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Integumentary 1 - Final > Therapeutic Massage - Class 1 > Flashcards

Therapeutic Massage - Class 1 Flashcards

1
Q

types therapeutic massage

A

superficial fluid techniques

neuromuscular techniques

connective tissue techniques

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2
Q

superficial fluid techniques engage the

A

skin

superficial fascia

subcutaneous fat

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3
Q

superficial fluid techniques strokes produce

A

mechanical effects on superficial lymphatics and possibly venous circulation

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4
Q

2 types of superficial fluid techniques

A

superficial lymph drainage

effleurage strokes

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5
Q

effleurage

A

to slide, glide over the skin w/ smooth continuous motion

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6
Q

many purposes of effleurage

A

introduces touch

helps to survey the area

warms up tissue

spreads medium

decreases spasm

begins to increase relaxation

facilitates circulation by moving superficial

increases mobilization of superficial soft tissues

gives us a moment to think

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7
Q

types of effleurage

A

bilateral tree

shingling

horizontal stroke

three count stroke of trapezius

clearing stroke

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8
Q

general rules of effleurage (1)

A

use lubricant

hands must be soft and relaxed

your hands point int the general direction of the stroke

keeps wrists neutral

strokes are slow

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9
Q

how is pressure given –> effleurage

A

towards the axillary or inguinal lymph nodes

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10
Q

how should we start effleurage strokes

A

superficially

w/ each rep move progressively deeper

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11
Q

what should we do for small body parts –> effleurage

A

use our fingers

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12
Q

what should we do for larger body parts –> effleurage

A

use the whole hand

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13
Q

neuromuscular techniques

A

affect contractile element of muscle

hydrate connective tissues

may produce reflex effects

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14
Q

what do neuromuscular techniques do

A

send a signal to the brain

then sends signal to the brain

tell the muscle to relax

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15
Q

types of neuromuscular techniques

A

stripping

petrissage

compressions

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16
Q

stripping can also be called

A

knuckling

raking

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17
Q

what is stripping

A

a slow, specific, gliding technique

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18
Q

where is stripping performed

A

from one attachment of a muscle to the other

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19
Q

what does stripping do

A

decrease myofascial trigger points

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20
Q

when is stripping preferred

A

when trigger points are located near the center of a muscle

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21
Q

what is stripping used to do

A

reduce the activity, pain and other sxs of trigger points

to help restore the length and strength of a muscle

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22
Q

broad contact compression

A

non gliding technique

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23
Q

broad contact compression uses

A

broad surface to engage the pt’s muscle

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24
Q

what is broad contact compression used to assess

A

the quality and tension in larger muscles

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25
Q

what is broad contact compression used to affect

A

circulation

lymph return

muscle resting tension

rib cage mobility

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26
Q

what can we use to assist in breathing relaxation –> broad contact compression

A

breathing

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27
Q

specific contact compression

A

pressure is applied at specific locations in muscles

trigger points

28
Q

how can specific contact compression be done

A

statically or making small circles

aka circular friction

29
Q

other manual therapies that utilize specific contact compression

A

reflexology

acupressure

30
Q

what can we used with specific contact therapy to assist with mm relaxation

A

breathing

31
Q

petrissage

A

lifting, wringing, squeezing soft tissues in a kneading motion

32
Q

petrissage is

A

rolling/pressing tissues under or b/w the hands

33
Q

petrissage may decrease

A

anxiety

stress

level of mm resting tension

motor neuron excitability

34
Q

petrissage may increase

A

relaxation

35
Q

how can petrissage decrease edema

A

when performed proximal to edematous site

36
Q

what might petrissage improve

A

joint ROM

by decrease mm resting tension and decreasing edema

37
Q

what should we observe when performing NM techniques

A

reduction of muscle resting tension

change in the consistency of the muscle tone

visibly well-defined anatomic muscle form

hyperemia

decreased fluid form edematous tissue or changes in tissue contour

38
Q

what do we have to keep an eye on –> NM techniques

A

can we perform the stroke at a deeper lvl w/o increased pain or increased force

39
Q

connective tissue techniques

A

palpate

lengthen

help to remodel connective tissue

40
Q

what is CTM

A

manipulative technique

facilitates the dx and tx of a wide range of pathologies

41
Q

what could have a beneficial effect upon tissues further away from the area of tx –> CTM

A

observation and subsequent manipulation of the skin and subcutaneous tissues

42
Q

types of CTM

A

skin rolling

friction

myofascial release

direct/indirect techniques

43
Q

skin rolling is used to

A

identify and treat areas of restriction or abnormal cross linking of fascia or connective tissue

44
Q

what does skin rolling help do

A

release muscle knots or adhesions so that the skin can flow effectively over the body

45
Q

friction

A

deeper, level specific massage technique

46
Q

what is friction used for

A

increase circulation

release tight areas of CT

47
Q

types of friction

A

circulation friction

transverse friction

cross friction

48
Q

circulation friction

A

small circles

going deeper as more superficial tissues release

49
Q

transverse friction

A

short strokes across muscular fibers

50
Q

cross friction

A

used over ligaments, tendons where injury or mm inflammation has occurred

great for “itis” (like tendonitis)

51
Q

types of cross friction

A

supraspinatus/rotator cuff tendonitis

achilles tendonitis/post ankle sprains

tennis elbow/golfers elbow

52
Q

how long is cross friction done

A

10-15 min

or

3-5 even

53
Q

what does cross friction do

A

realigns fibers

54
Q

type of cross friction

A

cyriax technique

55
Q

cyriax approach

A

focuses on the tx of soft tissue lesions around the body

56
Q

cyriax approach treats

A

any condition affecting the tendons, ligaments, muscles and bursa

along the cervical, thoracic and lumbar spines of the body

57
Q

how must proper location be found –> cyriax

A

through palpation and evaluation of specific tendon, ligs or muscle

58
Q

friction is given across –> cyriax

A

affected fibers

59
Q

therapists fingers and pt’s skin –> cyriax

A

move as one

60
Q

friction massage must have –> cyriax

A

sufficient sweep and be deep enough

61
Q

pt must be in a –> cyriax

A

comfortable position

62
Q

frequency and duration of tx –> cyriax

A

varies w/ severity and type of injury

can last up to 10-15 min

63
Q

direct technique

A

force is applied in the direction of the restriction

64
Q

direct technique is usually

A

attempted first

65
Q

when is direct technique used

A

for less reactive

more chronic

fascial restrictions

66
Q

indirect technique

A

force is applied in direction opposite the restriction

67
Q

when is indirect technique used

A

more acute

reactive

fascial restrictions

Integumentary 1 - Final (20 decks)

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