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Physical Agents > Massage and Compression > Flashcards

Massage and Compression Flashcards

1
Q

What are the indications for masssage?

A
  1. pain
  2. edema
  3. muscle spasm
  4. trigger points
  5. Bad circulation
  6. contracted tissue
  7. specific or general relaxation
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2
Q

How is massage proposed to affect pain?

A

Gate theory

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3
Q

What are the 3 main functions of the lymoh system?

A
  1. remove excess fluid from tissues
  2. absoprtion of fatty acids
  3. Production of immune cells
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4
Q

Describe the difference between primary lymphedema and secondary lymphedema.

A

Primary: rare congenital lack of lymph vessels. example is Milroy’s disease

Secondary: Caused by damage to lymph nodes of vessels.

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5
Q

How does massage address contracted tissue?

A

Breaks adhesion and can be used to break up scars like in scar tissure massage.

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6
Q

How does massgae address muscle spasm?

A

Breaks up the pain-spasm-pain cycle.

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7
Q

Give some examples of when increased circulation is not desired

A

DVT, dermatitis, systemic edema

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8
Q

Massage too soon: Give acture inflamation examples

A

Appendicitis, RA, Phlebitis,.

OK to work proximal to site.

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9
Q

Give some examples of areas of active bone growth.

A

Myositis Ossificans, Healing fracture, Osgood-schlatter disease

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10
Q

Why are pregnant women a risk to massage?

A

DVT risk

Increased blood volume

Soft tissue laxity

Positional issues

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11
Q

What are the precautions for massage (6)

CHARM

A
  1. hematomas
  2. non-union fractures
  3. herniated disks
  4. AGe debilitated patients (skin weakness)
  5. Melignancies
  6. Collagen weakening (steroids, diebetes, RA)
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12
Q

What are the contraindications for Compression?

Shod Path

A
  • Skin condition
  • Hypoproteinemia
  • Obstructed lyphatic system
  • DVT
  • Peripheral artery disease or ulcers
  • Arterial revascularization
  • Trauma
  • Heart Failure and Pulmonary edema
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13
Q

What are the precations for compression pumps?

CUSIN

A
  • Cancer
  • Uncontrolled hypertension
  • Stroke
  • Impaired sensation or mentaion
  • Nerves (Superficial)
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14
Q

What are the settings for compression pumps?

A

DVT, edema, VSU: Inflate 80-100s deflate 25-50s

Limb reduction: Inflate 40-60 Deflate 10-15

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15
Q

What are is the pressure setting and time of treatment for compression pumps?

A

30-80 mmHg

  • UE: 30-60 mmHg
  • LE: 40-80 mmHg

2-3 hours per treatment

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Physical Agents (9 decks)

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