Massage Therapy

Question 1

Musculoskeletal massage contraindications

Answer 1

• unstable muscle or injury

- muscular dystrophy

Question 2

Reproductive massage contraindications

Answer 2

pregnancy, specifically the first two terms. Avoid the feet and umbilical area.

Question 3

Endocrine massage contraindications

Answer 3

• diabetes (neuropathy)

- hypothyroid (dry skin)

Question 4

Skeletal massage contraindications

Answer 4

• fracture
• severe osteoporosis
• unstable joints

Question 5

Nervous system massage contraindications

Answer 5

• paralysis
• nerve damage
• mental instability
• hypo-hyper sensitivity
• pinched nerve (impingement)

Question 6

Digestive massage contraindications

Answer 6

• ulcer
• lesion
• bowel distruction

Question 7

Cardiovascular/lymphatic massage contraindications

Answer 7

• cancer
• deep vein thrombosis
• peripheral vascular disease (PVD)
• varicose veins

Question 8

Urinary system massage contraindictations

Answer 8

• alcohol consumption ( increase metabolism)

- kidney dysfunction

Question 9

Integumentary system massage contraindications

Answer 9

• infection
• open wounds
• delicate skin (due to long term cortisone use or old age)

Question 10

Osteoporosis

Answer 10

Osteoporosis - Precaution

Question 11

Lymphedema

Answer 11

Lymphedema - Indication

Question 12

Scar Tissue

Answer 12

Scar Tissue - Precautions - Proliferation Phase, Indication

Question 13

High fever

Answer 13

High Fever - Contraindication

Question 14

Peripheral Neuropathy (chronic)

Answer 14

Peripheral Neuropathy (chronic) - Precaution

Question 15

Acute Exacerbation of Autoimmune Connective Tissue Disorders

Answer 15

Acute Exacerbation of Autoimmune Connective Tissue Disorders - Contraindication

Question 16

Prolonged Inactivity and Joint Immobilization

Answer 16

Prolonged Inactivity and Joint Immobilization - Indication

Question 17

Sore muscles 5 days post 5 mile run

Answer 17

Sore muscles 5 days post 5 mile run. - Precautions

Question 18

Acute unstable phase of healing

Answer 18

Acute unstable phase of healing - Contraindication

Question 19

Proliferative phase of healing

Answer 19

Proliferative phase of healing - Precautions

Question 20

Remodeling phase of healing

Answer 20

Remodeling phase of healing – Indications

Question 21

What subsystems are activated in slow and fast massage

Answer 21

Slow=Parasympathetic Fast=Sympathetic

Question 22

What is the relationship between hands (upper extremities) and body when performing efficient and safe Massage Therapy?

Answer 22

Force Couple and proper body mechanics

Question 23

What is Force Coupling and how does it relate to massage therapy application?

Answer 23

Force Couple - hand and body moving as one

Question 24

Employs gentle hand movement along the long axis of the limbs or muscle (Tabers). Purpose is fluid drainage. Stroking Gliding

Answer 24

Effleurage Massage

Question 25

Kneading the muscle by reciprocally lifting and rolling skin, fascia and muscle tissue.

Answer 25

Petrissage/Kneading massage

Question 26

Purpose of petrissage/kneading

Answer 26

i. aids circulation by promoting venous and lymphatic return when performed in a distal to proximal direction ii. stretches skin, fascia and muscle tissue iii. soft tissue manipulation iv. breaks up superficial adhesions v. relaxes muscle tissue mechanical contract relax stretch response

Question 27

Compression massage

Answer 27

force applied perpendicular to the cross sectional of the tissue in a direction toward the tissue. pressure, pushing, and shearing

Question 28

Tapotement massage

Answer 28

- A rhythmic, intermittent striking or percussion of the tissue. Promotes relaxation and desensitization of irritated nerve endings. chopping, tapping

Question 29

Lymphatic massage

Answer 29

increases and improves free flow of lymph. Moves lymphatic waste for elimination. moving extracellular fluid or lymphatic fluid

Question 30

When performing massage to the lumbar spine what are the major complications in not putting a pillow under the abdomen to reduce the patient’s lumbar lordosis?

Answer 30

Hyperextend the pt. and compresses the facet

Question 31

Trigger point

Answer 31

Painful tender spots in muscle tissue associated with nodules in muscle. Compression of trigger point may elicit local tenderness, referred pain or local twitch response.

Question 32

Referred pain

Answer 32

Pain perceived at a site adjacent to or at a distance from the site of injury EX: heart attack feel pain at arm but location of pain is at the heart