Massage

Front 1

surperficial reflex techniques

Back 1

static contact, superficial stroking, fine vibration

increase blood/lymph flow, relieve pain and muscle spasm, relaxation, get accustomed to touch, stimulating when fast, joins massage strokes

Front 2

contraindications for superficial reflex techniques (10)

Back 2

large open area, gross edema, cancer in the area, infection in the area, laceration/bruising/foreign body, acute/chronic skin condition, marked varicosities, 3-6 mo. after radiation, hyperasthesia, extremely hairy areas

Front 3

indications for superficial reflex technique (5)

Back 3

acute/chronic pain, acute/chronic muscle spasm, superficial scar tissue, flatulence/constipation, insomnia

Front 4

superficial fluid techniques

Back 4

superficial effleurage, superficial lymph drainage

increase blood/lymph flow, decrease edema, relieve pain and spasm, relaxation follow other strokes (absorb waste), accustomed to touch, join massage strokes

Front 5

indications for superficial fluid techniques (4)

Back 5

chronic edema, chronic pain, chronic muscle spasm, superficial scar tissue

Front 6

contraindications for superficial fluid techniques

Back 6

all superficial reflex techniques and chronic swelling of lower limb due to congestive heat failure

Front 7

neuromuscular techniques

Back 7

petrissage (kneading, picking up, wringing), muscle stripping, specific compression

increases blood/lymph flow, reduce edema, mobilize skin and subcutaneous tissue, mobilize contractures, remove waste, reduce pain and spasm, relaxation

Front 8

indications for neuromuscular techniques (4)

Back 8

chronic edema, chronic pain, superficial scar of skin or subcutaneous tissue, contracture

Front 9

contraindications of neuromuscular techniques (5)

Back 9

all for superficial reflex plus: arterial or venous pathology (DVT), acute muscle tears, abnormal muscle tone, chronic swelling associated with CHF in LE

Front 10

passive movement techniques

Back 10

coarse vibration and shaking

loosen mucus in lungs, facilitate contraction and reeducation, relieve neuralgic pain, resolve chronic edema

Front 11

indications for passive movement techniques (4)

Back 11

respiratory disorders with mucus, weak muscle contraction, difficult initiating muscle contraction, chronic pain

Front 12

contraindications (9)

Back 12

all for stroking plus: rib fracture, heart failure (throax), acute pulmonary embolism (thorax), severe hypertension (thorax), arterial or venous pathology, acute muscle tear, chronic LE swelling due to CHF, bony regions

Front 13

percussive/tapotement techniques

Back 13

clapping, beating, hacking, pounding

increase blood/lymph, stimulate circulation for muscle healing, relieve pain, relieve spasm, loosen mucus in lungs, facilitate muscle contraction and reeducation

Front 14

indications for tapotement (4)

Back 14

weak muscle contraction, difficulty initiating muscle contraction, chronic pain, respiratory disorders

Front 15

contraindications for tapotement (10)

Back 15

all for stroking plus: rib fracture, heart failure (thorax), acute pulmonary embolism (thorax), sever hypertension (thorax), arterial or venous pathology, acute muscle tear, abnormal muscle tone, newly formed scar, chronic LE swelling due to CHF, bony regions in thin pt.

Front 16

connective tissue technique

Back 16

skin rolling, myofascial release, direct fascial stretch, deep friction

mobilize contracture, increase blood/lymph flow, promote absorption of edema, relieve pain and spasm, promote relaxation and healing

Front 17

indications for connective tissue techniques (3)

Back 17

chronic lesions (teninditis/muscle tear), chronic pain, chronic superficial scar

Front 18

contraindications for connective tissue techniques (5)

Back 18

all for stroking plus: arterial or venous pathology, acute muscle tear, acutely inflammed joint tissue, abnormal muscle tone