Week 1 Soft Tissue Massage

Question 1

T or F: 3rd party payers or insurance will pay for massage

Answer 1

F, most of the time they do not

Question 2

What is the effect of massage on venous flow?

Answer 2

Increased flow LOCALLY

Question 3

What is the effect of massage on lactic acid?

Answer 3

Increased circulation and therefor may hasten resynthesis of lactic acid

Question 4

What is the effect of massage on arterial flow and lympathic flow

Answer 4

Reactive hyperemia (increases flow)

increases lymphatic flow and decreases edema

Question 5

What is the Mechanical effects of massage and what are the reflexive effects of massage

Answer 5

Mechanical - changes tissue structure

Reflexive- changes pain perception, changes tissue length via golgi tendon organs

Question 6

How does massage alter pain perception

Answer 6

Causes ANS response via increased parasympathetic tone

results in decreased perception of pain

Question 7

What is gate control theory?

Answer 7

Cutenous stimulation of large diameter nerve fibers block pain transmission information

Question 8

How does massage help muscle to relax

Answer 8

Mechanical stretch activates golgi tendon organs causes autonomic inhibiton

Question 9

How can massage help release endogenous opiates

Answer 9

stimulation of painful areas on skin can help release endorphins and enkephalins

Question 10

What should you use first Mechanical or reflexive massage

Answer 10

Reflexive first to inhibit pain

then mechanical massage

Question 11

massage aimed at producing mechanical effects is directed at ….

Answer 11

Deeper tissues, adhesions, tendons

Question 12

What are the mechanical effects of massage

Answer 12

Loosen adhesions

softens scar formation

assists in realigning collagen

relieves myofascial triggerpoins

increased ROM

Question 13

Appropriate goals related to massage

Answer 13

Decrease Sympathetic tone/muscle tone

decrease spasm

evaluate adhesions and myofascial restrictions

realign collagen or mobilize scar

Reduce edema

Fascilicate circulation and lymph flow

Question 14

Contraindications to massage

Answer 14

Skin infection

Open wounds

Arteriosclerosis/thrombosis/cardiac decompensation

severe varicose veins

new tendon transplant

fracture

acute inflammation

Question 15

More Massage contraindications

Answer 15

Cellulitis

Synovitis

Abscesses

Cancer in that area

Fever above 101

Question 16

What is the correct massage sequence?

Answer 16

Skin rolling

Light effleurage

deep effleurage

Petrissage

Special techniques

Petrissage

Deep effleurage

light effleurage

Question 17

What is the purpose of light effleurage?

Answer 17

Get lotion on

Warm up/cool down

Get patient accostumed to physical contact

Question 18

What direction should you do effleurage?

How to apply the pressure?

Answer 18

Toward the heart

with more pressure as you go toward the heart

Question 19

What direction should you do petrissage

Answer 19

Also towards the heart

Question 20

What is deep effluerage used for?

Answer 20

Promotes relaxation

decrease of pain via gate control theory/ boosting oxytocin

Helps return of venous and lymphatics

Question 21

What is petrissage used for?

Answer 21

Increase venous/lymphatic return

mechanically push metabolic waste out of affected areas

loosen fiberous tissue and increase skin elasticity

Causes proprioceptive input htat may reduce NM tone

May reduce collagen cross linkin and increase hydration of tissue matrix

Applies tenson to connective tissue when shearing muscle apart

Question 22

During Friction massage, the ______ is not moved, the ____________ is moved

Answer 22

skin is not moved

underlying tissue is moved

Question 23

Where should you use friction massage?

Answer 23

Where you feel spasm/adhesion/scar/trigger point

Question 24

What kind of massage is this:

Small circular or transverse pressure to muscle fibers that penetrate deeply

Answer 24

friction

Question 25

What is friction massage used for

Answer 25

Loosen fiberous tissue and reduce muscular spasm

realign collagen fibers

Question 26

What kind of massage is best for chronically inflamed tendons (tennis elbow, jumpers knee)

Answer 26

Transverse friction massage

Question 27

How to do transverse friction massage

Answer 27

place tendon on slight stretch

Massage with no gel using intense perpendicular pressure back and forth to tendon

Question 28

Should transverse friction massage be painful?

How long should it last?

Answer 28

Yes

7-10 minutes

Question 29

What kind of massage stroke is this:

Series of brisk blows with relaxed hands using rapidly alternating movements

Answer 29

percussion/tapotment

Question 30

What is skin rolling for?

Should you use massage lotion?

Answer 30

Evalutes skins connectivity and underlying restrictions

no lotion is used

Question 31

What is a “jump sign”

Answer 31

When the patient flinches as you massage a tender area

indicating there’s a trigger poin

Question 32

When applying trigger point technique, you should maintain pressure until a pain level of _____ is experienced, gradually apply more pressure as needed

Answer 32

7/10

Question 33

What massage technique should you use to relieve soft tissue from abnormal grip of fascia(collagen) in the area?

Answer 33

Myofascial release

Question 34

How to do ART (Active release technique)

Answer 34

Deep tissue technique to break down scar tissue

apply pressure on fibers and ask patient to elongate the muscle from the shortened position,

repeat 3-5 times and follow with exercise