Week 11 Soft Tissue Mobs/ Mechanotherapy Flashcards
1
Q
Treatment goals for Soft Tissue Mobilization
A
- Increase pain threshold
- Improve mobility of soft and connective tissue
- Stimulate circulation/Improve energy transport/facilitate healing
- Improve flexibility
- Improve coordination
- Decrease neuromuscular excitability
- Restore joint mobility
- Remove lactic acid
- Improve motor firing
2
Q
Effleurage with emollient
A
- Typically warm up touch
- Glides over the skin lightly without attempting to move deep muscle masses
- often used to accustom the patient to physical contact, distribute lubrication, assess for areas of spasm/ soreness/trigger points , improve blood flow and pain threshold
3
Q
Petrissage: with emollient
A
Consistent kneading the presses and rolls the muscle/tendon/ligament/fascia
- the area is gently squeezed, lifted and relaxed in a kneading fashion
- this deeper technique aimed at improving adhesions between skin, muscle, fascia and connective tissue
4
Q
Knuckling with emollient
A
- Use of dorsal surface of digits, MCPS, IPs and deeper stroking technique for improving fascial mobility, tension and adhesions (large area)
5
Q
Stripping with emollient
A
- Use thumb supported digit, pisiform for deep stroking technique for improving fascial mobility, tension, and adhesion
6
Q
Fascial Stretching without emollient
A
- Glides over the skin lightly without attempting to move the deep muscle masses
- Often used to accustom the patient to physical contact, distribute lubrication, assess for areas of spasms/soreness/trigger points, improve blood flow and pain threshold
7
Q
Skin rolling: without emollient
A
- Lift separate skin from underlying fascia and muscle in order to improve soft tissue mobility, sensitivity and improve circulation
8
Q
Strain-counter strain: without emollient
A
- Clinician locates a tender point or muscle and moves the patient passively into a position of ease or comfort
- They accomplished by markedly shortening the muscle or tissue
- The position is passively maintained for 90 seconds or until sensitivity/symptoms improve
- Slow return to neutral position after
9
Q
Position Release: without emollient
A
- Begin with strain-counter strain then add submaximal acupressure to trigger point
- Can continue to work toward passively positioning the patient into greatest ease or comfort while pressure is held for 90 seconds
10
Q
Trigger Point Massage: without emollient
A
- Using tip of any digit , pirigotm or olecranon process slowly build circular pressure/strokes on palpated trigger point for 1-5 minutes or until sensitivity/symptoms improve
11
Q
trigger point Acupressure:
A
- using tip of any digit, pisiform, olecranon process, palpate the desired trigger point
- Add progressive static central pressure to the center of the trigger point for 60-90 seconds or until sensitivity/symptoms improve
12
Q
Active Release
A
- Same technique as acupressure for trigger point but will add additional movement above or below the trigger points to allow tension/lengthening of the muscle to occur. Static acupressure is held while the patient actively moves to increase stretch or tension for 3-5 repetitions or until symptoms improve
13
Q
Cross friction Massage
A
- Placing tendon/muscle/scar on slight stretch and massage using progressive deep perpendicular strokes
- often painful
- Used tendinopathies, chronic over-use injuries and scar tissue
14
Q
Contraindications for Soft Tissue Mobilization
A
- Malignant tumor
- skin condition
- open wound
- Acute inflammation
- Impaired sensation
15
Q
Precautions for Soft tissue Mobilizations
A
- Circulatory dysfunction
- Abnormal end feel
- Joint effusion
- Presence of neurological signs sx
- Osteoporosis
- pregnancy
- Dizziness
- Steroid and anticoagulant use
