Applications/ sequences/treatment planning/ contraindications

Question 1

clinical application patient groups for massage

Answer 1

musculoskeletal disorders
respiratory disorders
long-term or terminal illness sufferers

Question 2

specific musculoskeletal disorder use for massage

Answer 2

soft tissue injuries
athletes - pre-event, post -event
WRMSDs
Mechanical neck pain
Mechanical low back pain

Question 3

soft tissue injuries

Answer 3

strains, sprains, tendinopathy etc

Question 4

respiratory disorders that may benefit from massage

Answer 4

COPD, CF (percussion, vibs, & shaking)

Question 5

contraindications

Answer 5

A condition or situation that makes using the specified procedure harmful.

Question 6

indesirable effects of massage in varicose vein

Answer 6

increased blood flow
increased lymphatic flow
compression and shear
applied too early in healing and disturb the healing and cause bleeding.

Question 7

other situations in which massage can have a negative effect

Answer 7

lubricant allergy
infection - can spread
increased excess metabolic activity in tissue - calcification

Question 8

absolute contraindication

Answer 8

acute infection
cancer 
TB
open wound/burn
foreign body/bone fragment
circulatory disease
skin disease e.g. psoriasis
48-72hours post injury

Question 9

examples of acute infections that can cause contraindication

Answer 9

bone e.g. osteomyelitis 
joint e.g. septic arthritis
muscle
subcutaneous tissue e.g. cellulitis
acute generalised infection - febril conditions

Question 10

Potential signs of cancer

Answer 10

intractable pain 
fatigue/ feeling of being generally unwell
unexplained weight loss
fever 
lumps

Question 11

examples of circulatory disease

Answer 11

superficialThrombophlebitis or DVT(Deep vein thrombosis)

Question 12

signs of DVT

Answer 12

Calf swelling
Erythema
Increase temp.
PAIN

Question 13

Risk factors for DVT

Answer 13

Immboility
smoking
cancer
pregnancy
oestrogen therapy
dehydration
blood disorder
cannulae

Question 14

myositis ossificans

Answer 14

An extra-osseous non-neoplastic growth of new bone.

Question 15

most common sites of myositis ossificans

Answer 15

Most common sites = Brachioradialis & Quadriceps

Question 16

what is the most common patient of myositis ossificans

Answer 16

Often post-traumatic in teens & 20’s but can be genetic (multiple spontaneous sites)

Question 17

potential contraindications

Answer 17

Cancer – Malignant disease
Fragile skin
Collagenous weakening e.g. diabetes, advanced RA(rheumatoid arthritis), long-term steroid use
Cardiac pathology – increase BP, reflex fx (neck, chest, mid-thoracic)
Dermatomyositis – re. Total body massage only
immune disorder where body attacks skin & muscle

Question 18

situations in which caution is required for massage

Answer 18

Cancer 
Stationary pressure 
care to avoid    
peripheral nerves
Intramuscular haematomas
Over front / side of neck e.g. thyroid gland or carotid sinus

Question 19

general considerations for accurate medical diagnosis

Answer 19

ACCURATE MEDICAL DIAGNOSIS & Hx
PHYSICAL EXAMINATION 
CHECK FOR C/I
MASSAGE – only part of total Rx
PATIENT POSITION – comfort, support Rx area, cover appropriately 
minimise trunk rotation/flex
stance (in direction of technique)
base of support (BOS)
move with technique (avoid excessive reaching)

Question 20

treatment planning

Answer 20

PLAN
Assess & set goals
Treat
Constant feedback from pt: verbal vs. non-verbal
Re-assess comparable signs

Question 21

parameters of treatment planning

Answer 21

PARAMETERS
Sequence plan
Directions
Pressure / Depth
position of lesion
healing stage
Rate & Rhythm
Duration
lesion, size, rate, pt. age, changes in s&s 
Frequency of Rx