4.4 Manual Therapy - Soft Tissue

Question 1

Which soft tissue mobilization physiologic effects are this?

• Light massage
• Sensory stimulation of cutaneous receptor (skin & superficial fascia)

Answer 1

Reflexive Effects

Question 2

Which soft tissue mobilization physiologic effects are this?

• increased lymphatic & capillary dilation
• increased tissue temperature & lymphatic flow
• increased oxygen
• decreased lactic acid
• decrease pain

Answer 2

Autonomic Nervous System (ANS)

Question 3

What type of effect is this?

• increased pressure
• deeper tissues
• pressure receptor

Answer 3

Mechanical Effects

Question 4

What type of effect is this?

• “hands on”
• direct help
• decreased anxiety

Answer 4

Psychological Effects

Question 5

What type of manual therapy is this?

• rolling is described as a self release technique
• rolling-induced global effects on muscle tone from changes in the parasympathetic system, reflexes and pain tolerance may have
• single episode of stretching and foam rolling does not affect short-term ITB stiffness

Answer 5

Myofascial Release

Question 6

What type of manual therapy is this?

• Upward Stroke: sustained pressure
• Return Stroke: maintain light pressure
• Smooth, rhythmical & relaxed application
• builds towards deeper pressure
• follow natural body contours
• decrease pressure over bony prominences

Answer 6

Effleurage

Question 7

What type of manual therapy is this?

• kneading manipulations
• stationary or start proximally & move distally
• deeper pressure
• Upwards Stroke: towards the heart
• Shorter strokes than effleurage
• Static contact with skin while moving over the muscle
• moving proximal to distal
• more pressure than effleurage
• pressure & release helps “pump” out the blood

Answer 7

Petrissage

Question 8

What type of manual therapy is this?

• Indication: Chronic tendinitis/tenosynovitis
• Process:
  place tendon on stretch, stroke thumb/forefinger perpindicular across fibers, <10 min, Ice
• Goal: inflammatory response

Answer 8

Cross Fiber/Transverse Friction (connective tissue)

Question 9

What type of manual therapy is this?

• Indication: Hypersensitive bundel/nodule
• Goal: increase ROM

Answer 9

Trigger Point Therapy

• Trigger Point release: pressure as tolerate 1-5 min
• Strain/Counterstrain: Pressure on TP, passively shorten muscle, 90 sec
• Active Release: Maintain pressure AROM of muscle, 3-5x