Week 1 Soft Tissue Massage Flashcards
T or F: 3rd party payers or insurance will pay for massage
F, most of the time they do not
What is the effect of massage on venous flow?
Increased flow LOCALLY
What is the effect of massage on lactic acid?
Increased circulation and therefor may hasten resynthesis of lactic acid
What is the effect of massage on arterial flow and lympathic flow
Reactive hyperemia (increases flow)
increases lymphatic flow and decreases edema
What is the Mechanical effects of massage and what are the reflexive effects of massage
Mechanical - changes tissue structure
Reflexive- changes pain perception, changes tissue length via golgi tendon organs
How does massage alter pain perception
Causes ANS response via increased parasympathetic tone
results in decreased perception of pain
What is gate control theory?
Cutenous stimulation of large diameter nerve fibers block pain transmission information
How does massage help muscle to relax
Mechanical stretch activates golgi tendon organs causes autonomic inhibiton
How can massage help release endogenous opiates
stimulation of painful areas on skin can help release endorphins and enkephalins
What should you use first Mechanical or reflexive massage
Reflexive first to inhibit pain
then mechanical massage
massage aimed at producing mechanical effects is directed at ….
Deeper tissues, adhesions, tendons
What are the mechanical effects of massage
Loosen adhesions
softens scar formation
assists in realigning collagen
relieves myofascial triggerpoins
increased ROM
Appropriate goals related to massage
Decrease Sympathetic tone/muscle tone
decrease spasm
evaluate adhesions and myofascial restrictions
realign collagen or mobilize scar
Reduce edema
Fascilicate circulation and lymph flow
Contraindications to massage
Skin infection
Open wounds
Arteriosclerosis/thrombosis/cardiac decompensation
severe varicose veins
new tendon transplant
fracture
acute inflammation
More Massage contraindications
Cellulitis
Synovitis
Abscesses
Cancer in that area
Fever above 101
What is the correct massage sequence?
Skin rolling
Light effleurage
deep effleurage
Petrissage
Special techniques
Petrissage
Deep effleurage
light effleurage
What is the purpose of light effleurage?
Get lotion on
Warm up/cool down
Get patient accostumed to physical contact
What direction should you do effleurage?
How to apply the pressure?
Toward the heart
with more pressure as you go toward the heart
What direction should you do petrissage
Also towards the heart
What is deep effluerage used for?
Promotes relaxation
decrease of pain via gate control theory/ boosting oxytocin
Helps return of venous and lymphatics
What is petrissage used for?
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
During Friction massage, the ______ is not moved, the ____________ is moved
skin is not moved
underlying tissue is moved
Where should you use friction massage?
Where you feel spasm/adhesion/scar/trigger point
What kind of massage is this:
Small circular or transverse pressure to muscle fibers that penetrate deeply
friction
What is friction massage used for
Loosen fiberous tissue and reduce muscular spasm
realign collagen fibers
What kind of massage is best for chronically inflamed tendons (tennis elbow, jumpers knee)
Transverse friction massage
How to do transverse friction massage
place tendon on slight stretch
Massage with no gel using intense perpendicular pressure back and forth to tendon
Should transverse friction massage be painful?
How long should it last?
Yes
7-10 minutes
What kind of massage stroke is this:
Series of brisk blows with relaxed hands using rapidly alternating movements
percussion/tapotment
What is skin rolling for?
Should you use massage lotion?
Evalutes skins connectivity and underlying restrictions
no lotion is used
What is a “jump sign”
When the patient flinches as you massage a tender area
indicating there’s a trigger poin
When applying trigger point technique, you should maintain pressure until a pain level of _____ is experienced, gradually apply more pressure as needed
7/10
What massage technique should you use to relieve soft tissue from abnormal grip of fascia(collagen) in the area?
Myofascial release
How to do ART (Active release technique)
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
