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20 Cards in this Set
- Front
- Back
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Uses of massage |
-altered pain transmission -decrease anxiety & tension -decrease mm atrophy -decrease mm spasm & cramps -increase circulation (venous & lymphatic) -loosen adhesions -decrease edema -relaxation -remove metabolic waste -increase ROM -intermittent claudication -excess lactic acid -migraine or HA -scar tissue -tendonitis -trigger points |
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massage contraindications |
-acute injury -arteriosclerosis -cancer -cellulitis -embolus -infection -thrombus (don't spread these bc they can do harm to the pt) |
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Massage -direction |
-centrifugal (center of the body out) -centripedal (extremities to center of body) |
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Massage -duration |
-back:15 mins -other areas: 8-10 mins |
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Massage -pressure |
-light, mod., deep, or variable |
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Massage techniques |
-effluerage (stroking) -friction (deep & transverse) -tapotment (tapping) -vibration -petrissage (kneading) |
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Effleurage |
-light stroke that produces reflexive response (light stroke across skin over skeletal mm that is being treated) -beginning & end of massage -allow pt to relax -directed to heart -can add passive stretching (usually distal to prox) |
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Friction |
-small circular motion over trigger point or mm spasm -deep: decrease edema, loosen adhesions & scars, relieve mm spasm -for chronic inflamm & overuse injuries |
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Tapotment |
-strike soft tissue w/ repetitive blows -use hands in rhythmic & rapid manner -therapeutic effect is caused by compression of trapped air on contact -percussion oriented massage -stimulation tx area through rapid, alternating movement -tapping, hacking, cupping, slapping -increases circulation, stimulater peripheral nerve endings |
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vibration |
-fingers or hands firmly over the area -rapid shaking motion that causes vibration to tx area -for relaxation |
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petrissage |
-kneading: the mm is squeezed & rolled under PT's hands -2 hands over large mm groups -2 fingers over smaller mm groups -compression of underlying skin & mm's btwn fingers & thumb -distal to prox -effects are: 1) compression 2) release of soft tissue 3) reactive blood flow 4) loosen adhesions 5) increase lymphatic return 6)remove metabolic waste 7) venous return -direction varies for adhesions -direction is distal to prox for venous return |
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massage technique to treat a muscle |
-keep motions parallel to the muscle fiber |
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circular motions of shearing forces are used to? |
breakdown adhesions |
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lighter pressure is used to? |
-produce relaxation & sedation |
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what does kneading do? |
-decreases edema |
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deep friction massage |
-applies shear forces to underlying tissues -pressure applied w/ ball of thumb to pts skin & mm |
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know -type of condition to use the different techniques for -direction of strokes -hand placement |
.... |
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transverse friction massage |
-relies on stimulation of mechanoreceptors (gate control mechanism) to attain temporary analgesia -anti inflammatory benefits w/ chronic injury are suggested -rarely used with acute injury d/t risk of causing additional inflammation or tissue damage |
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cross friction |
-stroke across mm fibers rather than along longitudinal axis of mm fiber |
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is massage given if pt has swelling |
no, it will increase the swelling -but it's used for lymphedema reduction |
