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Final Flashcards

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1
Q

Indications for massage?

A 
Relive pain
Relax 
Inc circulation 
Dec edema
Inc mobility
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2
Q

Contraindications of massage?

A 
Conditions spread by massage
Internal bleeding
Acute inflam- RA exacerbate 
Circulatory condition 
Pitting edema
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3
Q

Precautions of massage?

A

Abnl sensation
Instability
Hygiene

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4
Q

Psychological effects of massage?

A

Build trust
Relax
Convey feeling

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5
Q

Mechanical effects of massage?

A 
Assist venous return 
Encourage lymphatic flow 
Dec edema
Dec scar
Stretch tissue
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6
Q

Physiological effects of massage?

A

Metabolic balance

Prevent venous statsis- prevent edema

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7
Q

Reflex effects of massage?

A 
Vasodilation/ vasoconstrict 
General relaxation or general  stimulation
Goose bumps
Stim endorphins and endogenous 
Psychoneuroimmunological
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8
Q

What is the function of effleurage?

A

Glide over skin over subcutaneous and mm as a whole

Assessment, begin and end massage, mobilize skin, transitional stroke

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9
Q

Types of effleurage

A

Long or vertical
Horizontal
Shingling

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10
Q

NeuromuscuLar techniques are

A

Compression - constant pressure
Petrissage- c kneading
Stripping or knuckling-

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11
Q

CT technique are

A

skin rolling- lift, wave like normalize particular area
Friction-circular ( spiral inc in depth), transvere ( on adhesions), cross friction( itis, Inc release of histamine)
MFR

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12
Q

What does MFR do to surrounding area?

A

Relax surrounding area to allow full joint motion

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13
Q

Goals of mfr are?

A

Restore functional balance
Dec symptoms
Inc tissue rom store quality and quantity
Normalize show absorption

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14
Q

What is the superifical or subcutaneous layer of skin?

A

Undersurface of skin, loose, fat Cells, blood vessels

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15
Q

What is the deep layer of the skin?

A

Compartmentilze mm

Seperate and contour filled to allow movement of one layer to another

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16
Q

What is the subserous layer of skin?

A

Lubricants viscera

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17
Q

The function of MFR includes

A 
Support 
Mvmt
Stability 
Fluids 
Receptors
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18
Q

The pathway of injury to tissues

A

Inflam change tissue texture
Bio mechanical changes
Immunological change were scars interfere with function

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19
Q

Direct technique is

A

Push in direction of restrictions.

For acute injuries

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20
Q

Indirect technique is

A

Find restrictions push in opposite directions

Chronic injury

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21
Q

What a intrinsic forces?

A

What the pt puts out

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22
Q

What are extrinsic forces?

A

What PT puts out

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23
Q

What is the release phenomenon technique?

A

Move in or away from restrictions.

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24
Q

What is the testing hand.

A

Hand doing the work

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25
What is the assisting hand?
Support from distance away from pt
26
What is ease technique?
Direction of least resistance | Indirect
27
What is bind technique?
Direction of resistance | Direct
28
What is pathway of treatment ?
Assessment- locate restriction, end feel, fine tune, clock method Application of load pt enhanced Exercise to reinforce release, strengthen in new rom
29
What is the stroke techniques for treatment pathway ?
``` Skin glide/ finger glide Bony contours with finger glide Sustain pressure for 30 secs Sustain pressure by lengthening/ shortening Unlock spiral Direct oscillation Indirect oscillation ```
30
Indications for hand wrist finger massage
``` Carpal tunnel Tendonitis - golfer and tennis elbow, duquerivers Adhesion or contracture Amputation OA and RA Overuse Fx ```
31
Contraindications for hand wrist finger massage
``` Open wound Unsealed fx Tendon repair Tumor Infection RA ```
32
Forearm wrist flexors
Flexor capri radialis and ulnaris
33
Forearm wrist extension
Extensor carpi radialis longus/ brevis, and ulnaris
34
Forearm finger flexors
Flexor digitorium, superficials, profundus
35
Forearm finger extensors
Extensor digitorium
36
Intrinsic hand mm
Thenar, hypothenar Dorsal and palmar interossie Lumbricals
37
Positing for hand, wrist, forearm massage
Sitting with hand supported by pillow, don't jab shoulder | Supine pillow under head and knee, arm straight in air, Dec edema
38
Hand wrist, forearm massage intervention
1 pulse 2 open 3 middle 4 close
39
What is in the opening of the hand, wrist, forearm massage?
Below elbow to shoulder- effleurage and petrissage of biceps and triceps Finger tip to elbow- effleurage distal to prox
40
What is in the middle of the hand, wrist, forearm massage?
Forearm to wrist to hand MFR- finger glide Effleurage- wrist to elbow, finger to elbow, finger to wrist Petrissage- midforearm up ext and flexors Friction- medial lateral and ant post each finger, tendons, bellies, webspace, Mtc Webspace Rom Stretch and close arches Mobilize mcp Radius Ulnar
41
What is in the closing of the hand, wrist, forearm massage?
Elbow to shoulder, finger tips to elbow | Fingertips to shoulder
42
MFR provides?
``` Mechanical and elastic Tension regulator Support and protect restraint Lubrication and spaces Continuum ```
43
If the fascia is injured result in?
Scarring Neuro flexible response Functional loss
44
What is a trigger point?
Hyper irritable spot
45
What is a primary trigger point?m
Causes pain when palpation or pass over it
46
What is the secondary trigger point?
All of a sudden find it and cause pain, | Need to find primary cause
47
What is treatment for increase mm tone?
MFR strumming or constant pressure
48
How to treat mm play?
MFR strumming or perpendicular mobilization
49
What is the technique for MFR stroke of strumming?
``` Finger with heal of hand Apply perpendicular pressure Stay in contact as glide Horizontal( superifical) vs vertical( deep) Respiration assist from pt ```
50
What is the function of strumming?
Assessing restriction identification of mm tone
51
What is the function of perpendicular mobilization?
Assess mm play and edges in relation to surrounding tissue
52
What is the technique for perpendicular mobilization?
``` Perpendicular pressure Identify restriction Assist hand places tissue on slack Continuous pressure Respiration assist ```
53
What are indications for CS and TS massage?
``` Upper cross syndrome CS pain Facet joint problem Healed fx Post op Lig sprain OA Rib dysfunction Whip lash Mm strain FHP H/A Herniation Scolosis TMJ ```
54
What are contraindications for CS and TS massage?
``` Acute whiplash Unhealed fx Active Potts disease- Tb Anklyosing spondylitis Mi Cancer ```
55
What are the mm for CS and TS massage?
Subocciptial Intertransveri, Semi spinalis, thoracis, cerivus, capitus, rotators, thoracis Erector spinae Serratus posterior superior Levator scap, mid trap, upper trap, scalene, Scm Lower trap, rhomboid, latts, rtc
56
What is the primary position for CS and TS massage?
Prone with pillows in neutral LS, under ankles, towel roll under acromion Sheets over sacrum to CS, over legs
57
What is the secondary position for CS and TS massage?
Seated in 45 pillow under face and knees | Sit over table and head comfortable on table with pillow for support
58
What is the opening for CS and TS massage?
Sacrum to base of occiput Superifical to deep figure 8 Up center down and out Atleast three
59
What is the middle for CS and TS massage?
MFR- finger glides Effleurage- shingles, long effleurage, figure 8, horizontal Petrissage- erector spinae and traps different fibers Friction- around scapula, base of occiput, paraspinalis cervical and thoracic, traps, rhomboidas, btwn ribs Mfr- constant pressure, strumming, perpendicular mob, skin rolling, stripping, stretching
60
What is the closing for CS and TS massage?
Whole back: sacrum to occiput
61
What is the definition of massage?
Manipulation of soft tissue | NS, MM, circulation
62
What is lymphedema?
Abnormal accumulation of protein rich fluid I'm interstitum
63
What is lymphedema fluid made of?
``` Protein Water Rbc, wbc Lymphocytes Waste products Foreign substances Fat ```
64
What is the function of the nodes?
Filter station for noxious material Produce lymphocytes Regulate amount of protein
65
What does the sub mental water shed drain?
Under chin | Drain lower lip, gums, tip of tongue,chin
66
What does the submandibular water shed drain?
Under mandible | Drain lips, external cheeks, medial eyelid, teeth, gum,tongue, floor of mouth, cheek mucosa
67
What does the perauricular water shed drain?
``` Front of ear Parotid gland Front ear Nasal root Lateral eye lid ```
68
What does the retroauricular water shed drain?
``` Behind ear Ear Posterior surface Scalp Middle ear ```
69
What does the occiput water shed drain?
In trap | Posterior and base of neck
70
What does the cervical water shed drain?
``` In Scm Ear Parotid gland Jack angle Neck Base of head Tonsils ```
71
What does the axillary water shed drain?
In armpit Ue Upper trunk quadrant Mammary gland
72
What does the pectoral water shed drain?
Mammary gland | Lateral quadrant
73
What does the cubital water shed drain?
Forearm | Hand
74
What does the lumbar water shed drain?
Testicles/ ovaries Uterus Kidney Adrenal gland
75
What does the iliac water shed drain?
``` Inguninal Bladder Prostate Uterus Upper vagina ```
76
What does the superifical inguinal water shed drain?
``` Below naval Lumbar Glutes Perineum External genetial Low extremity ```
77
What does the popliteal water shed drain?
Lower leg
78
How does the body transport the lymph?
Intrinsic contraction Respiration Venous and arterial pulse Skeletal mm movement
79
What is primary lymphedema caused by?
Mechanical insufficiency of lymphatic system | Female
80
What does praecox mean?
Before 35
81
What does tarda mean?
After 35
82
What is hypoplasia?
Most common | Less than normal number of lymph node or insufficient
83
What is hyperplasia?
Vessel excessively dilated causing to be less function | D/t vascular dysfunction
84
What is aplasia?
Absence of lymph nodes or lymph node capillary | Combo with hypoplasia
85
What is inguinal nodes fibrosis ( kinmoutn syndrome)?
Fibrosis, fibrosclerosis, fatty degeneration or morphological changes to iliac and inguinal lymph nodes Always LE
86
What is milroys disease( type 1 congenital)?
Affect at birth Male One LE
87
What is meiges syndrome ( type 2 no congenital)?
During puberty Female LE Fusion of two toes, 2 rows of eyelashes, nearsighted, yellow nails, vertebral abnormalities, cerebrovascualr malformations, cleft palate, sensory loss
88
What is secondary lymphedema?
``` Surgery Radiation Trauma Cancer Parasite Infection Obesity Self induced Benign Malignant ```
89
What are the symptoms of lymphedema?
``` Slow onset, progressive Pitting Distally Limb feel heavy, tight, fatigue Inc risk of infection Hyper keratosis( thickening of skin) Papilloma ( extra growth) Inc fatty tissue Fibrotic changes ```
90
What are the stages of lymphedema?
0- latent 1- reversible 2- spontaneously reversible 3- lymphostais elephantiasis
91
What is the latent stage of lymphedema?
No visible palpable edema
92
What is reversible lymphedema?
Pitting edema Dec with elevation No fibrosis
93
What is spontaneously reversible lymphedema?
Pit it g becomes progressive | Fibrosis sets in
94
What is lymphostais elephantiasis?
No pitting Significant skin changes Severe fibrosis
95
What are complications of lymphedema?
``` Progressive Inc risk of infection Inc risk of open wounds Hyperkeratosis Fungal infection Lymph fistulas Lymph cysts Lymph varicosity Radiation fibrosis ```
96
What is lipedema?
``` Women (B) symmetric swelling from iliac crest to ankle Streamers positive No cellulitis Painful palpation Easily bruise ```
97
What are the characteristics of venous edema,?
Hemosiden staining Fibrous of subcutaneous tissue Atrophic skin
98
What is phase one ( daily) of lymphedema treatment?
``` Manual lymphatic draining Compression bandage Skincare Remedial exercises Pt educate on self care ```
99
What is phase two ( maintenance) phase of lymphedema?m
Compression garment during day Self bandage at night Skin care- low ph Daily remedial exercise- inc mm pump, inc venous return Self mld daily- inc resorption of protein, re route to healthy, diuretic effect, breakdown fibrotic area
100
What are the goals of lymphedema treatment?
``` Volume reduction Improve integ Infection prevention Improve psychosocial Improve functional mobility ```
101
What are contraindication of lymphedema treatment?
``` Acute infection Cardiac edema Malignant disease Renal dysfunction Acute dvt Arterial disorders Acute chf Htn ```
102
What are indications of anterior trunk massages?
``` Postural dysfunction Whiplash Open heart surgery Pulmonary disease Breast cancer Scolosis Shoulder injury Healed rib fracture Thoracic outlet syndrome ```
103
What are contraindications for anterior trunk massage?
Costochondritis Rib fx unhealed Positional for pregnancy Mi
104
Muscles of the neck involved in an anterior trunk massage include
Longus colli Scm All scale es
105
Muscles of the trunk involved in an anterior trunk massage include
``` Pec major and minor Coricobrachialis Internal and external obliques Levator costae Abdominal Internal and external intercostals Diaphragm Ilicostalis ```
106
Mm of the shoulder that are involved in an anterior trunk massage include
Subscap | Serratus anterior
107
What this the position for an anterior trunk massage?
``` Supine Less amount of pillows Pillow under knees towel over legs Cover chest when needed ```
108
What strokes are involved in an anterior trunk massage?
``` Raking Friction Effleurage Skin slides Finger glide Bony contours ```
109
What are some indications for foot and ankle?
``` Sprain Plantar fasciitis Fractures Tendinitis Surgery Shin splints Compartment syndrome Osteomyelitis Crushing injuries AChilles rupture Bursitis Heel spur ```
110
What are contraindications of foot and ankle?
CHF Phlebitis-> dvt Tumor Open wound
111
Anterior mm of ankle and foot
Quad Hamstring Adductors Tfl
112
Posterior foot and ankle mm
``` Gastroc Soleus Post tib Flexor hallicus longus Flexor digitorium longus ```
113
Anterior calf mm for foot and ankle massage
Ant tib Extensor hallicus longus Extensor digitorium longus and brevis
114
Lateral mm for foot and ankle.
Perineal longus and brevis
115
Intrinsic mm of foot and ankle
``` Flexor digitorum brevis Abductor digiti minimi Abductor hallicus Adductor hallicus Interossi Lumbricals ```
116
What is the primary position of the foot and ankle massage
Supine | Pillow under foot, head and heel off table
117
What is the secondary position of foot and ankle massage
Under ankle and stomach
118
What is skin rolling?
Walk finger up back and drag thumbs behind
119
What is skin pulling?
Pinch and move in all directions
120
What are indications for thoracic lumbar massage?
``` Post surgery LBP Facet joint fracture Postural dysfunction Degenerative disc disease Nerve impingement ```
121
What are contraindications of thoracic lumbar massage
``` Tumor Chf Fracture Cancer Internal bleeding ```
122
What are the deep segmental mm for the thoracic lumbar massage
Interspinalis | Intertransversi
123
What are the deep transverse mm for the thoracic lumbar massage
Semispinalis Rotators Multifidis
124
What are the intermediate mm for the thoracic lumbar massage
Erector spinae Ilicostalis Longissimus Spinalis
125
What are the extrinsic intermediate mm for the thoracic lumbar massage
Serratus posterior
126
What are the extrinsic superficial mm for the thoracic lumbar massage
Quadratus lumborum Abductors Latts
127
What are the hip and pelvis mm for the thoracic lumbar massage
Glute max Piriformis Iliopsoas
128
What is the primary position for the thoracic lumbar massage
Pillow under abs, ankle, acromion, horse shoe for head
129
What is the secondary position for the thoracic lumbar massage
Pillows under the knee, belly, neutral head, hug pillow

Integ (1 decks)

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