Neurological massage Flashcards Preview

Neurology introducing practice > Neurological massage > Flashcards

Flashcards in Neurological massage Deck (24)
Loading flashcards...
1
Q

what is therapeutic massage

A

is the manipulation of the soft tissue of the body by a trained therapist as a component of a holistic intervention

2
Q

main types of massage used

A

swedish- includes effleurage and petrissage

3
Q

swedish massage

A

stroking, effleurage, petrissage- kneading, finger kneading, wringing, rolling, picking up
tapotement- hacking and pounding

4
Q

effects of massage- mechanical effect

A

mobilisation of tissue- skin and subcutaneous tissue, contractile/non-contractile tissue, scar or repair tissue
movement of fluid- oedema, lymph, blood, mucus

5
Q

effects of massage- physiological effects- circulatory and MSK system

A

circulatory- venous and lymphatic flow- shift toxins, and move oxygen into areas needed, shift CO2 you don’t want, skin redding
MSK- muscle tissue, connective tissue, move lactic acid and things building up in muscle

6
Q

effects of massage- physiological effects- other systems

A

nervous system- pain relief- pain gate theory and autonomic response- BP, HR, swelling
hormonal system and immunological system

7
Q

effects of massage- psychological effect

A

reduced anxiety, reduced muscle tension, reduced perceived pain, raised mood, improved development in children, improved relaxation, placebo effect

8
Q

a therapeutic relationship- is built on

A

respect, trust and confidentiality, good communication, client-centred care, understanding of power relationship

9
Q

a therapeutic relationship- considerations

A

client vulnerability, emotional responses to therapists, emotional responses to massage

10
Q

ethical considerations

A

informed consent, inappropriate behaviours, maintain clear communication, maintain boundaries- confidentiality and dual relationship, maintain privacy and dignity

11
Q

indications for use

A

soft tissue damage- muscle, connective tissue, skin, oedema-swelling, venous ulcers- less common now,adverse neural dynamics- high tone, spasticity, pain as a result of neural changes

12
Q

absolute contradictions

A

open wound, inadequate or compromised circulation (DVT or haemophilia), haemorrhage, early stages of healing, bacterial/ fungal infection, febrile condition, acute inflammation, active bone growth, skin conditions, undiagnosed cancer, active malignancy, over a foreign body

13
Q

undiagnosed cancer

A

intractable pain, generally feeling unwell, change in temperature, inflammation or heat in absence of trauma, unexplained weight change, any lump size, family history

14
Q

potential contraindications or precautions

A

malignant skin, fragile skin, collagenous weakening- steroid use/ diabetes/ RA, patients with heart, dermatomyositis- infection of muscles, vicinity of endocrine glands

15
Q

self preparation for massage

A

personal appearance (no jewellery, hair restrained, clean/soft/warm hand, short clean fingernails, a sense of rhythm, knowledge of techniques and rational, good postural awareness, ability to relax arms and hands, coordinated movement, ability for smooth weight transference in stance position

16
Q

environment preparation

A

quit, well headed/ ventilated area, free from obstacles, couch should be clean and covered, couch adjusted for therapists good posture,

17
Q

patient preperation

A

ensure appropriate exposure of the part of massage- including proximal lymph glands, ensure the patient is warm/ dignity, ensure patient comfort in positioning- relaxed and pain free, ensure area of massage is well supported

18
Q

massage- feel for

A

temperature, muscle tension, joint posture, pain, ticklishness

19
Q

massage medium

A

reduce friction- protects fragile or hairy skin, absorbs perspiration, enhances gliding effect, may have psychological or therapeutic effect

20
Q

effleurage purpose

A

aid venous and lymphatic return, aid tissue fluid interchange, aid removal of chemical irritants, improve tissue interface mobility, increase (deep)/decrease (light) muscle tone, passively stretch muscle fibres

21
Q

effleurage features

A

distal to proximal, towards lymph glands, whole hand or fingers or thumb, even pressure, intersperse other techniques, moulds to body contours, stroke completed over lymph glands with slight pause and over pressure

22
Q

petrissage purpose

A

aid venous/ lymphatic return, aid tissue fluid interchange, aid removal of chemical irritants, improve tissue interface mobility, increase mobility and length of fibrous tissue, increase extensibility and strength of connective tissue, provoke somatovisceral reflex effects

23
Q

petrissage types

A

kneading, box kneading, wringing, finger kneading

24
Q

petrissage features

A

double/ single handed; fingers/thumb, on superficial tissue, muscles or ligaments, compression of soft tissue first, then lifted, squeezed or rolled, taken to end feel, painful on sensitised tissue- avoid