Week 11: STM

Question 1

Effleurage Definition

best with or without emollient ?

Answer 1

• glides over skin lightly w/o attempting to move deep muscle masses.
• used to accustom pt to physical contact, distribute lubrication, assess for areas of spasm/soreness/ trigger pts and improve blood flow and pain threshold

BEST WITH EMOLLIENT

Question 2

Petrissage Definition

best with or without emollient ?

Answer 2

• consistent kneeding the presses and rolls of muscle/tendon/ligament/fascia
• area is gently swueezed, lifted, and relaxed in a kneading fashion
• DEEPER TECHNIQUE aimed ot improve adhesions btw skin muscle fascia and connective tissue

BEST WITH EMOLLIENT

Question 3

Knuckling Definition

best with or without emollient ?

Answer 3

• use of dorsal surface of digits, MCPs, IPs for deeper stroking technique for improving fascial mobility, tension, and adhesions

BEST WITH EMOLLIENT

Question 4

Stripping Definition

best with or without emollient ?

Answer 4

• use of thumb, supported digit, pisiform, for deep focal stroking technique for improving fascial mobility, tension, and adhesions

BEST WITH EMOLLIENT

Question 5

Fascial Stretching Definition

best with or without emollient ?

Answer 5

• glides over the skin lightly w/o attempting to move the deep muscle masses
• used to accustom pt to physical contact, distribute lubrication, assess for areas of spasm/soreness/ trigger pts and improve blood flow and pain threshold

BEST WITHOUT EMOLLIENT

Question 6

Skin Rolling Definition

best with or without emollient ?

Answer 6

• lift separate skin from underlying fascia and muscle in order to improve soft tissue mobility, sensitivity, and improve circulation

BEST WITHOUT EMOLLIENT

Question 7

Strain counter strain Definition

best with or without emollient ?

Answer 7

• clinician locates tender point or muscle and moves the patient passively into a position of ease or comfort. the accomplished by markedly shortening the muscle or tissue. the position is passively maintained for 90 seconds or until sensitivity symptoms improve
• slow return to neutral position

BEST WITHOUT EMOLLIENT

Question 8

Positional Release Definition

best with or without emollient ?

Answer 8

• begin with strain counter strain then add submaximal acupressure to trigger point. can continue to work toward passively positioning the pt to greatest ease or comfort while pressure is held for 90 seconds

BEST WITHOUT EMOLLIENT

Question 9

Trigger Point Massage Definition

best with or without emollient ?

Answer 9

• using tip of digit, pisiform, or olecranon process, slowly build circular pressure/stroles on palpated trigger point for 1-5 minutes or until sensitivity/symptoms improve

BEST WITHOUT EMOLLIENT

Question 10

Trigger Point Acupressure Definition

best with or without emollient ?

Answer 10

• using tip of any digit, pisiform, olecranon, palpate the desired trigger point and add progressive static central pressure to the center of the trigger point for 60-90 seconds or until sensitivity/symptoms improve

BEST WITHOUT EMOLLIENT

Question 11

Active Release Definition

best with or without emollient ?

Answer 11

• same technique as acupressure for trigger point but will add additional movement above or below the trigger points to allow tension/lengthening of the muscle to occur. static acupressure is held while the pt actevely moves to increase stretch or tension for 3-5 reps or until symptom improvement

BEST WITHOUT EMOLLIENT

Question 12

Cross friction massage Definition

best with or without emollient ?

Answer 12

• placing tendon/muscle/scar on slight stretch and massage using progressive deep perpendicular strokes. often painful
• used in tendonopathies, chronic over-use injuries, and scar tissue