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Manual Therapy Flashcards

(45 cards)

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1
Q

massage on pt with acute inflammation?

A

no, contrainidicated

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2
Q

which type of massage technique helps break adhesion and increases skin elasticity?

A

Petrissage (kneading)

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3
Q

massage on pt with cancer?

A

no, contrainidicated

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4
Q

massage on a pt with osteoporosis?

A

precaution, fracture

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5
Q

Physical effects of massage in the circulatory system:

A
  • decreases BP & HR ❗️
  • ↑ local circulation
  • enhances venous return
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6
Q

massage on pt with DVT/thrombophlebitis?

A

no, contrainidicated

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7
Q

Precautions to massage:

A
  • cardiac arrhythmias
  • new scar tissue
  • low BP
  • osteoporosis
  • swelling due to: CV insufficiency, kidney or liver disease pleural effusion
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8
Q

pt positioninf for massage:

A
  • supine
  • prone
  • sitting
  • side lying
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9
Q

Classic Western Massage (HOFFA Techniques)

A
  1. Effleurage
  2. Petrissage
  3. Friction
  4. kneading
  5. Tapotment (percussion)
  6. Vibration
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10
Q

Variations of Friction Massage:

A
  • Superficial Warming Friction: palms or knuckles
  • Deep Transverse (Cross-friction): force applied across the muscle/tendon
  • Circular motion: tendons or ligaments, 3-4 gradually deeper
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11
Q

Contraindications to massage:

A
  1. Cancer
  2. fever
  3. malignant melanoma
  4. sites of recent trauma
  5. hyperesthesia
  6. large open areas or burns
  7. ecchymosis
  8. acute inflammation
  9. acute RA
  10. DVT/thrombophlebitis
  11. infection to tissue being treated
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12
Q

massage on pt with hyperesthesia?

A

no, contrainidicated

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13
Q

massage on a pt with swelling due to: CV insufficiency, kidney or liver disease pleural effusion?

A

precaution

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14
Q

Which massage technique is used in sub-acute & chronic soft tissue injury to help absorb inflammatory exudates?

A

Friction, Repeatedly rubbing one surface over another (creates heat).

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15
Q

Indication to massage:

A
  • decrease pain, edema, muscle spasm and adhesions
  • increase ROM and joint flexibility
  • promote healthy scar tissue formation
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16
Q

massage on pt with acute RA

A

no, contrainidicated

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17
Q

massage on pt with fever?

A

no, contraindicated (fighting an infection)

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18
Q

Variations of petrissage:

A
  • 1-handed kneading (lumbrical grip)
  • 2-handed kneading (alternating hands)
  • Alternating 1-hand kneading: alternating flexors & extensors
  • Circular 2-handed petrissage (counterclockwise direction)
  • Alternating finger to thumb petrissage (between the thumb of one hand & the fingers of the other hand).
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19
Q

massage on sites of recent fractures?

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A

no, contraindicated

20
Q

Which massage techniques is used to help mobilize secretions?

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A
  • Cupping
  • Vibrations
21
Q

massage on pt with malignant melanoma?

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A

no, contrainidicated

22
Q

Endangerment sites of massage:

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A
  • anterior neck
  • axillary area
  • umbilicus
  • low back bet T12 & L3
  • antecubital fossa
  • elbow
  • inguinal/groin area
  • popliteal fossa
  • eyes
23
Q

Physcial effects of massage in the MSK system:

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A
  • ↑ muscle relaxation
  • ↓ muscle spams/guarding
  • ↑ joint mobility and flexibility
  • ↑ O2 in muscles
  • “milks” metabolic wastes to venous and lymphatic system
24
Q

Massage techniques:

25
skilled, hands-on technique use to diagnose and treat soft tissue & joint dysfunction:
Manual Therapy
26
Variations of **Effleurage**:
* **Sliding** Effleurage:  Performed with palm & fingers of the hands, thumbs, fists or forearms. * **Shingles** Effleurage:  Stroking of hands with alternating strokes overlaying each other (like roof shingles). * **Horizontal** Stroking:   Strokes goes across the width of the body. * **Knuckling:** As it slides over the skin, fist gradually turns over ending with the palm of the hand. * **3 count Stroking of Traps:** 1. **​**Origin of **lower** traps to insertion 2. Origin of **middle** traps to insertion 3. Origin of **upper** traps to insertion
27
massage on pt with ecchymosis?
no, contraindicated
28
Which massage technique especially helps to increase circulation?
Tapotement (Percussion)
29
massage on pt with low BP?
**precaution:** OH, check BP, document, wait a few minutes
30
How is the **pressure** and **direction** of massage application?
* **Pressure:** * Light to deep to light pressure. * NO pressure on return stroke. * **Direction:** * Relative to muscle fibers (parallel or perpendicular) * Relative to body (distal to proximal; in line with the venous & lymph flow). * Exception: +edema, massage proximally first to increase lymphatic flow
31
How is the direction of massage application on **edema**?
* massage **proximally** first to increase lymphatic flow **​**
32
In which massage technique movement is rhythmic, rapid & light and has **stimulating effect**?
**Tapotement** (Percussion)
33
massage on tissue with infection?
no, contrainidicated
34
massage on a new scar tissue?
precaution
35
Variations of tapotement (percussion):
* **Tapping/ Plucking:** fingertips * **Hacking:** alternating, thumb up * **2 handed Hacking:** hands together * **Beating:** ulnar side of a loosely closed fist * **Cupping (used in chest PT):** postural drainage positions * **Slapping:** palms
36
**Efflurage** technique is used when during the massage ssesion?
**Begin & end** a session or as transition technique.
37
Physical effects of massage in the **connective tissue**:
* ↑ pliability of fascia, * helps separate tissue muscle fibers
38
Manual Therapy Techniques:
* Massage (Hoffa Techniques) * Soft Tissue Mobilization (STM) * Myofascial Release (MFR) CPT code: 97140
39
What are the **benefits** of petrissage technique?
* increases local circulation * milks muscle of waste products * assists with venous & lymphatic return * increases skin elasticity * helps break up **adhesions**
40
Massage on a pt with cardiac arrhytmias?
precaution
41
massage on sites of recent trauma?
no, contrainidicated; rule out Fx
42
Benefit of **friction** massage technique:
* prevents adhesions between deeper tissues * used in sub-acute & chronic soft tissue injury to help absorb inflammatory exudates
43
Indications to Massage:
* decrease pain, edema, muscle spasm, and adhesions * increase ROM, joint flexibility * promote healthy scar tissue formation
44
which petrissage technique alternates lifting and squeezing flexors and extensors?
**Alternating 1-handed kneading**
45
what is **cross friction** massage?
a type of friction massage in which force is applied across the muscle/tendon fibers, no lotion is used.

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