduced patients perception of pain,
List the types of massage:
Effleurage
- petrissage
- friction
- tapotement
- vibration
Petrissage:
Frees adhesions by stretching and seperating muscle fiber, fascia, and scar tissue while assisting with venous return and milking out waste products.
Friction:
Tapotent
Vibrations
Friction:
Goal is to mobilise muscle & separate adhesions that restrict movement & cause pain
•Facilitates local blood profusion
tapotent:
Promotes relaxation & densitisation of irritated nerve endings
vibrations: soothes peripheral nerves
Physiological change that may occur are:
1.
Cardiovascular changes – deep friction or vigorous massage was thought to produce vascular changes
• Massage can produce decreased heart rate, breathing rate, & b.p. if the purpose is for inducing system relaxation
Oedema reduction – when performed properly it can increase venous & lymphatic flow
Reduces pain
By decreasing pressure from swelling, mechanical pain can be reduced
By interrupting m. spasm, mechanical pain can be reduced
By reducing oedema, mechanical pain can be reduced
By increasing b. flow & encouraging waste removal, chemical pain can be reduced
Activates sensory nerves – inhibits pain Trigger point changes?
Psychological effects
One-on-One treatment • Reduces patient anxiety, depression, & mental stress • Patient compliance is increased • Patient gains confidence in clinician
