Massage 1 Final Flashcards

(54 cards)

1
Q

Adhesions in superficial tissues and changes in texture are best felt by the ______________

A

Fingertips

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2
Q

Restrictions or pulling of tissues over larger areas are best felt by _____________

A

Finger joints

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3
Q

Subcategories of touch and gliding (4)

A
  1. Superficial
  2. Deep
  3. Ethereal/Aura Stroking
  4. Feather stroking/hypnotic/nerve stroking
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4
Q

Physiological effects of centripetal gliding

A

Enhances venous blood flow and lymph flow

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5
Q

Physiological effects of centrifugal gliding

A

Relaxation (done lightly)

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6
Q

Massage directions (2)

A
  1. Centripetal – towards the heart / towards the center

2. Centrifugal - Away from the heart / away from center

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7
Q

Contraindications of touch and gliding

A
  • ** General***
    1. Kidney stones
    2. Illness (Flu)
    3. Food poisoning
    4. Systemic infection
    5. Heavy drinking
  • ** Localized ***
    1. Contagious skin disorder
    2. Open wound
    3. Unhealed surgical site
    4. Acute soft tissue injury
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8
Q

Is massage contraindicated in cases of inflammation?

A

Only if the inflammation is localized

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9
Q

Indications/therapeutic applications of touch and gliding?

A
  1. Skin conditions when circulation is compromised
  2. Edema
  3. Scleroderma
  4. Reynauds
  5. Ischemic pain
  6. Anxiety/stress
  7. Insomnia
  8. Hypertension (NOT abdominal)
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10
Q

Physiological effects of gliding

A

Superficial gliding – relaxation, tension, nervous headaches, insomnia.

Deep gliding – stretch and broaden underlying fascia and muscle, increase blood and lymph flow, relaxation of underlying tissues.

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11
Q

Physiological effects of touch

A

Superficial touch – lower blood pressure, calm anxiety, assessment

Deep touch – muscle spasms, trigger point pain, tendon stress points

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12
Q

Peter Ling

A
  • Swedish physiologist and fencer
  • Father of PT and medical gymnastics
    (active, passive, and duplicated movements)
  • Developed Swedish massage
  • Established the Royal Swedish Central Institute for Gymnastics
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13
Q

Douglas Graham, M.D.

A
  • First use of the word “massage” in the US when he published articles using Mezger’s terminology
  • Father of Swedish massage in the US
  • Founding member of the American Physical Education Association
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14
Q

Johann Mezger

A
  • Dutch man credited with modern medical terminology (French terminology of effleurage, etc.)
  • Established the art and practice of massage as a scientific study for physicians
  • Founder of scientific massage and early physical therapy techniques
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15
Q

John H. Kellogg, M.D.

A
  • Wrote “The Art of Massage”
  • Used massage at the Battle Creek Sanitarium
  • Proponent of massage in medical settings
  • Had many food and machine patents
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16
Q

SCM in relation to carotid

A

SCM is posterior to the carotid artery

OR

Carotid is anterior to the SCM

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17
Q

Biceps Brachii

A
  • Flexes the elbow
  • Supinates the forearm
  • Flexes the shoulder

Origin:
Short head – coracoid process of the scapula
Long head – supraglenoid tubercle of scapula

Insertion: tuberosity of radius and aponeurosis of biceps brachii

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18
Q

Eczema

A

Inflammatory

d - Not contagious. Common inflammatory condition related to stress, anxiety, hear, and humidity

e - No known cause, may be related to hypersensitivity, may be dietary

s - dry, scaly, leathery, or crusty skin. May be lighter or darker than the skin. Lesions may ooze clear fluid or bleed.

Massage: can be performed. Use highly emollient lubricant.

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19
Q

Viral conditions include

A
  • Herpes simplex (cold sore)
  • Chicken pox
  • Shingles
  • Wart
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20
Q

Pathology

A

Study of disease

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21
Q

Fungal conditions include

A
  • Ringworm
  • Athlete’s foot
  • Nail fungus
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22
Q

Shingles (herpes zoster)

A

VIRUS

d - Acute, localized viral infection (post chicken pox, 1 in 10). 20% have postherpetic neuralgia

e - reactivation of VZV

s - tingling, prickle, numbness, blisters in bandlike pattern, chills, fever, abdominal cramping

Massase: Postpose until healing (after healing, avoid area)

23
Q

Nail fungus (Tinea unguium onychomycosis)

A

FUNGAL

d - Nail fungus that causes infection

e - fungi called dermatophytes, yeast, mold, weak immune system, poor circulation, diabetes

s - nail turns yellow or white, then becomes elevated as infection is established. Thick, brittle, cracking nails.

Massage: Avoid affected areas

24
Q

Fungal (notes)

A
  • Only a few are pathogenic
  • Prefer warm, moist environment
  • Opportunistic infections
25
Remission
Clinical manifestations diminish or disappear
26
Exacerbation
Clinical manifestations become worse or more severe
27
Ringworm (tinea corporis)
FUNGAL d - fungal infection transmitted by direct contact with infected skin or infected domestic animals e - caused by fungi species dermatophytes s - red, raised, round/oval scaling. May itch, burn, ooze. MASSAGE: If widespread, POSTPONE. If localized, avoid affected area.
28
Dermatome
Cutaneous area innervated by a spinal nerve
29
Scleroderma
Inflammatory d - sclerosis of the skin - overproduction of collagen. Fibrosis may be localized and superficial or deep and systemic. e - unknown, but the immune response may play a part s - Skin appears hard and shiny, stretched across bones. Tight skin. Hands may be red and swollen. Weakness and fatigue are present as it progresses. MASSAGE: CAN and should be performed. Restrict to 30 minutes if the person is fatigued.
30
7 types of disease
1. Viral 2. Bacterial 3. Fungal 4. Localized 5. Systemic 6. Acute 7. Chronic
31
Virus (definition)
Non-living entity. Depends on a host cell
32
Herpes Simplex (cold sore)
VIRUS d - Recurrent viral infection. Skin and mucous membranes. e - Herpes simplex I - most common (lip) s - Tingly or burning sensation; painful, fluid-filled vesicles. *MASSAGE: Avoid affected area. Sanitize face rest.
33
Host defenses
Can be: Non-specific - Barriers (intact skin, etc), chemicals (digestive, enzymes, etc.), or reflexes (cough, sneeze, etc) Specific - Immune responses to the pathogen
34
Cellulitis
BACTERIAL d - Infection of the skin (usually subcutaneous). Can spread to the bloodstream (bacteremia) e - Most common causes are streptococcus and staphylococcus. Also can be MRSA risk. *Cancer treatments* s - Swelling, redness, abscess, warm, tender. Proximal to infection site or along lymphatic vessels. Red lines/streaks. MASSAGE: If widespread, POSTPONE. If localized, avoid the area.
35
Complications
Conditions that arise after the onset of the original disease
36
Reservoir
Source of infection
37
Bacteria (definition)
Single-celled organisms, non-pathogenic, do not require living tissue
38
Varicella (chicken pox)
VIRUS d - Acute viral infection common in children and young adults - highly contagious e - Caused by varicella-zoster virus (herpes virus group) s - Headaches, loss of appetite, mild fever, rash (fluid-filled blisters) MASSAGE: POSTPONE!
39
MRSA
Methicillin-resistant staphylococcus aureus Caused by antibiotic resistant staph infection. Spread by direct infection. *SEEK MEDICAL ATTENTION*
40
Malignant Melanoma
d - develops from melanocytes located in basal layer, or from benign melanocytic moles (nevi). Responsible for most skin cancer deaths. Grows quickly, metastasizes. s - Newly pigmented skin or mole. Changes in moles. MASSAGE: Ask about current signs/symptoms/treatments. *AVOID AREAS* No lower extremities massaged for 10 days after surgery /10 ambulatory days
41
Chain of infection
1 - Pathogen 2. Reservoir 3. Portal of entry 4. Transmission 5. Portal of exit
42
Basal cell carcinoma
d - Arises in basal (deepest) layer of skin. Most common (75%) form of skin cancer. Least dangerous. Grows slowly, doesn't spread easily. Recurs if incompletely excises. 70% on face. s - Elevated, firm nodule, pearly ivory with central depression. May later ulcerate, ooze, and bleed. MASSAGE: Ask about current signs/symptoms/treatments. *AVOID AREAS* No lower extremities massaged for 10 days after surgery /10 ambulatory days
43
Bacterial conditions include
Folliculitis Boil Cellulitis MRSA
44
Fomite
Inanimate object
45
Folliculitis
BACTERIAL d - inflammation of hair follicles e - follicular invasion by staphylococci, yeasts, or fungi. Irritation, moisture, skin conditions (lupus) s - Pustular rash, redness - may resemble acne MASSAGE: Avoid affected area
46
Athlete's foot (Tinea pedis)
FUNGAL d - fungal infection of the foot. Often the sole and toes e - fungi called dermatophytes. Like heat and moisture. s - Itchy, scaling, burning sensation. Redness, flaking, cracking, oozing, bleeding. MASSAGE: Avoid infected areas. SANITIZE LINENS.
47
Wart (verruca)
VIRUS d - rough, raised mass. Viral induced cell growth (often on hands, feet, face, legs, genitals) e - caused by strains of HPV s - Rough, raised, lighter or darker than skin. Small, clotted vessels. MASSAGE: Avoid infected area. *SANITIZE*
48
Hives (urticaria)
VIRUS d - inflammatory skin disorder usually associated with allergies. Mostly acute, under 24 hours, lesions can appear anywhere e - Most often caused by allergies, food, insect bites/stings, medications. Other causes - cold temperatures; stress s - Sever itching, raised red welts (wheals), redness (red flare), angioedema in 40% of cases MASSAGE: Postpone in acute cases. If chronic, avoid the affected areas.
49
Etiology
Causative factors or origins of disease
50
Disease Transmission
* Contact - Direct (physical contact) or Indirect (fomite or droplet) * Vehicle Transmission - Foodborne, Waterborne, Airborne * Vector Transmission - Usually animal or insect
51
Cautionary Sites
Massaged vigorously or prolonged can have a negative impact on the client
52
Boil (Furuncle)
BACTERIAL d - deeply infected hair follicles. Occur often on face, neck, back, gluteus, and thighs. Carbuncle = several openings. e - Staphylococcal bacteria (may also be fungal or staphylococcus aureus (MRSA) s - painful, tender, red - forms fluid filled abscess. MASSAGE: Avoid infected area (will increase inflammation)
53
Squamous Cell Carcinoma
d - arises in skin's outer epithelial layer - More aggressive than BCC, but grows slowly. Rarely metastasizes to distant sites. Can arise in mouth/gums or from actinic keratosis scars. s - Scaly, slightly elevated, pigmented area with irregular borders. Develops ulcerated center. Mouth - ulcerated sore or white patch. MASSAGE: Ask about current signs/symptoms/treatments. *AVOID AREAS* No lower extremities massaged for 10 days after surgery /10 ambulatory days
54
Swedish Massage
Based on Western Concepts of A&P Traditional/Manipulative techniques (effleurage, petrissage, vibration, friction, tapotement) Combined use of joint mobilization and stretches to help clients restore and maintain paint management.