Therapeutic Massage Flashcards

(50 cards)

1
Q

What are the effects of therapeutic massage (9)

A
  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
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2
Q

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

A

1, Mobility of tissue

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

What are the indications for therapeutic massage (8)

A
  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
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4
Q

What are the contraindications for therapeutic massage (9)

A
  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
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5
Q

What is a therapeutic massage

A

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

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6
Q

What is a relaxation massage

A

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

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7
Q

What are the 2 categories of physiologic effects of therapeutic massage

A
  1. Reflexive effects

2. Mechanical effects

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8
Q

What are the reflexive effects of therapeutic massage (4)

A
  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
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9
Q

How do the reflexive effects take effect

A

By stimulating receptors

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10
Q

What are the mechanical effects of therapeutic massage (5)

A
  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
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11
Q

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

A
  1. Compression
  2. Tension
  3. Shear
  4. Bending
  5. Torsion
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12
Q

What is the resting position

A

Placing of open relaxed hands on the client

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13
Q

What is the resting position used for

A

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

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14
Q

What are the basic massage strokes (8)

A
  1. Gliding or effleurage
  2. Kneading or petrissage
  3. Compression
  4. Vibration
  5. Shaking
  6. Rocking
  7. Percussion or tapotement
  8. Friction
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15
Q

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

A

Effleurage or gliding

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16
Q

What is effleurage

A

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

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17
Q

What is the purpose of effleurage (4)

A
  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
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18
Q

What is an effleurage stroke

A

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

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19
Q

What is kneading or petrissage

A

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

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20
Q

What is the purpose of kneading or petrissage (5)

A
  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
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21
Q

What is skin rolling good for

A

Superficial interface

22
Q

What is deep rolling good for

A

Fascia and muscles

23
Q

What is a kneading or petrissage stroke

A

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
Q

How to you knead the muscle

A

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