Flashcards in Massage Deck (50)
conditions with collagen weakening
When increased circulation is not desired
severe disease / distress
contagious skin disease
over foreign bodies or sharp bony prominences
Areas of decreased sensation
over recent surgery
areas of active bone growth
inefficiencies of circulation
Specific, or general relaxation
What are the general principles regarding strokes?
work broad & light to specific & deep.
mold hands to pt body
deep pressure: distal to proximal
address entire length of muscle
What are the Principles regarding massage?
Direction (linear, cross-fiber, distal, proximal)
Duration (take adequate time time to achieve goal)
Pressure (varies based on intent, body region, pathology, and patient tolerance)
Rate & Rhythm (should be purposeful and consistent)
Basic Massage Strokes
(learned in class)
Effleurage, petrissage & compression, friction, jostling, tapotement, trigger point technique, myofascial release
superficial - relaxing, calming effect
deep - reflex and mechanical effects
Used for information gathering. calming / focusing. warming of superficial tissues.
Intermittent kneading (may be unilateral, bilateral, or digital)
softens and lengthens tissue
sustained pressure with movement
rhythmic shaking of tissue or limb
decreases muscle guarding
hacking, beating, gorilla punching, chopping, slapping
What are the considerations for draping?
only expose area that you will be treating. parts not treated should be covered by a towel or a sheet
What is a trigger point?
focus of hypersensistivity in a tissue, that, when compressed, is locally tender and, if sufficiently hypersensitive, give rise to referred pain and tenderness, and sometimes to referred autonomic phenomena and distortion of proprioception
What are the characteristics of triggerpoints?
consistent referred pain patter upon compression.
Local twitch response elicited by palpation
possible restriction in ROM
muscle weakness with no appreciable atrophy possible autonomic phenomena including vasomotor and pliomotor responses
Active Trigger Points
always tender, produce referred pain
associated muscle may be weak and present with decreased motion/flexibility
when palpated, present with localized twitch response
Latent Trigger Points
painful only when palpated,
fractures, sprains, dislocations, muscle impact injuries, stress from excessive, or unusual exercise, articular dysfunction, overload on the muscle from prolonged stationary posture or prolonged immobilization in a shortened position
What are the indications of a JOBST Pump?
What are the contraindications of a JOBST pump?
Thrombophlebitis, cellulitis, severe congestive heart failure
What is the treatment time of a JOBST pump?
10min-4 hours 1-2 times per day
What is the Duty Booty of the JOBST pump?
45 Sec on / 15 sec off to 3min on / 1 min off
What should the pressures never exceed (in arm, leg, and overall)
Should never exceed 90-120mmHG
Arm - 50mmHG
Indications for Cyriax (friction massage)
Promote healing of connective and contractile tissue
To retain or regain mobility
Contraindications for Cyriax (friction massage)
Conditions that increase bleeding (hemophilia, anti-coagulants, steroids)
What are the general effects of massage CV system
Dilation of vessels via local reflex
increase SV by venous return
decrease DVT by decrease in viscosity & hematocrit
edema - increases lymph flow via mechanical pressure
What are the general effects of massage on connective tissue
Decreases pain and improves tissue mobility
What are the general effects of massage on muscle tissue and nervous system?
in muscle tissue, it decreases spasm, and decreases muscle hypertension. In the nervous system, it decreases pain via gateway theory of pain and also an increase in opiate production.
List the types of swelling in the body and describe the physiological effects behind why they occur.
cause by pressure of blood and joint fluid in a joint as a result of tearing of tissues an blood vessels or synovial irritation
Has appearance and feel of a water balloon.
caused by an increase of osmotic pressure in tissues which attracts water and creates swelling
has the appearance of “silly putty” when involved tissue is pressed
cells near death and unable to control the cell membrance can attract water and swell
Congestive heart failure
heart that is so stretched, it does not produce a large contractile force, ~10% left in heart → when it fills again, decreased CO due to more stretch from remaining blood left in the heart. easiest sign → swelling in all extremities.
can’t filter out waste, so excess salt is left in the blood, which creates a gradiant, and swelling occurs.
What is the purpose of friction massage?
to mobilize adherent tissue
reduce/mobilize trigger points
increase local circulation