How to Perform a Lower Extremity Massage - Class 6

Question 1

what is an edema massage performed for

Answer 1

edematous tissues of mechanical origin

Question 2

how should we position the pt

Answer 2

LE elevated above the heart

supine

prone

Question 3

supine –> positioning

Answer 3

preferred position

w/ entire extremity elevated

Question 4

what should we do with supine positioning

Answer 4

fill in the gaps

spine in neutral

drape every area not being massaged

Question 5

when is prone positioning utilized

Answer 5

when deemed necessary to massage posterior LE muscles

Question 6

what should we do in prone position

Answer 6

ankles should be kept in neutral DF/PF

entire LE cannot be elevated

drape every area not being massaged

Question 7

why cant the entire LE be elevated

Answer 7

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

Question 8

what should we do before the massage

Answer 8

take dorsalis pedis pulse to determine blood flow patency

Question 9

what should we do first

Answer 9

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

Question 10

what joints do we clear

Answer 10

hip joint

knee

Question 11

what strokes do we use to clear proximal joints

Answer 11

long clearing strokes

kneading petrissage

long superficial clearing strokes

Question 12

long clearing strokes –> hip

Answer 12

from below hip to above hip

distal to proximal directions

Question 13

kneading petrissage strokes –> hips

Answer 13

along the quads, hamstrings, hip ADD/ABD muscles

Question 14

long superficial clearing strokes –> hip

Answer 14

to push everything into circulation

Question 15

long clearing strokes –> knee

Answer 15

from below the knee to above the knee

distal to proximal

Question 16

kneading petrissage strokes –> knee

Answer 16

along the proximal anterior and posterior lower leg

Question 17

long superficial clearing strokes –> knee

Answer 17

to push everything into circulation

Question 18

how do we open our massage

Answer 18

w/ long effleurage/clearing strokes

Question 19

opening can be..

Answer 19

1 part

2 parts

Question 20

1 part opening

Answer 20

from toes to hip

Question 21

2 part opening

Answer 21

from toes to knee

then

below knee to hip

Question 22

what should we make sure at opening

Answer 22

covered all aspects of the LE

Question 23

how do we start our opening

Answer 23

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

distally to proximally

Question 24

what strokes should we use during our opening

Answer 24

clearing

bilateral tree

shingling

horizonal strokes

Question 25

what is the 2nd step in our opening

Answer 25

MFR skin strokes

Question 26

where do we do the MFR skin strokes

Answer 26

along anterior tibial and posterior gastroc regions/scar mobilization

Question 27

what strokes do we use in the MFR skin portion

Answer 27

skin glides finger slides direct and indirect techniques

Question 28

how do we continue our massage after opening the massage

Answer 28

continue along anterior and posterior lower leg move deeper to muscular strokes and NM techniques

Question 29

muscular strokes/NM techniques are done along the

Answer 29

anterior lower leg posterior lower leg

Question 30

muscular strokes/NM techniques --> anterior lower leg

Answer 30

stripping specific contact compressions circular frictions

Question 31

stripping --> anterior lower leg

Answer 31

along tibialis anterior and tibialis posterior and fibularis longus

Question 32

specific contract compressions/circular frictions

Answer 32

along medial and lateral sides of the tibia

Question 33

muscular strokes/NM techniques --> posterior lower leg

Answer 33

stripping specific contact compressions/circular frictions petrissage/kneading

Question 34

stripping --> posterior lower leg

Answer 34

along gastroc, soleus

Question 35

specific contract compression/circular frictions

Answer 35

along gastroc and soleus and b/w them

Question 36

petrissage/kneading --> posterior lower leg

Answer 36

1 or 2 handed along gastroc

Question 37

what comes after the muscular strokes and NM techniques

Answer 37

MFR muscle strokes along the gastroc

Question 38

MFR muscle strokes along the gastroc

Answer 38

muscle play strumming perpendicular mobilizations

Question 39

after finishing the lower leg where do we do

Answer 39

foot and ankle

Question 40

how do we start the foot/ankle massage

Answer 40

circular frictions around the medial and lateral malleolus and in b/w the malleoli

Question 41

opening the foot and ankle

Answer 41

effleurage from toes to malleoli dorsal and planta aspects

Question 42

after effleurage of the foot and ankle

Answer 42

MFR skin glides along dorsum of foot direct/indirect technique is restricted

Question 43

where do we begin on the feet

Answer 43

distally along the toes

Question 44

what do we do distally to proximally on the toes

Answer 44

stripping and circular frictions

Question 45

stripping and circular frictions --> feet

Answer 45

along flexor and extensor digitorum tendons b/w web spaces stretch the web spaces

Question 46

where else do we strip/circular frictions --> feet

Answer 46

b/w the metatarsals (dorsal aspect) plantar fascia and met heads (plantar aspect) calcaneus and achilles insertion

Question 47

what else do we do to the feet

Answer 47

ROM of toes intermetatarsal mobilizations stretch the arches of the foot manual gastroc stretches

Question 48

stretching the arches of the feet

Answer 48

medial longitudinal lateral longitudinal anterior transverse close stretches by placing foot back into its fxnal position

Question 49

closing the massage

Answer 49

one part or two part deep to superficial long clearing strokes along all parts of the leg

Question 50

what could we do before the entire massage

Answer 50

cross friction massage over a tendon or ligament scar mobilization

Question 51

what does cross frictioning do

Answer 51

realigns connective tissue fibers

Question 52

how should we perform cross frictioning

Answer 52

place ligament on slight stretch third digit over the second digit move in direction perpendicular to the fibers