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Flashcards in Friction Massage Deck (11)
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1

Types of Friction Massage

Cross-Fiber Friction

Circular Friction

Linear/Parallel Friction

Cyriax Friction

 

2

trigger points Purpose of Friction Massage

To mobilize adherent tissue / Reduce scar tissue

Reduce / Mobilize trigger points

Increase local circulation

Decrease pain

3

Cross Fiber

Deep friction applied perpendicular to the direction of the fibers.

4

Parallel

Deep friction applied in the same direction as the fibers,

 

5

Circular

Repeated circular motion, distal to proximal considered

 

6

Deep Transverse Friction Massage (DTFM)

also known as Cyriax Friciton - technique popularized by physician James Cyriax.

Used for pain and inflammation relief in musculoskeletal conditions.

Technique  attempts to reduce abnormal fibrous adhesions and make scar tissue more mobile in sub-acute and chronic inflammatory stages by realigning normal soft tissue fibers.

7

Effects of DTFM (Cyriax's)

Mechanical - Mobilization of damaged tissue over a small area. Elongation of tissue fibers.

Physiological - Localized Hyperemia

Histological - Prevents or slows scar formation. Stimulates collagen orientation along lines of stress

Neurological - Pain inhibition via stimulation of mechanoreceptors.

8

Indications of Friction Massage

Promote Healing of connective and contractile tissue

To retain or regain mobility

Pain Modulation

9

Contraindications of Friction Massage

Acute Inflammation

Hematoma

Conditions that increase bleading (Hemophilia, Pts on anti-coagulation, pts on steroids)

Debilitated / Open skin

10

Positioning For DTFM

Muscles - should be supported in a position of relaxation or reduced muscle tone.

Tendons - Position of tension

Ligaments - Taunt, as far as the ROM allows.

 

11

Treatment Protocol

Initial treatment - 5 - 6 min

first 1-2 min patient will feel mild to moderate tenderness, within 2 mins the pain should subside,

Once pain subsides, gradually increase the pressure, checking in every 2 min. Increased by 3 inutes each session reaching a maximum session length of 12-15min 

Wait at least 48 hours betweeen treatment sessions.