Untitled Deck Flashcards
What are superficial fluid techniques?
Massage techniques applied to tissues superficial to muscle to increase blood or lymph return.
What are examples of superficial fluid techniques?
Superficial effleurage and superficial lymph drainage.
What is superficial effleurage?
A gliding technique performed with light pressure in the direction of venous and lymphatic flow that deforms tissue down to the investing layer of deep fascia.
What are other names for superficial effleurage?
‘Effleurage,’ ‘gliding,’ ‘stroking,’ and ‘deep stroking.’
What is the primary use of superficial effleurage?
To increase venous return and lymphatic return, spread oil at the start of regional massage, and relax patients.
What are the physiological effects of superficial effleurage?
Improves fluid dynamics, decreases anxiety, induces relaxation, and stimulates peristalsis.
How does superficial effleurage affect lymphatic flow?
It causes contraction of small lymphatic vessels, increasing lymph formation and return.
What conditions is superficial effleurage indicated for?
Lymphatic congestion, edema, sprains, strains, and lymphedema following surgical excision.
What are the components of superficial effleurage?
Contact: Whole relaxed palmar surface of hand; Pressure: Light; Engages: Skin, superficial fascia, and fat.
What is the recommended rate for superficial effleurage strokes?
5 to 50 cm/s, with one author specifying 15 cm/s.
What should therapists observe during superficial effleurage?
Signs of reduction of swelling and relaxation in the client.
What signs indicate reduction of swelling?
Normalization of skin color and texture, change of surface contours, and visible reduction of swelling.
What signs indicate relaxation in the client?
Decrease in breathing rate and depth, deeper voice tone, and systemic reduction of resting muscle tension.
What is the therapist’s position during superficial effleurage?
Maintain an upright torso and use leg movement for stroke length, avoiding overreaching with arms.
What feedback should therapists seek from clients?
The client’s level of comfort during the technique.
What is systemic reduction of resting muscle tension?
It is evidenced by softening of the tissue contours or broadening and flattening of body segments.
What are signs of muscle response during treatment?
Muscle twitches and jerks.
What indicates an increase in digestive activity?
Increases in peristaltic noises.
How can heart rate changes be observed?
Decreases in heart rate can be evidenced by changes in pulses that are visible at the neck, wrist, and foot.
What symptoms may indicate an undesirable sympathetic response?
Agitation or sweating.
What should therapists do to ensure client comfort during treatment?
Get feedback on the client’s level of comfort during the technique.
What is a suggested statement to check client comfort?
“Let me know if this pressure becomes uncomfortable.”
What should be monitored when applying techniques to reduce pain?
“What is happening with your pain?” This allows checking how the client perceives the intervention’s effect.
What technique should clients perform during the intervention?
Encourage deep diaphragmatic breathing to assist lymphatic drainage and relaxation.
What is required for therapists to master superficial effleurage?
Clinical training and supervised practice.
When is advanced training advisable?
In certain situations, particularly when dealing with pathological conditions.
What should be recognized before using superficial effleurage?
The signs and symptoms of major vascular disease and major lymphatic dysfunction.
How should edema secondary to trauma be treated?
Apply extended, repetitive superficial effleurage proximal to the site of trauma.
What should be combined with superficial effleurage for treating trauma?
Ice or the application of cold, elevation of the limbs to 30° or 45°, and passive movements.
What is the post-intervention self-care for orthopedic injuries?
Rest, ice or the application of cold, compression, and elevation of the limbs to 30° or 45° (RICE).
What is required for the comprehensive treatment of lymphedema?
Detailed, expert instruction on hygiene and skin care, regular use of compression bandages and garments, and specialized active exercises.
What interventions may be indicated for lymphedema?
Gait, locomotion, balance, postural awareness training, strengthening, and functional training in self-care.
What should be ensured before treating edema associated with venous stasis?
Ensure that thrombus or thrombophlebitis are absent.
Where should the technique be applied for venous stasis?
Proximal to the site of stasis, avoiding the immediate area of ulcers or varicosities.
What home care may be helpful during venous stasis treatment?
Elevation of a limb during the intervention and raised leg exercises.
