Whirlpools/Massage/Joint Mobilizations

Question 1

What are 4 pros for Using a Whirlpool with a Client.

Answer 1

1. Good for cleaning thick exudate, slough or necrotic tissue.
2. Effective for cleansing and debreding superficial necrotic material
3. Mechanical effect: stimulated granulation tissue, softens tissues, and increased circulation to affected areas.
4. Created a sedative and analgesic effect.

Question 2

What are 3 cons for Using a Whirlpool with a client?

Answer 2

1. Not indicated for clean, granulating wounds.
2. Increases edema.
3. Retard epithelialization (slows the healing process).

Question 3

4 Types of Massages Learned in Class.

Answer 3

1. Stroking (Effleurage)
2. Kneading (Petrissage)
3. Transverse Friction.
4. Triger Point.

Question 4

Describe Stroking (Effleurage)

Answer 4

Preparatory passage of hand over an extended area of the body with constant pressure.

Question 5

Describe Kneading (Petrissage) Process

Answer 5

Pull the fore fingers to the thumb.

Question 6

What does Transverse Friction Accomplish

Answer 6

Irritates and brakes up scar tissue.

Question 7

Describe Trigger Point

Answer 7

Points located in a taught band of skeletal muscles, is a hyper contradiction.
Locate trigger point, press and hold on point until it released.

Question 8

2 reasons you would you use joint mobilizations with a client

Answer 8

1. Decrease pain

2. Increase motion.

Question 9

What are 6 contraindications/precautions/indications to consider when using joint mobilizations.

Answer 9

1. Hyper-mobility
2. Joint diffusion.
3. Unhealed fracture.
4. Bone disease.
5. Excessive paint.
6. Total joint replacement.

Question 10

Purpose and Description of a Grade 1 Joint Mob.

Answer 10

Loosen: small amplitude distraction is applied where no stress is placed on the capsule.
Used for pain.

Question 11

Purpose and Description of a Grade 2 Joint Mob.

Answer 11

Tighten: enough distraction or glide is applied to tighten the tissue around the joint/taking up slack. Reach the joint limit.
Used for pain.

Question 12

Purpose and Descriptions of a Grade 3 Joint Mob.

Answer 12

Distraction: or glide is applied with an amplitude large enough to place a stretch on the joint capsule and on the surrounding periarticular structure. Push the limits of the joint.
Used to increase motion.

Question 13

How do you properly asses pain?

5 points

Answer 13

1. Use the numeric scale 0-10.
2. Ask the pt. how much pain at rest and then with movement.
3. Where is the pain located.
4. Is it sharp/shooting, dull/achy, or burning/throbbing.
5. What activities induce the pain.