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ITM medical massage
Test 1 -definitions
definitions | words |
---|---|
system of manual therapy that addresses "dysfunction" and pain within the musculoskeletal system | medical massage |
primarily looking at an injury to the collagen | soft tissue injury |
tension-pulling, compression-crushing, shearing-ripping | mechanical trauma to soft tissue |
caused by repetitive stress | microfailure |
quality of a substance to become more fluid as it is stirred and become more solid when it remains undisturbed | thixotrophic |
transparent, viscous liquid surounds connective tissue cells in the body and in between the collagen fibers | ground substance |
has appearance and consistency of raw egg whites | ground substance |
clear or pale yellow viscous fluid secreted by fibroblast-like cells | synovial fluid |
surrounds a synovial joint and encloses the synovial cavity | joint capsule |
voluntary, striated, multinucleated cells that are attached to bones | skeletal muscle |
covers fascicles | perimysium |
covers muscle | epimysium |
forms adhesions, fiber developes random orientation | collagen reaction to injury |
dehydrates, thickens, predisposed to adhesions | ground substance reaction to injury |
disuse atrophy, contractures, forms adhesions,positional dysrelationship | skeletal muscle reaction to injury |
trauma caused by a direct blow to the tissue | direct trauma |
acute trauma, occurs with sudden overload, or chronic or overuse trauma as a result of repeated overload to tissues | indirect trauma |
within first 4 hours of injury, can last 4-5 days | acute or vascular phase |
process of repair and regeneration, begins 2-6 days after initial injury,can last 3 wks | subacute or repair phase |
occurs from day 21 to day 60, is changes to network of fibrous connective tissue | remodeling phase |
functional tissue that makes up an organ | parenchymal tissue |
cell reproduction of the parenchymal cells is going on continuously | labial tissues |
blood, skin, bone | labial tissues |
nerve, muscle, cartilage | tissue that do not reproduce well |
blood supply to the muscle is occluded creating a buildup of waste products which cause inflammatory response, usually chronic | static inflammation |
death of tissue | necrosis |
accumulation of pus | abscess |
large scale necrosis | gangrene |
body attempts to protect itself from suffering additional damage to injured area | pain-spasm-pain cycle |
a dysfunction in one part of the body will affect other parts of the body | individual is a whole organism: everything is connected and related |
muscles work by contracting, therefore can do no work if shortened | shortened muscle tissue can do no work |
touch interferes with self-perpetuating neuromuscular feedback circuit and restores normal function | soft tissues of the body respond to touch |
rehydrate tissue | thixotrophic effect |
points on the body that are tender when pressed | tender points |
point found in a nodule in a taut band of skeletal tissue that is extremely tender and "refers or radiates" | trigger point |
term used to refer to the softening and lengthening of soft tissue | release |
prime mover | agonist |
muscle opposing the agonist | antagonist |
muscle contracts to flex a joint by "shortening" | concentric contraction |
muscle functions as an antagonists and contracts to control movement of a joint while "lengthening" | eccentric contraction |
antagonist must overcome the normal resistance to stretch in order for movement to take place | reciprocal inhibition |
no bony change, client can self correct problem | 1st degree or postural |
few or no bony changes, client can no longer self correct | 2nd degree or transitional |
serious bony changes, require surgical intervention | 3rd degree or structural |
anterior, posterior, lateral; right and left | examination of alignment in standing |
to assess what musculature is contracted and shortened, or lengthened | test for range of motion and muscle length |
plumb line should be midway between heels | anterior view |
plumb line should be just anterior to lateral malleolus | lateral view |
plumb line should be midway between heels | posterior view |
correlation exists between alignment and muscle test findings | if posture is habitual |
intersection of the sagittal and coronal mid-planes of the body | gravity line |
arrangement of muscle fibers relative to the axis of force generation | muscle architecture |
fibers lie at a single angle to the force-generating axis | unipennate |
fibers lie at two angles to the force-generating axis | bipennate |
fibers lie at multiple angles to the force-generating axis | multipennate |
fibers are parallel to the force-generating axis | parallel (longitudinal) |
fibers from a broad attachment converge to a narrow attachment, forming a fan shape | convergent |
kinesiological function of the muscle or that particular part of the muscle | determined by 'arrangement' of the muscle fibers |
direction and type of the work to be done | determined by the 'direction' of the fibers in a particular section of a muscle |
latin word meaning 'band' or 'bandage' | fascia |
inhibition of the stretch reflex in antagonists | reciprocal inhibition |
point of contact between nervous system and muscular system | neuromuscular junction |
points at which nerve cells communicate chemically with each other | synapses |
performed by the client with no assistance from therapist | active range of motion |
therapist moves client through range of motion with no assistance from client | passive range of motion |
some resilience or bounce at end of range of motion | soft end feel |
range of motion stops abruptly against bony or ossified material | hard end feel |
pain before end of normal range of motion is reached | client is in acute phase of inflammation |
pain at the limit of the normal end of range of motion | client is in subacute or repair phase |
pain with overpressure | client is in chronic or remodeling phase |
indicates pathologies in tendons and muscles | pain on resisted movements |
pain on active and passive movement | indicates pathologies in ligaments, joint capsules, bursaes, and other noncontractile tissues |
muscular tissues | contractile |
not muscular | noncontractile tissues |
pioneered fascia-centered bodywork | ida rolf |
solid or semisolid state of a colloidal solution | gel |
liquid state of a colloidal solution | sol |
lines of direction in the dermis | langer's lines |
fascia covering a group of muscles | investing fascia |
fascia surrounding the muscle | epimysium |
fascia covering fascicles within a muscle | perimysium |
fascia surrounding the individual muscle fibers | endomysium |
warm tissue, break up adhesions, realign fibers | scooping |
enhance the natural broadening of muscles as they contract | compression broadening |
break up adhesions, treat sprains, strains, tendinosis, reduce scar tissue | deep transverse frictioning |
encourage elongation, reduce hypertonicity, increase pliability, inactivate myofascial trigger points | deep longitudinal stripping |
reduce hypertonicity, deactivate myofascial trigger points | static compression |
procedure that involves voluntary contraction of clients muscle in a precisely controlled direction, at varying levels of intensity, against a distinctly executed counterforce applied by therapist | muscle energy techniques (MET) |
muscle contraction which there is resistance but 'no' movement at joint | isometric |
muscle contraction which there is resistance with 'movement' at joint | isotonic |
resistance with movement which origin moves toward insertion, muscle 'shortens' | concentric isotonic |
resistance with movement which origin and insertion moving apart making muscle 'lengthen' as it contracts | eccentric isotonic |
proprioceptors located in tendon of muscles and detect "tension" in the tendon | golgi tendon organs |
proprioceptors located in belly of muscle which detect sudden or constant 'stretch' on muscle | spindle cell fibers |
time period during which a neuron cannot respond to stimulus that is usually adequate to evoke a nervous impulse | refractory period |
no stimulus will evoke a nerve impulse | absolute refractory period |
very strong stimulus will evoke a nerve impulse | relative refractory period |
muscle that is habitually contracted forgets where its normal resting length should be | sensory motor amnesia |
if agonist contracts the antagonist must relax | law of reciprocal inhibition |
excessively stretched, joint instability limits range of motion | joint capsule reaction to injury |
increase fluid, becomes thicker, forms adhesions | synovial membrane reaction to injury |
can be stretched and change shape and then return to normal | visoelastic nature |
alleviate pain, normalize tonicity, restore range of motion | medical massage soft tissue techniques |