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Phys Agents > Therapeutic Massage > Flashcards

Therapeutic Massage Flashcards

1
Q

What are the effects of therapeutic massage (9)

A
  1. Assessment
  2. Invigorate the body
  3. Promote relaxation
  4. Promote superficial blood flow
  5. Increased pain threshold
  6. Can promote lymph flow to reduce edema
  7. Increased tissue extensibility
  8. Decreased scar tissue
  9. Restore joint mobility
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2
Q

What can you assess when giving a therapeutic massage (8)

A

1, Mobility of tissue

  1. Muscle tone
  2. Scar tissue
  3. Adhesions
  4. Contractures
  5. Fluid in area
  6. Does tissue respond
  7. Temperature
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3
Q

What are the indications for therapeutic massage (8)

A
  1. Pain
  2. Muscle spasm
  3. Edema
  4. Headache
  5. Muscle soreness
  6. To increase local blood flow
  7. To assist with lymph drainage
  8. Scar tissue adhesions
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4
Q

What are the contraindications for therapeutic massage (9)

A
  1. Arterosclerosis
  2. Thrombosis
  3. Embolism
  4. Acute phlebitis
  5. Severe varicose veins
  6. Cellulitis/skin infections
  7. Acute inflammation
  8. Cancer
  9. Open wounds
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5
Q

What is a therapeutic massage

A

Relating to a treatment for a disease or disorder, something required as part of a treatment

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6
Q

What is a relaxation massage

A

Pt desires a rubdown to relax muscles or self due to overwork or tension

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7
Q

What are the 2 categories of physiologic effects of therapeutic massage

A
  1. Reflexive effects

2. Mechanical effects

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8
Q

What are the reflexive effects of therapeutic massage (4)

A
  1. Acts on local sensory and motor nerves as well as the CNS
  2. Capable of inducing sedation
  3. Attempts to exert effects through the skin and superficial connective tissues via sensory receptors
  4. Pain, circulation, and metabolism
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9
Q

How do the reflexive effects take effect

A

By stimulating receptors

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10
Q

What are the mechanical effects of therapeutic massage (5)

A
  1. Mechanical effects are always accompanied by reflexive effect but with an inverse relationship
  2. Muscle elongation and mobilization of soft tissue adhesions
  3. Increases blood flow to skeletal muscle
  4. May retard muscle atrophy following injury
  5. Increases skin temperature
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11
Q

What are the forces used to apply therapeutic massage (5)

A
  1. Compression
  2. Tension
  3. Shear
  4. Bending
  5. Torsion
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12
Q

What is the resting position

A

Placing of open relaxed hands on the client

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13
Q

What is the resting position used for

A

Entering the clients personal space and allowing the client to get used to your touch

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14
Q

What are the basic massage strokes (8)

A
  1. Gliding or effleurage
  2. Kneading or petrissage
  3. Compression
  4. Vibration
  5. Shaking
  6. Rocking
  7. Percussion or tapotement
  8. Friction
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15
Q

What is the first and last stroke you will do during a massage

A

Effleurage or gliding

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16
Q

What is effleurage

A

A motion gliding lightly over the skin without attempting to move deeper tissues

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17
Q

What is the purpose of effleurage (4)

A
  1. To accustom the patient to the touch of the therapist
  2. To apply the lubricant
  3. To increase skin circulation
  4. To increase the rate of metabolic exchange in the periphery
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18
Q

What is an effleurage stroke

A

Unidirectional stroke towards the heart that starts light made with the heel of the hand fingers slightly bent and thumb spread and contact is always maintained

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19
Q

What is kneading or petrissage

A

Kneading of soft tissue that presses and rolls the muscle under the fingers or hands

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20
Q

What is the purpose of kneading or petrissage (5)

A
  1. To increase venous and lymphatic return
  2. To press metabolic waste products out of the target tissues
  3. Break up adhesions between the skin and underlying tissues
  4. Loosen adherent fibrous tissue
  5. Increase elasticity in the skin
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21
Q

What is skin rolling good for

A

Superficial interface

22
Q

What is deep rolling good for

A

Fascia and muscles

23
Q

What is a kneading or petrissage stroke

A

The application of pressure by repeatedly grasping and releasing the muscle tissue in a lifting or rolling motion that goes from distal to proximal

24
Q

How to you knead the muscle

A

Parallel or right angles to the muscle fibers

25
Q

What does compression utilize to create the compression

A

Pushing the tissue against bone

26
Q

Is compression a relaxing or invigorating stroke

A

Invigorating because hands come off each stroke

27
Q

What is a compression stroke

A

Lift-press method where you disconnect from the body with each stroke stimulating muscle spindle

28
Q

What part of the hands/arm can be used for a compression stroke

A

Point of thumb, fingers, palm/heel of hand, fist, knuckles, forearm

29
Q

What angle should the compression be applied in relation to the tissue

A

90 degrees

30
Q

What is a vibration stroke used for

A

Stimulating muscles

31
Q

What does a vibration stroke activate and cause

A

Activation of the GTO to cause a reciprocal inhibition

32
Q

What is a vibration stroke

A

Start with compression then use forearm muscles in rhythmic motion

33
Q

What motions occurs at the forearm/wrist during a vibration stroke

A

Supination and pronation

34
Q

What does shaking therapeutic massage do

A
  1. Relaxes muscle groups or whole limbs

2. Influences muscle spindle system and joint proprioceptors

35
Q

How do you do shaking therapeutic massage

A

Lift and downward or side-side movement

36
Q

What receptors does shaking massage engage

A

Pacinian corpuscles

37
Q

What is rocking therapeutic massage

A

Soothing, rhythmic motion using the whole body

38
Q

What does rocking massage stimulate

A

Vestibular system as well as muscular system

39
Q

How do you do rocking therapeutic massage

A

Up/down, side/side movement of body

40
Q

True or False:

You always want to find the bodies natural rhythm when doing rocking massage

41
Q

What is tapotement or percussion therapeutic massage

A

Percussion movements or series of brisk blows

42
Q

How is tapotement administered

A

With relaxed hands with rapid alternating movements

43
Q

What is the purpose of tapotement (3)

A
  1. Stimulate subcutaneous tissues
  2. Increase circulation
  3. Stimulate peripheral nerve endings
44
Q

How do you do tapotment massage (5)

A
  1. Hacking: Alternate movements with the ulnar border of the hands
  2. Slapping: Alternate slapping with the fingers
  3. Beating: Using half closed fists and beating with the hypothenar eminence of the hand
  4. Tapping: Using the tips of the fingers
  5. Cupping: Using a concave cup formed by the fingers thumb and hand together
45
Q

What is cupping tapotment mostly used for

A

Postural drainage

46
Q

What is friction therapeutic massage

A

Small deep movements to select tissue

47
Q

What forces does friction massage utilize

A

Shear forces

48
Q

What is friction massage used for

A

To break up adhesions

49
Q

Is lubricant used for friction massage

50
Q

True or False:

Massage strokes are typically in the direction of the fibers

Phys Agents (19 decks)

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