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Flashcards in Final Deck (45):
1

expected duration for tendonitis, bursitis, and fasciitis

8-12 weeks

2

expected duration for postural conditions

12 months

3

expected duration for sprain/strain/dislocation

2-14 weeks

4

expected duration for uncomplicated joint arthroplasty

6 months

5

expected duration for disc herniation

1-6 months

6

expected duration for CVA (stroke)

until max dependence is achieved

7

expected duration for peripheral nerve injury

4-8 months

8

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

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

9

what are 2 diaphragmatic breathing techniques

(1) guided awareness
(2) progressive muscle relaxation

10

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

(1) walking within tolerance
(2) hydrotherapy

11

complementary modalities for insomnia (5)

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

12

complementary modalities for fatigue/lethargy (2)

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

13

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

(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

14

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

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

15

massage treatment for insomnia (4)

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

16

massage treatment for fatigue/lethargy (3)

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

17

massage treatment for altered body image (2)

(1) include as much of client's body as possible
(2) cover entire regions to promote relaxation

18

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

(1) treat impairments (edema, muscle spasms)
(2) don't induce or increase pain (some patients won't tolerate touch near site)

19

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

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

20

massage treatment for chronic pain (2)

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

21

complementary modalities for chronic pain (5)

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

22

massage treatment for impaired arterial supply (1)

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

23

complementary modalities for impaired arterial supply (2)

(1) aerobic exercise
(2) local heat

24

massage treatment for impaired airway clearance (3)

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

25

complementary modalities for impaired airway clearance (2)

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

26

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

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

27

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

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

28

massage treatment for chest wall tightness (2)

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

29

complementary modalities for chest wall tightness (4)

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

30

massage treatment for abnormal/altered breathing (1)

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

31

massage treatment for unnecessary muscle tension (3)

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

32

massage treatment for elevated resting tension (2)

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

33

massage treatment for muscle spasms (2)

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

34

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

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

35

massage treatment for decreased connective tissue mobility (3)

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

36

massage treatment for restricted joint capsules or ligaments (1)

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

37

massage treatment for hypermobility (2)

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

38

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

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

39

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

(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

40

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

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

41

massage treatment for decreased posture and kinesthetic awareness (1)

(1) massage techniques to increase body awareness

42

massage treatment for acute stage inflammation (5)

(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

43

massage treatment for chronic stage inflammation (1)

(1) treat impairments using connective tissue and neuromuscular techniques

44

massage treatment for spasticity/spastic paralysis (4)

(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

45

massage treatment for flaccidity (3)

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