Concepts in Soft Tissue Therapies Flashcards Preview

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Flashcards in Concepts in Soft Tissue Therapies Deck (21):

When is massage indicated in sports therapy?

When inflammation fails to resolve or healing is delayed and when tissue drainage or perfusion appear inadequate


What are the benefits of massage?

- Mobilisation/elongation of shortened connective tissues
- Reduces pain
- Restores normal muscle activity & function
- Accurate assessment of dysfunction


How does massage affect circulation?

- Changes pressure differential of circulation
- Move intra/extracellular fluids
- Lymphatic drainage
- Venous return with muscle pumps and valves


What components of skin are considered during massage?

- Circulation
- Sensation
- Scarring
- Adhesions


What components of connective tissue are considered during massage?

- Collagen (hypomobile)
- Elastin (hypermobile)
- Fibre orientation
- Strain vs stress


What is the difference between strain and stress?

Strain = force, how hard you need to press to get something to move
Stress = stretch, how far you can move something


What components of muscle are considered during massage?

- Tone
- Collagen
- Elastin
- Fibre orientation
- Muscle vs tendon tissue type
- Injury and tissue structure


How can massage affect muscle tone?

Reduce resting tone


What are the therapeutic and relaxation effects of massage?

- Vasodilation
- Extravasation (flushing)
- Traction on dermis
- Force transferred to deeper layers with increased pressure
- Physical movement of deeper tissues
- Stimulation of sensory & autonomic nerves


How does massage affect circulation?

- Delivers nutrients
- Clearance of waste products (e.g. lactic acid)
- Reduces swelling
- Post-massage increases in blood flow through region (due to vasodilation/clearance of waste)


How can massage affect connective tissue cross-bridges?

By remodelling the tissue fibres so they are linear & therefore perform better under stress


What conditions can massage be used to treat?

- Inflammation (chronic, not acute)
- Chronic oedema
- Fibrosis
- Contracture (shortening of tissues over time)
- Pain
Facilitated segment (reflexes, modulation)


What assessments can be used in conjunction with massage?

- General
- Postural
- Gait
- Appearance of tissues
- Palpation
- Functional
- Post-treatment


What is the difference between precautions and contra-indications?

Precautions = require levels of control & awareness to avoid damage
Contra-indications = not safe to perform technique


What are the precautions & contra-indications of massage?

- Thrombus (blood clot)
- Implants
- Illness (responses are not normal)
- Foreign body/bony prominence
- Haemophilia/fragile blood vessels
- Stage of healing/inflammation
- Local infection
- Open wounds
- Allergies


What manual handling issues need to be considered during massage?

- Base of support (feet)
- Bed height
- Clothing of therapist
- Patient/therapist positioning & distance


Apart from manual handling, what other issues need to be considered in the technical application of massage?

- Oil
- Environment
- Infection control
- Draping


What are the 5 main massage techniques?

- Stroking
- Effleurage
- Petrissage (kneading, wringing, rolling, shaking)
- Tapotement (clapping, hacking, vibration)
- Deep transverse friction (Cyriax)


In what context would massage be used for sport?

- Recovery from training
- Normalisation of muscle tone
- Correction of postural imbalances


In what context would massage be used for injury rehabilitation?

- Oedema
- Fibrosis
- Pain
- Normalisation of muscle tone
- Posture correction


In what medical contexts would massage be used?

- Systemic oedema
- Post surgical adhesion