wk 11- mobilisation/massage/dry needling Flashcards
proposed benefits of massage
increased flexibility
increased pain threshold
decrease neuromuscular excitability in muscle
stimulate circulation
facilitate healing
restore joint mobility
remove lactic acid
alleviate cramps
reflexive effects of massaging
stimulation of sensory receptors relieves tension, pain and increases blood flow
mechanical effects of massage
changes in myofascial structures through force applied superficially
techniques that can stretch muscle and fascia and mobilise soft tissue
how is pain reduced through massage
gate control theory- cutaneous stimulation of large diameter afferent nerves blocks transmission of pain information carried in small diameter nerve fibres
and
release of endogenous opiods (endorphin/enkephalin) which also affect transmission of pain information
what effects does massage have on superficial structures
- mechanical
- reflexive (autonomic nervous system)
how does massaging help circulation
capillary dilation increases blood flow and temp
lympahtic flow removes swelling and waste
increased venous return
when to not give a massage
arteriosclerosis
DVT
severe varicose vains
acute tear/rupture within 3 days
acute inflammatory condiitions (arhtristis, bursitis, tendonitis, synovitis)
muscle contusion- could lead to myositis ossificans
recent surgery
infection/wound
nerve compression/damage
what direction do you massage
toward heart
types of massages
effleurage
petrissage
tapotement
friction
trigger point
myofascial release
massage technique depends on
- stage of training/recovery
- injury or rehab
friction, dont use what
cream
purpose of friction massage
loosen scar tissue
aid in swelling
reduce musce spasm
trigger points
transverse friction
perpendicular to tendon
chronic tendinopathies used for
7-10 mins
only massage that can be painful
dry needling contraindicated in
epilepsy
unstable angina
high risk patients (DM, PAD, NP)
young children
heart disease/issues
skin issues
bleeding disorers
autoimmune disorders
recent surgery
pregnancy
allergy to metals
needle phobia
PN
needle length for foot, leg, glutes
foot- 30mm
leg-45-50
glutes-75-100mm
types of dry needling techniques
superficial dry needling
2-10mm in skin
intramuscular dry needling
10-45mm
periosteal pecking
5-10sec
what to document
anatomical sites
number of needles used
guage/length of needles used
batch number and expiry date
technique used
length of treatment
adverse effects reported by patient
what is mobilisation
applying force at a joints passive end range of motion at a speed and force the recipient can overcome
joint mobilisation occurs within active and passive range of joint
mobilisation is contraindicated in
hypermobile joints
fracture sites previously or current inclu stress
DVT
osteotomy
bony blocks
RA
when could u use joint mobilisation
ankle joint ROM
