Therapeutic Massage Flashcards Preview

Phys Agents > Therapeutic Massage > Flashcards

Flashcards in Therapeutic Massage Deck (50):
1

What are the effects of therapeutic massage (9)

1. Assessment
2. Invigorate the body
3. Promote relaxation
4. Promote superficial blood flow
5. Increased pain threshold
6. Can promote lymph flow to reduce edema
7. Increased tissue extensibility
8. Decreased scar tissue
9. Restore joint mobility

2

What can you assess when giving a therapeutic massage (8)

1, Mobility of tissue
2. Muscle tone
3. Scar tissue
4. Adhesions
5. Contractures
6. Fluid in area
7. Does tissue respond
8. Temperature

3

What are the indications for therapeutic massage (8)

1. Pain
2. Muscle spasm
3. Edema
4. Headache
5. Muscle soreness
6. To increase local blood flow
7. To assist with lymph drainage
8. Scar tissue adhesions

4

What are the contraindications for therapeutic massage (9)

1. Arterosclerosis
2. Thrombosis
3. Embolism
4. Acute phlebitis
5. Severe varicose veins
6. Cellulitis/skin infections
7. Acute inflammation
8. Cancer
9. Open wounds

5

What is a therapeutic massage

Relating to a treatment for a disease or disorder, something required as part of a treatment

6

What is a relaxation massage

Pt desires a rubdown to relax muscles or self due to overwork or tension

7

What are the 2 categories of physiologic effects of therapeutic massage

1. Reflexive effects
2. Mechanical effects

8

What are the reflexive effects of therapeutic massage (4)

1. Acts on local sensory and motor nerves as well as the CNS
2. Capable of inducing sedation
3. Attempts to exert effects through the skin and superficial connective tissues via sensory receptors
4. Pain, circulation, and metabolism

9

How do the reflexive effects take effect

By stimulating receptors

10

What are the mechanical effects of therapeutic massage (5)

1. Mechanical effects are always accompanied by reflexive effect but with an inverse relationship
2. Muscle elongation and mobilization of soft tissue adhesions
3. Increases blood flow to skeletal muscle
4. May retard muscle atrophy following injury
5. Increases skin temperature

11

What are the forces used to apply therapeutic massage (5)

1. Compression
2. Tension
3. Shear
4. Bending
5. Torsion

12

What is the resting position

Placing of open relaxed hands on the client

13

What is the resting position used for

Entering the clients personal space and allowing the client to get used to your touch

14

What are the basic massage strokes (8)

1. Gliding or effleurage
2. Kneading or petrissage
3. Compression
4. Vibration
5. Shaking
6. Rocking
7. Percussion or tapotement
8. Friction

15

What is the first and last stroke you will do during a massage

Effleurage or gliding

16

What is effleurage

A motion gliding lightly over the skin without attempting to move deeper tissues

17

What is the purpose of effleurage (4)

1. To accustom the patient to the touch of the therapist
2. To apply the lubricant
3. To increase skin circulation
4. To increase the rate of metabolic exchange in the periphery

18

What is an effleurage stroke

Unidirectional stroke towards the heart that starts light made with the heel of the hand fingers slightly bent and thumb spread and contact is always maintained

19

What is kneading or petrissage

Kneading of soft tissue that presses and rolls the muscle under the fingers or hands

20

What is the purpose of kneading or petrissage (5)

1. To increase venous and lymphatic return
2. To press metabolic waste products out of the target tissues
3. Break up adhesions between the skin and underlying tissues
4. Loosen adherent fibrous tissue
5. Increase elasticity in the skin

21

What is skin rolling good for

Superficial interface

22

What is deep rolling good for

Fascia and muscles

23

What is a kneading or petrissage stroke

The application of pressure by repeatedly grasping and releasing the muscle tissue in a lifting or rolling motion that goes from distal to proximal

24

How to you knead the muscle

Parallel or right angles to the muscle fibers

25

What does compression utilize to create the compression

Pushing the tissue against bone

26

Is compression a relaxing or invigorating stroke

Invigorating because hands come off each stroke

27

What is a compression stroke

Lift-press method where you disconnect from the body with each stroke stimulating muscle spindle

28

What part of the hands/arm can be used for a compression stroke

Point of thumb, fingers, palm/heel of hand, fist, knuckles, forearm

29

What angle should the compression be applied in relation to the tissue

90 degrees

30

What is a vibration stroke used for

Stimulating muscles

31

What does a vibration stroke activate and cause

Activation of the GTO to cause a reciprocal inhibition

32

What is a vibration stroke

Start with compression then use forearm muscles in rhythmic motion

33

What motions occurs at the forearm/wrist during a vibration stroke

Supination and pronation

34

What does shaking therapeutic massage do

1. Relaxes muscle groups or whole limbs
2. Influences muscle spindle system and joint proprioceptors

35

How do you do shaking therapeutic massage

Lift and downward or side-side movement

36

What receptors does shaking massage engage

Pacinian corpuscles

37

What is rocking therapeutic massage

Soothing, rhythmic motion using the whole body

38

What does rocking massage stimulate

Vestibular system as well as muscular system

39

How do you do rocking therapeutic massage

Up/down, side/side movement of body

40

True or False:
You always want to find the bodies natural rhythm when doing rocking massage

True

41

What is tapotement or percussion therapeutic massage

Percussion movements or series of brisk blows

42

How is tapotement administered

With relaxed hands with rapid alternating movements

43

What is the purpose of tapotement (3)

1. Stimulate subcutaneous tissues
2. Increase circulation
3. Stimulate peripheral nerve endings

44

How do you do tapotment massage (5)

1. Hacking: Alternate movements with the ulnar border of the hands
2. Slapping: Alternate slapping with the fingers
3. Beating: Using half closed fists and beating with the hypothenar eminence of the hand
4. Tapping: Using the tips of the fingers
5. Cupping: Using a concave cup formed by the fingers thumb and hand together

45

What is cupping tapotment mostly used for

Postural drainage

46

What is friction therapeutic massage

Small deep movements to select tissue

47

What forces does friction massage utilize

Shear forces

48

What is friction massage used for

To break up adhesions

49

Is lubricant used for friction massage

Nope

50

True or False:
Massage strokes are typically in the direction of the fibers

True