Manual Therapy/Traction Flashcards

1
Q

What is the “psychological effect” of manual therapy like massage?

A

“Hands on” effect

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2
Q

What are the indications for massage?

A

Superficial adhesions, circulatory stasis, congestion, edema/joint swelling, myalgia/trigger points, tension headaches, post exertion fatigue and stiffness

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3
Q

What are the contraindications for massage?

A

Arteriosclerosis, thrombosis/embolism, severe varicosities, acute phlebitis, cellulitis, synovitis, abscesses and skin infections, acute inflammatory conditions

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4
Q

What in the only way in which massage can be applied to areas of severe varicosities?

A

If done toward the heart

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5
Q

In what direction is effleurage massage done?

A

Parallel with the orientation of the fibers of the targeted muscle tissue

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6
Q

What type of massage is done by kneading the muscle with one or both hands and pulling the tissue up?

A

Petrissage

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7
Q

What type of massage is done with long stroking motions (both superficial and deep) and applied with the palm of the hand or the flats of the fingers?

A

Effleurage

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8
Q

What is the type of massage that is done as a series of rapid blows?

A

Tapotement or percussion

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9
Q

“Tapping” in massage is done with what body part?

A

Tips of fingers

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10
Q

“Hacking” in massage is done with what body part?

A

Ulnar border of the hand (chopping)

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11
Q

“Slapping” in massage is done with what body part?

A

Fingers

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12
Q

“Cupping” in massage is done with what body part?

A

Cupped hands

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13
Q

Manual vibration done as massage is done in what direction?

A

Perpendicular to the orientation of the targeted muscle fibers and done distal to proximal

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14
Q

G5, Genie Rub, and Thumper are all examples of what kind of therapy?

A

Mechanical vibration (massage)

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15
Q

Decreasing congestion, edema, and stasis, milk tissue, and postural drainage are all indications for which type of mechanical vibration frequency?

A

LOW

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16
Q

Analgesia, decreasing trigger points, pre-exercise warm up, relaxing spasticity, and superficial circulatory stimulation are all indication for which type of mechanical vibration frequency?

A

HIGH

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17
Q

When is medium frequency used for mechanical vibration?

A

Mild cases of the high frequency indications like analgesia and decreasing trigger points

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18
Q

What is the treatment time for trigger points with vibratory massage?

A

6-8 minutes (1 minute per)

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19
Q

What is the treatment time for muscle relaxation with vibratory massage?

A

Up to 10 minutes

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20
Q

What is the treatment time for postural drainage with vibratory massage?

A

Up to 15 minutes

21
Q

What is the treatment time for general body relaxation with vibratory massage?

A

5 minutes

22
Q

James Cyriax is known for what type of therapy?

A

Cross-friction massage

23
Q

What is cross-friction massage used for?

A

Lossening scar tissue/adhesions, absorption of local edema, mobilize ligaments, tendons, and scars, restore mobility and extensibility

24
Q

Cross-friction massage is done specifically to what part of anatomy?

A

Ligaments, tendons, muscles

25
Q

In what direction is cross-friction massage administered?

A

Perpendicular to orientation of tissue fibers

26
Q

What is unique about the administration of cross-friction massage?

A

No lotion used, done until numb, massage directly over pain

27
Q

What is the treatment time for cross-friction massage?

A

7-10 minutes or until numb

28
Q

What is the rope sign associated with trigger point therapy?

A

Taught band of fibers which can be “snapped” like a rope causing hyper-excitability in surrounding musculature (twitch response)

29
Q

What is myofascial release?

A

Applying pressure to tendons, ligaments, fascia, and nerves while actively or passively moving the tissue

30
Q

What four things does ART focus on?

A

Tissue texture, tension, movement, and function

31
Q

What is the goal of rolfing?

A

Balance the body within a gravitational field

32
Q

What is rolfing?

A

Deep massage with no lubricant

33
Q

What are the benefits to instrument assisted soft tissue mobilization?

A

Allow deeper pressure, less stress on hands/thumbs

34
Q

What is unique about the administration of FAKTR?

A

Active motion used as provocation

35
Q

What does FAKTR-PM stand for?

A

Functional, Kinetic, Treatment, Rehab, Provocation, Motion

36
Q

What are the indications for FAKTR treatment?

A

Tendinopathies, fascial syndrome, entrapment syndromes, ligament pain, scar tissue/adhesions, edema

37
Q

What is SASTM?

A

Sound assisted soft tissue mobilization

38
Q

Which of the instrument assisted techniques for massage is most expensive?

A

Graston

39
Q

What is traction?

A

Drawing or pulling apart of a body segment

40
Q

Which type of traction is not recommended and is associated with a wide variety of contraindications such as heart disease, migraines, sinus infections, etc.?

A

Inversion

41
Q

Lying supine and bringing knees to the chest is an example of what type of traction?

A

Positional

42
Q

What are the indications for spinal traction?

A

Disc protrusion/herniation, nerve root impingement, joint hypomobility, arthritis conditions of facet joints

43
Q

Which phase of intermittent spinal traction is shorter? Longer?

A
Shorter = relax phase
Longer = hold phase
44
Q

What is the treatment time for spinal traction?

A

10-30 minutes

45
Q

What is the patient position for lumbar mechanical traction?

A

Supine or prone with hips/knees flexed

46
Q

What angle of pull is associated with lumbar mechanical traction?

A

0-30 degrees

47
Q

How is cervical traction administered differently from lumbar traction?

A

Over-the-door pulley system with a bag filled with water

48
Q

What is the angle associated with cervical traction administration?

A

0 degrees (head/neck is neutral)

49
Q

Which has a greater force: lumbar or cervical traction?

A

Lumbar (30-60% of body weight) while cervical is only at 10-30%