Week 11 Soft Tissue Mobilization Flashcards
what are some treatment goals of STM?
-increase pain threshold
-improve mobility of soft and connective tissues
-stimulate circulation/improve energy transport/facilitate healing
-improve flexibility
-improve coordination
-decrease neuromuscular excitability
-restore joint mobility
-remove lactic acid
-improve motor firing
what should you do as a therapist before starting a STM treatment?
-explain to the patient what you will be doing and why
-explain what the patient should expect to feel during and after the treatment
-instruct the patient that you will be asking for feedback throughout and after treatment
-clear all contraindications, precautions, and allergies
-be purposeful of when to implement your treatment
-prioritize patient set up
-skin check/assessment prior
what should you as the therapist do as your begin a SMT treatment?
-determine the need for emollient
-check in with the patient regularly
-pay attention to what you feel
-be aware and feel specific anatomy
-warm up tissue with effleurage
-progressively build to deeper treatment techniques
-cool down to more superficial techniques
-end with effleurage
-your own pressure regulation is determined by type and amount of tissue, is progressive, and patient/technique specific
-typically perform distal to proximal
what are the 4 STM techniques performed with emollient?
effleurage, petrissage, knuckling, stripping
what is effleurage?
-glides over the skin lightly without attempting to move the deep muscle masses,
-often used to accustom the patient to physical contact, distribute lubrication, assess for areas of spasm/soreness/trigger points, improve blood flow and pain threshold
-warm up, at the skin level
what is petrissage?
-consistent kneading the presses and rolls the muscle/tendon/ligament/fascia.
-the area is gently squeezed, lifted, and relaxed in a kneading fashion.
-a deeper technique aimed at improving adhesions between skin, muscle, fascia, and connective tissue
what is knuckling?
-use of dorsal surfaces of digits, MCPs, IPs for deeper stroking technique for improving fascial mobility, tension, and adhesions
what is stripping?
-use of thumb, supported digit, pisiform for deep focal stroking technique for improving fascial mobility, tension, and adhesion
what are the 8 STM techniques performed without emollient?
fascial stretching, skin rolling, strain-counter strain, positional release, trigger point massage, trigger point acupressure, active release, and cross friction massage
what is fascial stretching?
what is skin rolling?
-lift separate skin from underlying fascia and muscle in order to improve soft tissue mobility, sensitivity, and improve circulation
what is strain-counter strain?
-clinician locates a tender point or muscle and moves the patient passively into a position of ease or comfort
-accomplished by markedly shortening the muscle or tissue
-the position is passively maintained for 90 seconds or until sensitivity/symptoms improve then slowly returned to neutral position
what is positional release?
-begin with strain-counter strain then add submaximal acupressure to the trigger point
-can continue to work toward passively positioning the patient into greatest ease or comfort while pressure is held for 90 seconds
what is trigger point massage?
-using the tip of any digit, piriform or olecranon process slowly build circular pressure/strokes on palpated trigger point for 1-5 minutes or until sensitivity/symptoms improve
what is trigger point acupressure?
-using tip of any digit, pisiform, olecranon process to palpate the desired trigger point
-add progressive static central pressure to the center of the trigger point for 60-90 seconds or until sensitivity/symptoms improve
