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soft tissue mobs
ortho foundations exam 1 material
Question | Answer |
---|---|
physiological effects of STM/Massage | decrease pain, increase circulation, improve lymphatic flow, mechanical effects |
largest physiological effect | mechanical - loosens spasms |
STM/massage uses ____ pain control | ascending |
massage treatment techniques | effleurage, pétrissage, tapotement, percussion, friction, lymph drainage ,myofascial release |
effleurage | stroking, glide over skin lightly, no attempt to move underlying muscle. |
with effleurage, begin ____ and move ___ | begin peripheral and move towards the hear |
with effleurage a ____ hand is used to apply ___ | flat hand is used to apply light, even pressure |
purpose of effleurage | exam, acclimation, relaxing, decrease pain |
petressage | kneading, muscles are squeezed and lifted. |
in petrissage, movement should be ____ to the muscle | parallel (HOW TO LENGTHEN IT!*) move distal to proximal |
purpose of petrissage | decrease pain, increase length, break up adhesions, increase circulation, improve lymphatic flow |
tapotement | percussion- series of brisk blows administered with relaxed hands in an alternating fashion |
purpose of tapotement | decrease pain, promote muscle relaxation, increase circulation. used to get fluid out of the lungs |
vibration | fine tremulous movement, made by hand or fingers placed firmly against a part causing a part to vibrate. hands should remain ini contact and a rhythmical trembling movement will come from arms |
purpose of vibration | decrease pain, promote muscle relaxation |
types of friction massage | trigger/circulation point, and transverse/cross |
friction massage | fingers maintain firm contact with skin, deeper tissues targeted, small treatment area, usually uncomfortable for patient |
primary purpose of friction massage | produce mechanical effects and increase circulation |
trigger point massage | firm pressure is applied in small circular fashion |
trigger point | local areas of muscle tenderness-feel like nodular lumps. associated with acupuncture points |
purpose of trigger point massage | decrease trigger point by increasing circulation, breaking up adhesions, increasing tissue length |
transverse friction massage | firm pressure is applied with small movements and force perpendicular to collagen fibers |
in order to use transverse friction massage, | *scar needs to be COMPLETELY healed |
purpose of transverse friction massage | re-align collagen fibers and strengthen scar (Wolfe's law) |
active release therapy | non-instrumented soft tissue mobilization technique that uses sustained longitudinal manipulation of soft tissue in cooperation with active and passive motion of the individual's body |
IASTM | massage tools, require specialized training |
purpose of Graston technique | mobilize scar tissue and breakdown adhesions that cause pain and limit function |
ASTYM is applied | globally to soft-tissue structures of entire affected limb or body segment |
graston is applied | aggressively to specific areas of soft tissue dysfunction |
manual lymph drainage technique | slow repetitive strokes tying to push fluid along lymphatic system |
direction of strokes in lymph drainage | distal to proximal |
always begin lymph drainage treatment ____ | proximally and work distally (to get uncorking effect) body part should be elevated! |
*purpose of manual lymph drainage | mechanically moving fluid and metabolic waste out of interstitial space into lymphatic system, get rid of swelling |
once manual lymph drainage is done, | *ADD COMPRESSION to keep swelling out |
myofascial release | group of techniques used for purpose of relieving fascial adhesions |
CT surrounding muscles, tendons, nerves, bones, organs | fascia |
indications for massage | decrease pain, stimulate circulation, restore joint mobility, alleviate muscle cramps, increase blood flow, venous return, ROM, remove edema |
contraindications for massage | atherosclerosis, thrombosis, embolism, severe varicose veins, acute phlebitis, cellulitis, synovitis, absences, skin infection, cancer, fractures, open wounds, acute inflammation, swelling of systemic nature |