wk 11- mobilisation/massage/dry needling

Question 1

proposed benefits of massage

Answer 1

increased flexibility
increased pain threshold
decrease neuromuscular excitability in muscle
stimulate circulation
facilitate healing
restore joint mobility
remove lactic acid
alleviate cramps

Question 2

reflexive effects of massaging

Answer 2

stimulation of sensory receptors relieves tension, pain and increases blood flow

Question 3

mechanical effects of massage

Answer 3

changes in myofascial structures through force applied superficially

techniques that can stretch muscle and fascia and mobilise soft tissue

Question 4

how is pain reduced through massage

Answer 4

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

Question 5

what effects does massage have on superficial structures

Answer 5

1. mechanical
2. reflexive (autonomic nervous system)

Question 6

how does massaging help circulation

Answer 6

capillary dilation increases blood flow and temp
lympahtic flow removes swelling and waste
increased venous return

Question 7

when to not give a massage

Answer 7

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

Question 8

what direction do you massage

Answer 8

toward heart

Question 9

types of massages

Answer 9

effleurage
petrissage
tapotement
friction
trigger point
myofascial release

Question 10

massage technique depends on

Answer 10

1. stage of training/recovery
2. injury or rehab

Question 11

friction, dont use what

Answer 11

cream

Question 12

purpose of friction massage

Answer 12

loosen scar tissue
aid in swelling
reduce musce spasm
trigger points

Question 13

transverse friction

Answer 13

perpendicular to tendon

chronic tendinopathies used for

7-10 mins

only massage that can be painful

Question 14

dry needling contraindicated in

Answer 14

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

Question 15

needle length for foot, leg, glutes

Answer 15

foot- 30mm
leg-45-50
glutes-75-100mm

Question 16

types of dry needling techniques

Answer 16

superficial dry needling
2-10mm in skin

intramuscular dry needling
10-45mm

periosteal pecking
5-10sec

Question 17

what to document

Answer 17

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

Question 18

what is mobilisation

Answer 18

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

Question 19

mobilisation is contraindicated in

Answer 19

hypermobile joints
fracture sites previously or current inclu stress
DVT
osteotomy
bony blocks
RA

Question 20

when could u use joint mobilisation

Answer 20

ankle joint ROM