Week 2 Flashcards
Percussive technique Contraindications
- All of the contraindications for stroking plus:
- Severe rib fracture
- Heart failure – thorax
- Acute pulmonary embolism (thorax)
- Severe hypertension (thorax)
- Arterial or venous pathology
- Acute muscle tears
- Abnormal muscle tone
- Newly formed scar
- Chronic LE swelling due to CHF
- Bony regions in thin pts
Superficial Fluid Techniques therapeutic uses
- Increase blood and lymph flow
- Decrease edema
- Relieve pain and spasm
- Relaxation
- Follows other strokes that have deeper effects and encourages the absorption of waste
- Helps patient and therapist become accustomed to the feel of the treatment
- Joins massage strokes
Connective tissue technique purpose
To palpate, lengthen, and promote remodeling of connective tissue
Neuromuscular massage techniques
- Broad contact compression
- Petrissage
- Muscle Stripping
- Specific Compression
Neuromuscular massage techniques indications
- Chronic edema
- Chronic pain
- Superficial scar of skin and subcutaneous tissues
- Contractures of muscles, tendons, ligaments, joint capsules
Contraindications for passive movement techniques
- All of the contraindications for stroking plus:
- Severe rib fracture
- Heart failure – thorax
- Acute pulmonary embolism (thorax)
- Severe hypertension (thorax)
- Arterial or venous pathology
- Acute muscle tears
- Chronic LE swelling due to CHF
- Bony regions in thin pts
Connective tissue technique therapeutic uses
- Mobilize contractures (scar)
- Increase blood and lymph flow
- Promote absorption of inflammatory exudates (edema) in subacute and chronic stages of injury
- Relieve pain and spasm
- Promote relaxation and healing
What are the types of lubricants utilized for massage?
- Powder
- Creams/Lotions
- Oils
What does Centripetal mean
Towards the heart
Therapeutic uses for passive movement techniques
- Loosen mucus in lungs
- Facilitate muscle contraction and reeducation
- Relieve neuralgic pain (amputation, trauma, pathology)
- Resolve chronic edema
What are the Passive movement techniques?
- Coarse vibration
- Shaking
Contraindications for superficial reflex technique
- Large open areas
- Gross edema
- Cancer in area
- Infections in area
- Lacerations, bruising, or foreign bodies
- Acute or chronic skin conditions
- Marked varicosities
- Within 3-6 months of radiation treatment to area
- Hyperesthesia (increased sensitivity to touch)
- Extremely hair areas
Indications for superficial reflex technique
- Acute or chronic pain
- Acute or chronic muscle spasm if performed more deeply
- Superficial scar tissue
Connective tissue technique indications
- Chronic lesions (tendonitis, muscle tears)
- Chronic pain
- Chronic superficial scar
Connective tissue techniques
- Skin rolling
- Myofascial release
- Direct fascial stretch
- Deep friction
What are the essential massage components?
- Comfort and support
- Relaxation
- Direction of stroke
- Pressure of stroke
- Rate/Rhythm of stroke
- Duration and frequency of stroke
- Indications and contraindications
Contraindications for neuromuscular massage
- All the contraindications for stroking and
- Arterial or venous pathology (DVT)
- Acute muscle tears
- Abnormal muscle tone (hyper/hypotonic)
- Chronic swelling associated with CHF in lower limbs
What are the Superficial Reflex Techniques used to only engage the skin?
- Static contact
- Superficial Stroking
- Fine Vibration
What are Right Angle stroke directions used for?
DEEP FRICTION
Superficial Fluid technique contraindications
- Large open areas
- Gross edema
- Cancer in area
- Infections in area
- Lacerations, bruising, or foreign bodies
- Acute or chronic skin conditions
- Marked varicosities
- Within 3-6 months of radiation treatment to area
- Hyperesthesia (increased sensitivity to touch)
- Extremely hair areas
- Chronic swelling in the lower limb due to congestive heart failure
What is the purpose of the Neuromuscular massage technique?
Engage muscles and affect resting muscle tension
What is the purpose of Superficial Fluid Techniques?
To engage the skin, fascia, fat, and move blood and lymph.
Therapeutic effects of Neuromuscular massage techniques
- Increase blood and lymph flow
- Reduce edema
- Mobilize skin and subcutaneous tissues
- Mobilize contractures
- Remove accumulation of metabolic waste
- Relieve pain
- Relieve muscle spasm
- Relaxation
What does Centrifugal mean?
Away from the heart
Percussive Techniques therapeutic uses
- Inc blood and lymph flow in skin and subcutaneous tissues
- Stimulate circulation of muscles – facilitates healing
- Relieve pain
- Relieve muscle spasm
- Loosen mucus in the lungs
- Facilitate muscle contraction and reeducation
Connective tissue technique contraindications
- All of the contraindications for stroking plus:
- Arterial or venous pathology
- Acute mm tears
- Acutely inflamed joint tissues
- Abnormal mm tone
Superficial Fluid Techniques and description of movement.
- Superficial Effleurage
- light pressure in the direction of blood and lymph drainage
- Superficial Lymph Drainage
- shorter strokes, stretch the skin
Indications for passive movement techniques
- Respiratory disorders with mucus retention
- Weak muscle contraction
- Difficulty initiating muscle contraction
- Chronic Pain
Superficial Fluid Techniques indications
- Chronic edema
- Chronic pain
- Chronic muscle spasm
- Superficial scar tissue
Percussive technique indications
- Weak muscle contraction
- Difficulty initiating muscle contraction
- Chronic pain (esp. nerve pain or pain from poor circulation)
- Respiratory disorders (cystic fibrosis, bronchiectasis)
Percussive Techniques - “Tapotement”
- Clapping
- Beating
- Hacking
- Pounding
What are the Therapeutic uses for Superficial reflex techniques?
- Increases blood and lymph flow
- Relieve pain and muscle spasms if performed more deeply
- Relaxation
- Help patient and PT become accustomed to the treatment
- Join massage strokes together
- That way you are not “shocking” the patient by continuously removing your hands
- Muscle stimulation when performed rapidly
