Soft Tissue Checkout

Question 1

What is a risk associated with debilitated skin?

Answer 1

Skin may tear, bruise, or become infected more easily.

Question 2

What are the risks of massage for patients with arteriosclerosis, thrombosis, or embolism?

Answer 2

Massage can dislodge clots or plaques, increasing the risk of stroke, heart attack, or pulmonary embolism.

Question 3

What can happen if massage is performed on severe varicose veins?

Answer 3

Massage could damage the vein walls, lead to rupture, or promote clot formation.

Question 4

What is the risk of massage on a new tendon transplant?

Answer 4

Massage could disrupt the surgical site or compromise healing.

Question 5

What are the potential effects of massage on a non-union or new fracture?

Answer 5

Massage could cause movement at the fracture site, worsen misalignment, delay healing, or increase pain.

Question 6

How can massage affect acute inflammatory conditions?

Answer 6

Massage increases blood flow and heat, which can worsen inflammation, pain, and tissue damage.

cellulitis
synovitis
osteomyelitis
lymphangitis

Question 7

What is the risk of massage in cases of cellulitis?

Answer 7

Massage could spread the infection deeper or to other areas of the body.

Question 8

How can massage impact synovitis?

Answer 8

Massage can exacerbate synovitis due to increased fluid and inflammatory response.

Question 9

What is the risk of massage on abscesses?

Answer 9

Massage could rupture the abscess, spreading infection or leading to sepsis.

Question 10

What should be considered when massaging an area with cancer?

Answer 10

Pressure may damage fragile tissues, increase pain, or theoretically promote spread (especially if malignancy is active or vascularized).

Question 11

What is the concern with massage when fever is greater than 101?

Answer 11

Fever suggests systemic infection or inflammation. Massage increases circulation and core temperature, potentially worsening the underlying cause.

Question 12

What are the contraindications to be massaged?

Answer 12

• arthrosclerosis, thrombus, embolism, phlebitis, cardiac decompensation
• debilitated skin
• severe varicose veins
• New tendon transplant
• non-union or new fracture
• acute inflammatory conditions
• cellulitis, synovitis
• abscesses
• cancer in that area
• fever > 101

Question 13

order of procedures:

Answer 13

1. set up area (cream, pillows, sheets, table height, gell in)
2. introduce, explain, what should the pt expect
3. contraindications screen
4. CONSENT
5. position and drape
6. do techniques

Question 14

What are some goals that you would use massage for? when is it indicated?

Answer 14

• reduce muscle tone
  -reduce SNS response
• reduce spasms
• realign collagen
• mobilize scar
• reduce edema
• facilitate circulation and fluid flow
• increase ROM

Question 15

reflexive before mechanical

Question 16

when would you use friction massage?

Answer 16

over adhesions, scars, trigger points, spasms

Question 17

when would you use transverse friction massage?

Answer 17

over chronic tendinopathies

Question 18

what pain level do you go off when doing trigger point release?

how long should you do it?

Answer 18

7

if pain subsides, increase pressure until 7 again

1-3 minutes/point relief

Question 19

how should patients expect to feel during trigger point massage?

Answer 19

dull, numbing sensation, it wont feel good but should lesson over time, in which case i might deepen the pressure

Question 20

how should the patient expect to feel during ART?

Answer 20

uncomfortable, scar tissue breaking down/tearing apart

Question 21

special tests

Answer 21

myofascial
ART
trigger point
cross friction

Question 22

QL: positioning (& how can you put it on slack?)

Answer 22

sideling
stand at patients front

abduct top hip with bulster

Question 23

GTO with QL

Answer 23

in sidelying, in breaking the bread position, have the flex their hip or hike hip into your arm for an iso contraction, then relax and break the bread - contract relax, activation GTO to help relax the muscle and provide deeper stretch

Question 24

lumbar thoracic erector position

Answer 24

prone

Question 25

positioning for upper cervical

Question 26

lats positioning

Answer 26

side lying or prone

Question 27

active release and myofasical release of lats

Answer 27

myofasical - distract humerus and glide down

Question 28

active release for pecs

Answer 28

pin down and have them stretch and relax

Question 29

active release QL

Answer 29

side lying - side bend while applying pressure prone - hip hike and relax while applying pressure

Question 30

active release for lats

Answer 30

side lying or prone, raise your arm into flexion/abduction "reach like you're trying to grab something"

Question 31

active release for errectors

Answer 31

push down and ask them to lift head and neck off table, probably better in seated or sidelying so they can flex too

Question 32

pec active release

Answer 32

hold down near shoulder, then HADD or shoulder flexion

Question 33

purpose of skin rolling

Answer 33

access skin → tightness, spasms Determines which regions to address massage Evaluates skin connectivity and underlying restrictions Access mobility of skin

Question 34

purpose of effleurage

Answer 34

- Promotes relaxation - Decrease of pain via gate theory and or boosting levels of oxytocin - Helps return flow of venous and lymphatic systems - Help search for spasm, TPs, tightness

Question 35

purpose of petrissage

Answer 35

mechanically push metabolic waste products out of affected areas - Loosen adherent fibrous tissue - Increase skin elasticity ***can be painful at times

Question 36

myofascial release technique purpose

Answer 36

release muscle fibers from the fasicia, free adhesions, helping enhance ROM