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PTRS 705 - PT Interventions 2 > Massage > Flashcards

Flashcards in Massage Deck (42)
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1

Massage - definition

Mechanical stimulation of tissues by means of rhythmically applied pressure and stretching

2

Massage - Facts (5)

-It can reduce anxiety and stress
-It can build trust between patient and PT
-Convey concern and respect for another in need
-Energize, invigorate, elevate mood
-Increase patients' body awareness

3

Massage - Myths (3)

-Build muscle
-Reduce fat
-Reduce spasticity from CNS damage

4

The Physiological Effects (3)

-Type of effect depends on stroke/technique
-Reflex
-Mechanical

5

Stroke/Technique effects:

-Inhibitory/relaxing (slow, long, rotational strokes)
-Excitatory/stimulating (quick, short strokes)
-Inhibitory to voluntary mm

6

Inhibitory/relaxing stroke examples

Effleurage, petrissage

7

Excitatory/stimulating stroke examples

Percussion, friction, vibration and knuckling

8

Inhibitory to voluntary mm examples

Deep tendon pressure of stretch - Charlie horse, cramps

9

Reflex Effects - def

Stimulation of sensory receptors in the skin and superficial tissues

10

Mechanical Effects - def

-Stretching, elongating, or mobilizing techniques
-Should perform after reflexive techniques

11

Reflexive Effects (4)

-Red flare or streak, arteriole dilation
-Release of histamines and prostaglandins
-Decrease in pain
-Increase of lymph flow

12

Mechanical Effects (3)

-On soft tissue
-Effects on pulmonary system
-Local capillary dilation via splanchnic autonomic fibers

13

Mechanical Effects on soft tissue

-Stretching tissue, increase in flexibility and length
-Can break up or prevent fibrotic tissue
-Can increase muscle health through decreasing metabolic acids, improving tissue nutrition and enhancing waste exchange
-Decreases scar tissue

14

Mechanical Effects - Pulmonary system

-percussion/tapping strokes
-vibration loosens mucous plugs when combined with postural drainage

15

Mechanical Effects - Local capillary dilation

-Relaxation of voluntary muscle
-Sedation of pain stimuli (gate theory)
-Increase in skin temperature

16

Indications (6)

-For edema of venous/lymph
-Promote wound healing
-To decrease/prevent adhesions
-Tone to skin
-Pulmonary congestion
-To relax muscle or whole body

17

Contraindications (9)

-Edema from total system failure
-Acute inflammatory edema
-Suspected clot
-Suspected aneurysm
-Tumors
-Open lesions
-Abnormal abdominal mass
-Non-union facture
-Graft sites

18

Precautions (9)

-Chronic fatigue syndrome
-Fx sites
-Osteoporosis
-DM
-High BP
-Asthma
-Alcoholism
-Psychiatric illness
-Children with shunts

19

Components of Massage

-Lubricant
-Draping
-Position
-Behavior of Therapist
-Preparation
-Application

20

Types of Lubricants (6)

-Almond oil
-Baby oil
-Pure lanolin
-Cocoa butter
-Water based
-Tiger balm

21

Draping (3)

-Drape patient for modesty and warmth
-Always begin with patient completely draped
-During massage you will be tucking the sheet or towel, you must be aware of your hand placement

22

Positioning (2)

-To allow the greatest access to the area being massaged
-For patient comfort - ease into it and to the pts. tolerance

23

General Application Principles (4)

-Try not to break contact
-Gauge pressure carefully
-Never apply pressure over the spinous process
-Try to make transitional movements as smooth as possible

24

Effleurage - def

long stroking, gliding movements following length of muscle

25

Effleurage Technique

-Used to apply lubricant
-Begins and ends massage
-Increases superficial venous return
-Accustoms pt. to touch before deeper work

26

Petrissage - def

Kneading, compress and release movements used to lift subcutaneous tissue up and off underlying structures

27

Petrissage techniques (4)

-Cross stroke
-Scissoring technique
-Kneading
-Knuckling

28

Basic Swedish Principles (4)

-All strokes with pressure towards the heart
-Begin and end with effleurage
-Work distal to proximal
-Force should be applied in the direction of the muscle fibers

29

What is the focus of Swedish massage?

To return the body to a complete non-encumbered flow of energy

30

Tapotement - def

Percussive strokes using alternating hands in rapid rhythmic motion
-4 techniques