Final

Question 1

expected duration for tendonitis, bursitis, and fasciitis

Answer 1

8-12 weeks

Question 2

expected duration for postural conditions

Answer 2

12 months

Question 3

expected duration for sprain/strain/dislocation

Answer 3

2-14 weeks

Question 4

expected duration for uncomplicated joint arthroplasty

Answer 4

6 months

Question 5

expected duration for disc herniation

Answer 5

1-6 months

Question 6

expected duration for CVA (stroke)

Answer 6

until max dependence is achieved

Question 7

expected duration for peripheral nerve injury

Answer 7

4-8 months

Question 8

complementary modalities for GAS (stress): Early Stage (5)

Answer 8

(1) diaphragmatic breathing
(2) passive, gentle stretching
(3) systemic heat
(4) moderate exercise
(5) relaxation (yoga, Tai Chi)

Question 9

what are 2 diaphragmatic breathing techniques

Answer 9

(1) guided awareness

(2) progressive muscle relaxation

Question 10

complementary modalities for GAS (stress): Late Stage (2)

Answer 10

(1) walking within tolerance

(2) hydrotherapy

Question 11

complementary modalities for insomnia (5)

Answer 11

SAME AS ONES FOR STRESS

(1) diaphragmatic breathing
(2) passive, gentle stretching
(3) systemic heat
(4) moderate exercise
(5) relaxation (yoga, Tai Chi)

Question 12

complementary modalities for fatigue/lethargy (2)

Answer 12

(1) hydrotherapy techniques that use cold, contrast and friction
(2) brisk aerobic exercise, within tolerance

Question 13

massage treatment for GAS (stress): Early Stage (4)

Answer 13

(1) Sedative massage
(2) Any type of massage, pt. preference
(3) Crainosacral region (parasympathetic outflow)
(4) treatment longer than 30 minutes optimal, no less than 15 minutes

Question 14

massage treatment for GAS (stress): Late Stage (4)

Answer 14

(1) shorter treatments
(2) light, gentle techniques
(3) reflex techniques
(4) cause no pain

Question 15

massage treatment for insomnia (4)

Answer 15

SAME AS ONES FOR STRESS

(1) Sedative massage
(2) Any type of massage, pt. preference
(3) Crainosacral region (parasympathetic outflow)
(4) treatment longer than 30 minutes optimal, no less than 15 minutes

Question 16

massage treatment for fatigue/lethargy (3)

Answer 16

(1) stimulating massage (fast paced, rhythmic)
(2) short duration (~20 minutes)
(3) cautious when applying sedative techniques

Question 17

massage treatment for altered body image (2)

Answer 17

(1) include as much of client’s body as possible

(2) cover entire regions to promote relaxation

Question 18

massage treatment for acute nociceptive pain (sharp, aching, throbbing) (2)

Answer 18

(1) treat impairments (edema, muscle spasms)

2) don’t induce or increase pain (some patients won’t tolerate touch near site

Question 19

complementary modalities for acute nociceptive pain (sharp, aching, throbbing) (3)

Answer 19

(1) cold hydrotherapy for inflammation (orthopedic)
(2) heat, cold, or contrast
(3) passive movements/joint mobilization

Question 20

massage treatment for chronic pain (2)

Answer 20

(1) explore all massage techniques, all have potential to be useful
(2) progress from superficial to deep

Question 21

complementary modalities for chronic pain (5)

Answer 21

(1) 100Hz vibrations
(2) TENS
(3) hydrotherapy
(4) aerobic exercise
(5) diaphragmatic breathing

Question 22

massage treatment for impaired arterial supply (1)

Answer 22

(1) research is not consistent about whether or not massage improves arterial flow

Question 23

complementary modalities for impaired arterial supply (2)

Answer 23

(1) aerobic exercise

(2) local heat

Question 24

massage treatment for impaired airway clearance (3)

Answer 24

(1) postural drainage
(2) percussion
(3) can require up to 60 minutes, depending upon how many lobes are worked

Question 25

complementary modalities for impaired airway clearance (2)

Answer 25

(1) bronchial steam | (2) moist heat on back

Question 26

massage treatment for elevated resting tension of respiratory muscles (1)

Answer 26

(1) know trigger point referral patterns for scalenes, SCOM, and diaphragm

Question 27

complementary modalities for elevated resting tension of respiratory muscles (3)

Answer 27

(1) stretching scalenes & SCOM (2) diaphragmatic breathing (3) aerobic exercise

Question 28

massage treatment for chest wall tightness (2)

Answer 28

(1) free restrictions: neuromuscular & connective tissue techniques in different positions to muscles of trunk and intercostal spaces (2) rhythmic mobilizations and rib compressions

Question 29

complementary modalities for chest wall tightness (4)

Answer 29

(1) stretch thorax (2) deep breathing techniques (3) application of heat (4) Hatha Yoga

Question 30

massage treatment for abnormal/altered breathing (1)

Answer 30

(1) treat other respiratory impairments such as chest wall tightness and elevated resting tension

Question 31

massage treatment for unnecessary muscle tension (3)

Answer 31

(1) start with techniques for stress treatment (2) move towards Elevated Resting Tension techniques (3) Could require long session

Question 32

massage treatment for elevated resting tension (2)

Answer 32

(1) techniques that engage muscle and fascia: neuromuscular and myofacial techniques (2) Soothing techniques, such as rocking to decrease muscle tension

Question 33

massage treatment for muscle spasms (2)

Answer 33

(1) DON'T stretch a muscle in extreme spasm (2) relaxing techniques: diaphragmatic breathing and sedative massage (3) don't increase pain

Question 34

massage treatment for muscle weakness associated with reduced muscle tone (2)

Answer 34

(1) massage before exercise to prepare muscles | (2) in general, therex is the primary way to improve muscle weakness

Question 35

massage treatment for decreased connective tissue mobility (3)

Answer 35

(1) skin rolling, myofascial release, friction, petrissage (2) work superficial to deep (3) rhythmic mobilization after treatment to enhance movement

Question 36

massage treatment for restricted joint capsules or ligaments (1)

Answer 36

(1) general connective tissue techniques to all fascia that crosses joint

Question 37

massage treatment for hypermobility (2)

Answer 37

(1) avoid unstable joints and using connective tissue techniques (2) therex is primary treatment

Question 38

massage treatment for postural malalignment due to bony deformity (2)

Answer 38

(1) don't treat tissue contractures until until bony malalignment has been corrected (2) neuromuscular or connective tissue techniques at moderate depth

Question 39

massage treatment for adaptive shortening w/impaired balance of agonist/antagonist muscles (3)

Answer 39

(1) treat shortened muscles (unless pain is too much, treat antagonist muscles first) (2) connective tissue techniques are optimal (3) neuromuscular techniques are helpful, but less effective

Question 40

massage treatment for adaptive lengthening w/impaired balance of agonist/antagonist muscles (2)

Answer 40

(1) treat shortened muscles first | (2) therex to strengthen lengthened muscles

Question 41

massage treatment for decreased posture and kinesthetic awareness (1)

Answer 41

(1) massage techniques to increase body awareness

Question 42

massage treatment for acute stage inflammation (5)

Answer 42

(1) treat edema (2) gentle petrissage to inhibit spams (3) superficial reflex techniques to inhibit pain (4) use deeper techniques as you move into subacute phase (5) light neuromuscular and connective tissue techniques to newly deposited connective tissue

Question 43

massage treatment for chronic stage inflammation (1)

Answer 43

(1) treat impairments using connective tissue and neuromuscular techniques

Question 44

massage treatment for spasticity/spastic paralysis (4)

Answer 44

(1) start with joints with less spasticity and larger joints (2) continuous rhythmic effleurage, kneading, and broad contact compression (3) friction at attachments of spastic muscles (4) gentle tapping to stretched muscles that oppose spastic muscles

Question 45

massage treatment for flaccidity (3)

Answer 45

(1) stimulating techniques with little force (2) treat antagonist muscles with moderate pressure neuromuscular techniques (3) treat associated edema and contracture