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93 Cards in this Set

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where does the word massage come from?

Arabic "mass" to touch or Greek "massein" to knead

who is Asclepides?

Greek physician who promoted massage, exercise and hydrotherapy

which Romans used massage?

both rich and poor

who used massage in baths?

Romans

who was Per Ling?

created sweedish massage which was called medical gymnastics

who was Augustus Georgii

Per Lings pupil who published a book on his findings after his death in 1839

Who is Johan Metzger?

a physician in Amsterdam who backed up massage therapy with physiology, pathology and anatomy

in the 19th century what happened for massage therapy?

became a specialized branch of nursing

what was formed in 1895 and what did that group do?

the society of trained masseuses who created training courses, and examinations to standardize massage therapy

what did the society of trained massues become?

the chartered society of physiotherapists

who is information gathered?

scientific method: hypothesis, observe and measure then conclude

what are the effects of massage in general?

increases muscle flexibility, relaxation, decrease stress levels

what can massage do for pain control?

massage reduces and manages pain that arises from a variety of sources (trauma, post-sugery, headache, fribromyalgia, arthritis, and terminal illness)

what can massage do for circulation?

massage locally and temporairly increases circulation, massage improves tissue health and can decrease blood pressure.

what can massage do for the lympthatic system?

massage improves lympthatic flow, reduces edema (swelling) ease pain, lower chance of scar tissue, and remove metabolic wastes.

what can massage do for the respiratory system?

what can massage do for the immune system?

increase activity of immune system, activity of white blood cells

what are the physological effects of massage?

massage can reduce stress, anxiety and depression

what is it that massage cannot do?

massage cannot: increase muscle tone, increase muscle strength, decrease cellulite, prevent denervated tissue

what can massage do for the musculoskeletal system?

massage can relax muscles, decrease spasms, improve resting muscle length, reduce trigger points, fibrosis and adhesions

what are the four T's of palpation?

Temperature, texture, tenderness, and tone

what can temperature indicate?

indicating inflammation or ischemia

what can texture determine?

healthy is even, adhesions are sticky, crepitus roughness in joint or crunchy

how do you know if tissue is tender?

wincing, or pulling away

what is tone

hypertonic is an increase in tone relative to nearby muscles. hypotonic decrease relative to nearby muscles

what is palpation?

palpation is the placement of the therapists hands on the clients tissues to assess their condition

how is palpation performed?

bilaterally unaffected side first, broad light touch, then fingertips to be specific

what are soap notes?

a method of collecting clear organised information.

what does S.O.A.P stand for?

S. subjective (what the client tells you) O. objective (notice, testing, findings) A. assessment (possible condition) P. plan (tx plan)

what is tapotement?

percussive and rhythmic tap, drum or patting

how is tapotement preformed?

light deep light

what is heavy tapotemnt?

hands firm, wrists relaxed, deeper force. Hacking, Clapping/Cupping, Beating

what is light tapotement

light and springy, pincement and taping

what are the effects of tapotement?

loosen mucus. increase local circulation. stimulating. reciprocal inhibition of the antagonist. stimulate hypotrohpred muscles

what is petrissage?

kneading, muscle squeezing, m. stripping, wringing, picking up, skin rolling

what is m̃ squeezing

muscle is compressed between palm and fingers

what is m̃ stripping?

moderate to deep pressure muscle contour is followed

what is wringing?

each hand moves in an opposite direction and then back to the initial position

what is m̃ picking up?

squeezing the muscle and lighting it up from underlying tissue

what is skin rolling?

skin is lifted between thumb and fingers and gently rolled over the area being treated

what is kneading?

thumb, fingertips, palmar, ulnar of hand or forearm unidirectional/circular movements

what are the effects of petrissage?

local circulation. m̃ fibre and connective tissue adhesions can be loosened. treat trigger points. radical restrictions

what is effleurage?

gliding, stroking, used to spread lubricant. prepares for deeper techniques

what are the effects of effleurage?

relaxive, sedative, reduce pain.

what is stroking?

an introductory or closing technique that is among the lightess of techniques.

what are the effects of stroking?

soothing

what are vibrations?

muscles of the forearm are alternately contracted and relaxed to create a rhythmic movement through the hand

what are fine vibrations?

very short, fast, almost invisible oscillations of the arm and hand

what are coarse vibrations

larger, more obserable [vigorous] oscillations of the arm and hand

what are static vibrations?

vibrations that keep the hand in continuous contact with the tissue without sliding over the clients skin

what are running vibrations?

vibrations that have the hand in continuous contact with the tissue and the vibrating hand moves over the clients skin

what are the effects of vibrations?

useful for painful areas. sensory reeducation. mechanically loosen mucus when preformed on thorax. decrease muscle tone

what is diaphragmatic breathing

abdominal breathing

what is relaxed inhalation?

the respiratory diaphragm contracts and descends compressing the abdominal visera

what is relaxed exhalation?

passive process that involves the relaxation of all the muscles of inspiration

what is apical breathing?

inefficent breathing pattern where the client mainly uses the uoper part of the lungs (apex). abdomen hardly moves

what is paradoxical breathing?

when a clients abdomen does not appear to rise during inhalation.

what is the first step of diaphragmatic breathing?

hands on the abdomen and client is told to raise your hands with their breath

what is the second step of diaphragmatic breathing?

hands placed on lateral ribs and client told to move hands out with their breathing

what is the third and final step of diaphragmatic breathing?

finger tips placrs on the manubrim below sternal notch and client told to lift fingertips with breath

what is proper exhalation?

relax the diaphragm first, intercostal mucles and then neck

what are the effects of diaphragmatic breathing?

increased relaxation, lympthatic flow, gas exchange, facillitates stretching techniques, decreases pain and stress

what are contraindications to diaphragmatic breathing?

people with long term diabetes and kidney disease

what is the prone position?

client on stomach pillow under abdomen, pillow under ankles, face in face cradle

what position is sidelying?

side to be treated turned uppermost pillow under head, pillow to hug, pillow between knees

what is the supine position?

client laying on their back, head on table pillow under knees

what is the prone draping?

undtape the back to PSIS levels. undrape leg to greater trochanter.

draping for sidelying?

undrape back to illiac crest, undrape leg to greater trochanter

what is the draping for supine?

grape the pectoral muscles to the rise of the breast. 1 hand bwteen grape and clavical. legs to greater trochanter

what is a contraindication?

a CI is something that makes a particular tx inadisable

what is a tx modification?

a change in the initial tx plan

medications

medications may require modifications to tx plan

analegesics

the client is unable to give accurate into about pain perception. asprin. Tylenol. anapox. motrin.

anti-asthmatic medications

can cause increased heart and respiration rates. vigorous deep hydrotherapy contraindicated. Ventolin

anticogulants

slow the clothing process. deep reptivie, m̃ stripping can lead to bruising. asprin. coumadin. heparin.

antidepressants

can alter the normal responses of the vasculature to temp change. full body hydrotherapy contraindicated. dizapam. Prozac. paxil.

anti-inflammatories

supression of the inflammatory process can make an assessment inacurate. asprins. Tylenol. clinoril.

corticosteroids

specialized anti-inflammatory injections tablets or creams . injection sight avoided for 12- 14 hours. topicort cortisol corticream aclovate

muscle relaxants

alter stretch response of a muscle. deep techniques, extreme stretches are contraindications. flexeril. diazepam. norflex.

what is stress?

the body's non-specific response to any demand made upon it. distress = bad eustress = good

what can cause stress?

emotions. threats to self esteem. pain. excessive intake of a stimulant. pathology. environmental exposure.

what are stressors.

potential triggers to the stress response

what is stress reactivity?

individual way a person responds to stress

a brief acute stress that doesn't recur

response is rapid and efficient

a series of stressful secondary events can....

can increase a persons physiological response to potential stress

chronic and sustained stressors

continual exposure to stressors fatigues the stress response and impairs effectiveness.

General adaptaion syndrome

explains the effects of long term stress on the body and helps explain why stress can cause illness

General adapatiom syndrome alarm

first exposure to certain stress the body's cortisol is high and no one organ system is predominantly active.

General adaptation syndrome resistance and adaptation?

exposure to stress the body tries to resist and adapt to it, resistance response rises above normal, limtee about of energy for stess adaptation

General adaptation syndrome exhaustion

long exposute to same stress adapative energy is exhausted acute stress response begins again

autonomic nervous system

regulates internal functions divided into two.parts parasympatheic and the sympathetic nervous system

parasympatheic nervous system

conserved energy and served to restore and maintain organ function slows heart rate and promotes the digestion of food

sympathetic nervous system

expense the body's energy fight or flight response

what does the sympathetic nervous system cause?

sweating, mental alertness, ^metabolism glucose & fat fr liver for quick energy. construction of blood vessels. ^blood pressure. apical breathing. dilation of pupils.