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Integumentary 1 - Final > How to Perform a Lower Extremity Massage - Class 6 > Flashcards

How to Perform a Lower Extremity Massage - Class 6 Flashcards

1
Q

what is an edema massage performed for

A

edematous tissues of mechanical origin

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2
Q

how should we position the pt

A

LE elevated above the heart

supine

prone

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3
Q

supine –> positioning

A

preferred position

w/ entire extremity elevated

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4
Q

what should we do with supine positioning

A

fill in the gaps

spine in neutral

drape every area not being massaged

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5
Q

when is prone positioning utilized

A

when deemed necessary to massage posterior LE muscles

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6
Q

what should we do in prone position

A

ankles should be kept in neutral DF/PF

entire LE cannot be elevated

drape every area not being massaged

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7
Q

why cant the entire LE be elevated

A

secondary to protecting lumbar spine/pelvis from increased lordosis/anterior tilt

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8
Q

what should we do before the massage

A

take dorsalis pedis pulse to determine blood flow patency

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9
Q

what should we do first

A

clear proximal joints with effleurage (clearing) and petrissage (kneading)

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10
Q

what joints do we clear

A

hip joint

knee

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11
Q

what strokes do we use to clear proximal joints

A

long clearing strokes

kneading petrissage

long superficial clearing strokes

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12
Q

long clearing strokes –> hip

A

from below hip to above hip

distal to proximal directions

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13
Q

kneading petrissage strokes –> hips

A

along the quads, hamstrings, hip ADD/ABD muscles

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14
Q

long superficial clearing strokes –> hip

A

to push everything into circulation

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15
Q

long clearing strokes –> knee

A

from below the knee to above the knee

distal to proximal

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16
Q

kneading petrissage strokes –> knee

A

along the proximal anterior and posterior lower leg

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17
Q

long superficial clearing strokes –> knee

A

to push everything into circulation

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18
Q

how do we open our massage

A

w/ long effleurage/clearing strokes

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19
Q

opening can be..

A

1 part

2 parts

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20
Q

1 part opening

A

from toes to hip

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21
Q

2 part opening

A

from toes to knee

then

below knee to hip

22
Q

what should we make sure at opening

A

covered all aspects of the LE

23
Q

how do we start our opening

A

superficial strokes (effleurage strokes) along anterior tibails and gastroc regions

distally to proximally

24
Q

what strokes should we use during our opening

A

clearing

bilateral tree

shingling

horizonal strokes

25
Q

what is the 2nd step in our opening

A

MFR skin strokes

26
Q

where do we do the MFR skin strokes

A

along anterior tibial and posterior gastroc regions/scar mobilization

27
Q

what strokes do we use in the MFR skin portion

A

skin glides

finger slides

direct and indirect techniques

28
Q

how do we continue our massage after opening the massage

A

continue along anterior and posterior lower leg

move deeper to muscular strokes and NM techniques

29
Q

muscular strokes/NM techniques are done along the

A

anterior lower leg

posterior lower leg

30
Q

muscular strokes/NM techniques –> anterior lower leg

A

stripping

specific contact compressions

circular frictions

31
Q

stripping –> anterior lower leg

A

along tibialis anterior and tibialis posterior and fibularis longus

32
Q

specific contract compressions/circular frictions

A

along medial and lateral sides of the tibia

33
Q

muscular strokes/NM techniques –> posterior lower leg

A

stripping

specific contact compressions/circular frictions

petrissage/kneading

34
Q

stripping –> posterior lower leg

A

along gastroc, soleus

35
Q

specific contract compression/circular frictions

A

along gastroc and soleus and b/w them

36
Q

petrissage/kneading –> posterior lower leg

A

1 or 2 handed

along gastroc

37
Q

what comes after the muscular strokes and NM techniques

A

MFR muscle strokes along the gastroc

38
Q

MFR muscle strokes along the gastroc

A

muscle play

strumming

perpendicular mobilizations

39
Q

after finishing the lower leg where do we do

A

foot and ankle

40
Q

how do we start the foot/ankle massage

A

circular frictions around the medial and lateral malleolus

and in b/w the malleoli

41
Q

opening the foot and ankle

A

effleurage from toes to malleoli

dorsal and planta aspects

42
Q

after effleurage of the foot and ankle

A

MFR skin glides along dorsum of foot

direct/indirect technique is restricted

43
Q

where do we begin on the feet

A

distally along the toes

44
Q

what do we do distally to proximally on the toes

A

stripping and circular frictions

45
Q

stripping and circular frictions –> feet

A

along flexor and extensor digitorum tendons

b/w web spaces

stretch the web spaces

46
Q

where else do we strip/circular frictions –> feet

A

b/w the metatarsals (dorsal aspect)

plantar fascia and met heads (plantar aspect)

calcaneus and achilles insertion

47
Q

what else do we do to the feet

A

ROM of toes

intermetatarsal mobilizations

stretch the arches of the foot

manual gastroc stretches

48
Q

stretching the arches of the feet

A

medial longitudinal

lateral longitudinal

anterior transverse

close stretches by placing foot back into its fxnal position

49
Q

closing the massage

A

one part or two part

deep to superficial

long clearing strokes along all parts of the leg

50
Q

what could we do before the entire massage

A

cross friction massage over a tendon or ligament

scar mobilization

51
Q

what does cross frictioning do

A

realigns connective tissue fibers

52
Q

how should we perform cross frictioning

A

place ligament on slight stretch

third digit over the second digit

move in direction perpendicular to the fibers

Integumentary 1 - Final (20 decks)

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