Swedish Massage Flashcards by Mackenzie V

Direction

Towards the heart

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Pressure

To issue end feel

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Rhythm

Smooth and flowing, even

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Rate

Match to clients breathing

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Duration

Client or tissue tolerance

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How can u tell when tissue is over treated

Angry red hyperemia

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What are the roles of the parasympathetic system and sympathetic systems

Parasympathetic, rest and digest

Sympathetic, fight or flight

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What are the physical effects on the body of chronic stress?

Disease, 
suppressed immune system,
 isomnia, 
TMJ dysfunction, 
hypertonicity, 
skin eruptions

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What is the symptom picture of a client presenting with a increased sympathetic state?

Tight facial expression, 
apical breathing, 
anxiety, 
sleep disturbance, 
hypertonicity, 
 effects

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Name 4 perpetuating factors of trigger points in the muscle/fascial tissue?

Chronic infection, 
muscle constriction, 
inactivity, 
repetitive activity, 
muscle/bone imbalances 
Untreated injury

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What is the main difference between an active trigger point and a latent one

Active tp you feel all the time

Latent tp you feel with palpation

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How do we determine where there are facial restrictions

Fascial glides going all directions

Skin rolling

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What are 3 assessment techniques we use to determine fascial restriction

Glides
Skin rolling
AROM

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What are 3 indicators of a release in fascial adhesion

Release of adhesion
Puckering stops
Pain decrease
Palpable release of heat

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What is reflex muscle guarding

Compensating muscles going into protective spasm,
Response to pain or injury,
Natural splint

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What is a contraindication to consider when treating a spasm that is reflexive muscle guarding in nature?

Don’t remove spasm to early until healing has started.

Do not stretch

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What is the pain spasm cycle?

Muscle contraction = lack of movement = tissue ischemia = pain = muscle spasm

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What techniques would you use on a muscle spasm and what general effects are you trying to achieve

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Effleurage and petrissage

- reduce pain, increase blood flow, decrease trigger points on compensating muscles

What is a tension headache

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Muscle in origin

Caused by muscle tension

What are the health history questions that you may ask to help you determine the nature of the headache

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How often/ how long
Where does it hurt
What relieves and aggravates it 
Onset, activity or rest
Dental work 
Stress 
Are you having one now?
What meds are you taking

Muscles that you would probably want to address In a typical tension headache, what are there actions?

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Subocciptals- stabilize, extend neck
Temporalis- closes jaw
Cervical erectors- rotation, side Flexion
Upper traps- extend neck, Contralateral rotation, Lateral Flexion
Masseter- closes jaw

Name 4 contraindications/ precautions to consider when working with the temporomandibular joint

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Dental surgery 
Don't work over corotive pulse 
Always stay unilateral 
Careful around styloid process 
Never articulate joint superiorly

What are the muscles of mastication and what are there actions

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Masseter- closes jaw
Temporalis- closes jaw
Digastric- retracts jaw
Mylohoid- depresses mandible 
Medial pterygoid- closes jaw
Lateral pterygoid- opens/ protrudes jaw, moves side to side

What is the difference between functional and structural postural dysfunction

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Functional- muscles and fascia

Postural- Boney changes

Name muscles that are primarily postural

``` QLs Erectors Pecs Rectus femorus Hamstrings Adductors Intercostals Upper traps, iliopsoas Gastrox ```

Muscles that are primarily phasic

``` Lower/mid traps Rhomboids Gluts Rectus abdominis Tibias anterior Mid/lateral quads ```

How would you treat stressed postural muscles differently then stressed phasic muscles

Postural- fascial release, stretching, TPs | Phasic- stimulating, Swedish, TPs

What are some implications for the head and neck with regards to chronic head forward posture associated with hyperkyphosis

TMJ, | Wear and tear of cervical spine

Name the primary muscles you will be treating with hyper kyphosis and what techniques you will be employing

``` Pecs- stretch Intercostals Rhomboids Sub scapularus Traps Erectors Sub occiptals ```

What joints will likely have a decreased rom with hyperkyphosis

Intercostal Gh joint (glenohumeral) Cervical spine

What draping considerations will you make to treat hyperkyphosis

``` V draping Abdominal draping Towel under back Pillows under shoulders Pillows under knees ```

What muscle are shortened and tight with hyperlordosis

``` Qls Lumbar erectors It band TFL Rectus femoris iliopsoas ```

What muscles Are stretched and taut with kyperlordosis

Hamstrings Rectus abdominis Gluts Internal/ external abdominal obliques

What joints will likely have a decreased rom with hyperlordosis

Lumbar | Hip joint

Where will fascial work be indicated with hyperlordosis

Anterior hip | iliopsoas

What is the expected outcome with a structural hyperlordosis vs a functional one

Functional can bring back into alignment, correction effects

What are some causes of ITB contracture

``` Activity Inactivity Occupational Anything that puts both knee and hip in flexed position Anterior pelvic tilt Ples planis (foot pronation) ```

What is the typical symptom picture of ITB contracture

``` Shortening of ITB Pain felt along thigh and into knee Fibrotic nodules along the ITB Hypertoned and TPs in TFL Lumbar pain with anterior pelvic tilt Si (sacroiliac) joint hypermobility with anterior pelvic tilt ```

Do to the potential discomfort of an ITB treatment, how can you work with your client to ensure that an effective treatment is performed without being too aggressive

- Positioning- side lying, pillows under knee - Do not randomly stretch fascia, asses areas of restriction - if on anti inflamatories, no frictions or aggressive technique - diaphragmatic breathing - lots and clearing and effleurage

What muscles should likely be treated with ITB contracture

``` ITB TFL Gluts iliopsoas Adductors Rectus femoris QLs ```

What is ITB contracture

A contracture or thickening of ITB. | When ITB becomes contracted, the bio mechanics of knee and hip are restricted

What muscles will likely be shortened and tight with a hyperkyphotic presentation

``` Sub occiptals Anterior deltoid Intercostals Upper traps Levator scapula ```

What muscles will likely be tight and weak with a hyperkyphotic presentation

Rhomboids Mid/lower traps Latissimus Dorsi Thoracic erectors

How do you treat over stressed phasic muscles and postural muscles differently

phasic - when over stressed are weakened and over stretched, tight. - teapotment, cold treatments, TPs , increase circulation, NO fascia work, stimulating work, NO heat Postural muscles - are shortened and tight - TPs, stretching, working with heat, long movements, frictions

Swedish Massage Flashcards

(44 cards)