Therapeutic Massage - Class 1

Question 1

types therapeutic massage

Answer 1

superficial fluid techniques

neuromuscular techniques

connective tissue techniques

Question 2

superficial fluid techniques engage the

Answer 2

skin

superficial fascia

subcutaneous fat

Question 3

superficial fluid techniques strokes produce

Answer 3

mechanical effects on superficial lymphatics and possibly venous circulation

Question 4

2 types of superficial fluid techniques

Answer 4

superficial lymph drainage

effleurage strokes

Question 5

effleurage

Answer 5

to slide, glide over the skin w/ smooth continuous motion

Question 6

many purposes of effleurage

Answer 6

introduces touch

helps to survey the area

warms up tissue

spreads medium

decreases spasm

begins to increase relaxation

facilitates circulation by moving superficial

increases mobilization of superficial soft tissues

gives us a moment to think

Question 7

types of effleurage

Answer 7

bilateral tree

shingling

horizontal stroke

three count stroke of trapezius

clearing stroke

Question 8

general rules of effleurage (1)

Answer 8

use lubricant

hands must be soft and relaxed

your hands point int the general direction of the stroke

keeps wrists neutral

strokes are slow

Question 9

how is pressure given –> effleurage

Answer 9

towards the axillary or inguinal lymph nodes

Question 10

how should we start effleurage strokes

Answer 10

superficially

w/ each rep move progressively deeper

Question 11

what should we do for small body parts –> effleurage

Answer 11

use our fingers

Question 12

what should we do for larger body parts –> effleurage

Answer 12

use the whole hand

Question 13

neuromuscular techniques

Answer 13

affect contractile element of muscle

hydrate connective tissues

may produce reflex effects

Question 14

what do neuromuscular techniques do

Answer 14

send a signal to the brain

then sends signal to the brain

tell the muscle to relax

Question 15

types of neuromuscular techniques

Answer 15

stripping

petrissage

compressions

Question 16

stripping can also be called

Answer 16

knuckling

raking

Question 17

what is stripping

Answer 17

a slow, specific, gliding technique

Question 18

where is stripping performed

Answer 18

from one attachment of a muscle to the other

Question 19

what does stripping do

Answer 19

decrease myofascial trigger points

Question 20

when is stripping preferred

Answer 20

when trigger points are located near the center of a muscle

Question 21

what is stripping used to do

Answer 21

reduce the activity, pain and other sxs of trigger points

to help restore the length and strength of a muscle

Question 22

broad contact compression

Answer 22

non gliding technique

Question 23

broad contact compression uses

Answer 23

broad surface to engage the pt’s muscle

Question 24

what is broad contact compression used to assess

Answer 24

the quality and tension in larger muscles

Question 25

what is broad contact compression used to affect

Answer 25

circulation lymph return muscle resting tension rib cage mobility

Question 26

what can we use to assist in breathing relaxation --> broad contact compression

Answer 26

breathing

Question 27

specific contact compression

Answer 27

pressure is applied at specific locations in muscles trigger points

Question 28

how can specific contact compression be done

Answer 28

statically or making small circles aka circular friction

Question 29

other manual therapies that utilize specific contact compression

Answer 29

reflexology acupressure

Question 30

what can we used with specific contact therapy to assist with mm relaxation

Answer 30

breathing

Question 31

petrissage

Answer 31

lifting, wringing, squeezing soft tissues in a kneading motion

Question 32

petrissage is

Answer 32

rolling/pressing tissues under or b/w the hands

Question 33

petrissage may decrease

Answer 33

anxiety stress level of mm resting tension motor neuron excitability

Question 34

petrissage may increase

Answer 34

relaxation

Question 35

how can petrissage decrease edema

Answer 35

when performed proximal to edematous site

Question 36

what might petrissage improve

Answer 36

joint ROM by decrease mm resting tension and decreasing edema

Question 37

what should we observe when performing NM techniques

Answer 37

reduction of muscle resting tension change in the consistency of the muscle tone visibly well-defined anatomic muscle form hyperemia decreased fluid form edematous tissue or changes in tissue contour

Question 38

what do we have to keep an eye on --> NM techniques

Answer 38

can we perform the stroke at a deeper lvl w/o increased pain or increased force

Question 39

connective tissue techniques

Answer 39

palpate lengthen help to remodel connective tissue

Question 40

what is CTM

Answer 40

manipulative technique facilitates the dx and tx of a wide range of pathologies

Question 41

what could have a beneficial effect upon tissues further away from the area of tx --> CTM

Answer 41

observation and subsequent manipulation of the skin and subcutaneous tissues

Question 42

types of CTM

Answer 42

skin rolling friction myofascial release direct/indirect techniques

Question 43

skin rolling is used to

Answer 43

identify and treat areas of restriction or abnormal cross linking of fascia or connective tissue

Question 44

what does skin rolling help do

Answer 44

release muscle knots or adhesions so that the skin can flow effectively over the body

Question 45

friction

Answer 45

deeper, level specific massage technique

Question 46

what is friction used for

Answer 46

increase circulation release tight areas of CT

Question 47

types of friction

Answer 47

circulation friction transverse friction cross friction

Question 48

circulation friction

Answer 48

small circles going deeper as more superficial tissues release

Question 49

transverse friction

Answer 49

short strokes across muscular fibers

Question 50

cross friction

Answer 50

used over ligaments, tendons where injury or mm inflammation has occurred great for "itis" (like tendonitis)

Question 51

types of cross friction

Answer 51

supraspinatus/rotator cuff tendonitis achilles tendonitis/post ankle sprains tennis elbow/golfers elbow

Question 52

how long is cross friction done

Answer 52

10-15 min or 3-5 even

Question 53

what does cross friction do

Answer 53

realigns fibers

Question 54

type of cross friction

Answer 54

cyriax technique

Question 55

cyriax approach

Answer 55

focuses on the tx of soft tissue lesions around the body

Question 56

cyriax approach treats

Answer 56

any condition affecting the tendons, ligaments, muscles and bursa along the cervical, thoracic and lumbar spines of the body

Question 57

how must proper location be found --> cyriax

Answer 57

through palpation and evaluation of specific tendon, ligs or muscle

Question 58

friction is given across --> cyriax

Answer 58

affected fibers

Question 59

therapists fingers and pt's skin --> cyriax

Answer 59

move as one

Question 60

friction massage must have --> cyriax

Answer 60

sufficient sweep and be deep enough

Question 61

pt must be in a --> cyriax

Answer 61

comfortable position

Question 62

frequency and duration of tx --> cyriax

Answer 62

varies w/ severity and type of injury can last up to 10-15 min

Question 63

direct technique

Answer 63

force is applied in the direction of the restriction

Question 64

direct technique is usually

Answer 64

attempted first

Question 65

when is direct technique used

Answer 65

for less reactive more chronic fascial restrictions

Question 66

indirect technique

Answer 66

force is applied in direction opposite the restriction

Question 67

when is indirect technique used

Answer 67

more acute reactive fascial restrictions