Treatment D. Flashcards
When should a therapist discuss home care options with their patient?
Home care is best prescribed at the end of the treatment and the therapist should not give too many home care suggestions at one time
When treating a patient with Parkinson’s disease, some treatment goals might include all of the following except:
Frictions to reduce scar tissue
A patient has been getting treatment for their biceps tendonitis and has also been experiencing weakness in their biceps brachii muscle. Which of the following would be the most ideal exercise to prescribe to this patient?
Preacher curls
Which technique should be avoided for a patient experiencing spasticity?
trigger point release using ischemic compressions to the affected tissue
What would be a local contraindication to tapotement?
Light hacking to the posterior thorax for a patient with asthma
A patient with scoliosis wishes to have a balanced back massage. Which of the following techniques could be reasonably performed on both the concave and convex sides of the scoliotic curve?
Myofascial Trigger Point Technique
A patient fractured their humerus and severed their radial nerve three-and-a-half months ago. On testing, they have sensation in their posterior arm, elbow, and proximal forearm, but none in their mid to distal posterior forearm and dorsum of their hand. They have strength in their triceps and supinator muscles but are unable to extend their wrist or fingers. Which technique would be contraindicated in a treatment for this person?
Muscle stripping to the forearm and wrist extensor muscles
According to evidence, what is the physiological purpose of superficial stroking?
to reduce pain
What can be efficiently used over clothes, over sheets, or directly on the skin?
Joint mobs
Soothing stroking is one of the lightest techniques used in massage. When would soothing stroking be contraindicated?
On a patient with open lesions
A hyperkyphotic patient complains of feeling tension and pain in their upper back. They demonstrate that the only thing that makes it feel better is when they ‘hug themselves’, stretching out the tight upper back muscles. They ask for further self-care recommendations. What would be appropriate to tell them?
They should stop the ‘self-hug’ as this will continue contributing to the already long and tight back muscles. Instead, they should perform shoulder retraction for strengthening and pectoralis major stretches to open up the chest.
What is an appropriate treatment goal for a patient with an extra cervical rib who is experiencing diffuse, aching pain in the shoulder, forearm & hand, and paresthesia on the ulnar side of the hand, especially in the fingers?
maintain function in the hand
Which of the following techniques can be used as both a passive movement technique and an assessment tool?
Rhythmic mobs
Which technique should be included in a treatment for a patient experiencing tension headaches involving aching pain traveling to the forehead and around the eye?
Full myofascial trigger point technique to the sternocleidomastoid muscle
Which condition would benefit the most from a therapist performing a friction technique?
Tendonitis
Which procedure best describes an appropriate protocol for manual lymphatic drainage?
Each manipulation is performed at least five times with unidirectional strokes
A patient with both lupus and fibromyalgia inquires about which type of massage they should get and for how long they should book the treatment. What would be the best response from a therapist to this patient?
A 45-minute relaxation massage with a focus on inflammation reduction would be recommended
What would benefit the most from gentle, progressive grades of joint play used carefully on the affected area?
A scleroderma patient not in flare up
Your new patient indicates on their health history form that they have never had a massage before and they occasionally experience tonic-clonic seizures. How might this affect your treatment plan?
The initial treatment might be shorter in duration and will focus on stress reduction. During subsequent treatments, you will introduce new and deeper techniques gradually and slowly
A patient has come in for a focused treatment on their left hip. They have signed off on special consent to treat the gluteal region. They indicate that imaging has not shown any arthritic degeneration and their doctor has suggested their joint pain is idiopathic in nature and should consider massage treatment. Their doctor also gave them a cortisone injection one week ago into the left gluteal region just posterior to their greater trochanter to see if it helps. What is the best treatment course for this patient?
Offer treatment for the low back and compensatory areas as performing a treatment directly over and around the left hip is contraindicated
Which lymph node region needs to be opened first before starting a manual lymphatic drainage treatment for swelling in the wrist?
Axillary region
Which of the following would be the best position for performing frictions to the infraspinatus tendon?
Prone with the shoulder in neutral
Which of the following is an important part of a treatment for a patient who has arrived with their neck bent towards the right side and complaining of stiffness and extreme pain on the right side of their neck after they slept poorly last night?
Deep diaphragmatic breathing
A patient who is seven months pregnant comes in for treatment for bilateral piriformis syndrome. Which passive stretch would be most appropriate and efficient at the very end of the treatment?
Bring the hip and knee to 90° of flexion, horizontally adduct the hip with slight external rotation of the femur
