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3 Biophysical Agents > L6/7 Soft Tissue > Flashcards

L6/7 Soft Tissue Flashcards

1
Q

Massage therapy includes

A

kneading
wringing
skin rolling
rhythmic percussion
cupping

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2
Q

Manual therapy includes

A

joint mob
manual traction
soft tissue mob
compression bandaging

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3
Q

Goal of STM

A

break down adhesions
increase circulation
improve ROM
reduce swelling
decease pain
restore function

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4
Q

Contraindications of STM

A

acute/emergency conditions
fever
open wounds
malignancy
blood disorders
RA flares

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5
Q

Precautions of STM

A

recent surgery
burns
fractures
decreased sensation or oversensation
osteoporosis
varicose veins

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6
Q

Effleurage

A

gliding strokes, slow
can be a flush, movement of fluids (acute). Stretching (deep)

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7
Q

Petrissage

A

kneading, lifting
improve mobility
circulation
decompression

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8
Q

Tapotement

A

rapid percussive movements
stimulating effect

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9
Q

Scar mobilization

A

circles, perpendicular and parallel to scar
can work on post op scars
5-10 min
expect 4-8 weeks of work

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10
Q

Cross Friction Massage

A

repetitive non gliding movement of finger tips
helps to increase blood flow, break up adhesions

focusing on tendon stretches tissue

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11
Q

Short term effects w/STM

A

LBP
Patellofemoral pain

not effective for headaches

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12
Q

Why do we do STM?

A

pt expectations
revenue generating
b/c predecessors did it
confirmation bias
press and guess

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13
Q

5 Rs of Rehab

A

Reset
Reeducate
reinforce
reload
return

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14
Q

purpose of taping

A

stability to unstable segments
swelling
neuromuscular facilitation
postural corrections

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15
Q

Taping variables

A

rigidity
breathability
length of time worn
skin irritation
dependence

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16
Q

Athletic taping

A

rigid cotton tape
can be done with pre wrap under
short <1 day duration of application
most supportive
least breathable

17
Q

McConnell Taping

A

breathable, less irritable Coverall tape
Leuko-tape to pull or stabilize

strong evidence helps with pain and functional ability

possibly causes skin irritation, dependence

18
Q

Kinesio-tape

A

reduce pain/swelling, increase circulation, minimize bruising, support. drains lymph

up to 5 days of wear time
water resistant
latex free

19
Q

Depth and kinesiotape

A

Ultra light = epidermis
Super light = dermis
Paper off = superficial fascia
Moderate = deep fascia
Severe = tendon
Full = ligament

20
Q

Using broad slow manual strokes with your hands to reduce edema is which type of soft tissue mobilization?

A

effluerage

21
Q

Important principles of soft tissue mobilization to maximize the therapeutic effect include

A

pt expectations
PT body mechanics
consent
education

22
Q

What is positional release therapy?

A

Mild pressure at the trigger point for 90 seconds

23
Q

Active Release Technique protocol involves a particular order. If the initial treatment was well tolerated what could you do to potentially get more benefit?

A

increase number of AROM reps
Increase pressure on the trigger point
Increase the amount of stretch by adding PROM at the end of the available AROM

24
Q

Active Release Technique benefits

A

restore free motion of all soft tissues
release entrapped nerves, vasculature, lymph
re-establish optimal texture

25
Q

Steps of ART

A

find tender spot
position pt
put pressure
PROM or AROM
pressure should be close to parallel

26
Q

Positional Release Therapy

A

applying pressure to manipulate the nervous system to interrupt pain/spasm

usually when muscle is in a shortened position, relaxing the nerve can help the muscle stretch/contract/heal

27
Q

Effects of positional release therapy

A

reduce muscle hypertonicity
increase local circulation
increase ROM
improve lymphatic flow
decrease pain
increase strength

28
Q

IASTM

A

easier on PT hands, lose real-time feedback
quicker than traditional
enhance fibroblast activity

tools applied at 30-60° for 40-120s
increase pressure/angle based on response

29
Q

STM effects

A

break up adhesions
decrease tone

increase ROM, decrease pain, increase circulation

3 Biophysical Agents (13 decks)

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