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79 Cards in this Set
- Front
- Back
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What procedure do you use for heat production?
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Kneading
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We use kneading for heat production because it works on what?
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Muscles
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Definition of Kneading?
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Alternate and Intermittent Compression of Tissues By Grasping Or Compressing Tissue Against Underlying Bony Surfaces
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Unless it says superficial kneading. It's what?
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Deep Kneading
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Superficial kneading would be what?
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Fulling
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What does fulling work on?
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Skin And Loose Cellular Tissue
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Fulling, like friction refills and empties what?
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Blood and Lymph
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Why would we use fulling?
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– Swelling, edema
– Any Skin Impairments (hidebound, jaundiced, dry, in active, inelastic, scarring, tight and inflexible) |
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With fulling the skin is compressed between the thumb and finger and lifted from the underlying bone or muscle and is released when?
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The Strain Is Greatest
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What direction do we do superficial kneading (fulling)?
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Any (does not matter)
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What's the rate for petrissage and palmar kneading?
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30-90 Strokes Per Minute
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Where would you do fist kneading?
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Abdomen Only (along entire colon)
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The rate for fist kneading is?
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No More Than 30 Per Minute
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With fist kneading what direction are you going?
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Ascending to Descending, Right To Left
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Rolling and wringing is in what direction?
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Centrifugal
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Why is rolling special?
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200-400 Per Minute
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What direction is rolling?
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– Centrifugal
– Proximal To Distal (Must Do Whole Limb, Shoulder to Wrist or Hip to Ankle) |
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Where can you do rolling?
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– Extremities.
– One Handed on Spine Of Scapula |
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With chucking how many hands are we using?
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One Or Both (support the limit with one hand and firmly grasp fleshy portion with the other)
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The rate for chucking is?
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2-6 Times
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What condition do we use chucking for?
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Muscular Rigidity
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What are the reflexive physiological effects of kneading?
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– Muscle Contraction
– Vascular (vasodilation or vasoconstriction) – Glandular |
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What are you using with palmer kneading?
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– Heel of Hand (for much force)
–Whole Palm (when large mass is massed) |
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What conditions are deep kneading done for?
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– Paralysis, Paresis
– Muscular Rigidity – Muscular Rheumatism. – Carpal Tunnel – Sprains And Fractures (non-acute) – Joint Rheumatism (stiffened or painful joints) – Neuralgia, Neurasthenia – Sciatica |
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What are some contraindications for kneading?
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– Contagious Skin Disorders
– Recent Concussion, Surgery – Fever, Higher Than 101° – Cancer, unless supervised by medical professional – Advance Kidney Failure – Any Acute Circulatory Or Heart Problem. – Recent Stroke, not yet stabilized |
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What physiological effect is it when you create a suction or moving blood and lymph with a vacuum?
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Mechanical
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What is the physiological effect when you're moving blood and lymph and have cell exchanges?
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Metabolic
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What is CO2 and O2 exchange called?
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Cellular Respiration
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Two things about vibration?
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– Stimulative
– Reflexive |
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In vibration, reflexive effect is going to do what?
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– Muscle contraction
– Vascular – Glandular |
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With vibration it is reflexive and stimulative, what kind of vascular effect will that cause?
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Vasodilation
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Where do we used knuckle vibration?
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On Back Only
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Hold arm straight, placed palm of hand or closed fist firmly on surface is what kind of vibration?
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Deep Vibration
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Contraindications for vibration?
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– Hyperesthesia (extreme sensitivity)
– Acute Inflammation – Fever (febrile action) – Morbid Growths – Suppuration (formation of pus) |
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Where can you do shaking?
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– Extremities
– Head |
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What is the rate for lateral vibration?
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6 – 10 per second
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What is deep vibration most valuable to?
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Deep Seated Organs
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What movement is made with lateral vibration?
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To and Fro or Side to Side
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With vibration you have vasodilation, what will happen to the surface of the skin and why?
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Skin gets warmer because circulation increases and there's more space for it to go to
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Why would we use vibration?
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– Paralysis,Paresis
– Neuralgia – Neurasthenia – Coldness on Extremities – Nerve Disorders (muscular dystrophy) |
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Definition petrissage?
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Grasp Muscles between the Fingers and Thenar Eminence, Squeeze, Lift, Roll and Stretch Muscles in an Upward Direction from Insertion to the Origin of Muscle
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O, I,A of the Supraspinatus?
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– O – Supraspinatus Fossa of Scapula
– I – Greater Tubercle of Humerus – A – Assist Deltoid Muscle in Abducting Arm at Shoulder Joint (most often surgically repaired) |
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O,I,A of the Infraspinatus?
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– O – Infraspinatus Fossa of Scapula
– I – Greater Tubercle of Humerus – A – Laterally Rotates at Shoulder (slows things down on forward motion) |
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O,I,A of the Teres?
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– O – Interior Lateral Border of Scapula
– I – Greater Tubercle of Humerus – A – Laterally Rotates, and Extends at Shoulder Joints |
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O,I,A of the Subscapularis?
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– O – Subscapular Fossa of Scapula
– I – Lesser Tubercle Of Humerus – A – Medially Rotates Arm at Shoulder Point |
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Pectoralis Minor's effect with breathing does what?
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Raises Rib to Make More Space for Breathing
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What are the 4 rotator cuff muscles?
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– Supraspinatus
– Infraspinatus – Teres Minor – Subscapularis |
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Upward rotation muscles?
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– Serratus Anterior
– Trapezius |
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Downward rotation muscles?
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– Pectoralis Minor
– Levator Scapulae – Rhomboid Minor – Rhomboid Major |
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Abductors of scapula?
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– Pectoralis Minor
– Serratus Anterior |
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Trapezius action on the scapula?
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– Elevation
– Depression – Adduction – Upward Rotation |
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Deltoids main function?
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Abduction
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The deltoids anterior fibers do what?
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– Flexion
– Medial Rotation |
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The deltoids posterior fibers do what?
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– Extension
– Lateral Rotation |
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What muscle assistant the deltoid muscle?
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Supraspinatus
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Rhomboid minor and major actions?
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– Elevates
– Adducts Scapula – Rotates Scapula Downward – Stabilizes Scapula |
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3 muscles that insert on the intertubercular sulcus?
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– Pectoralis Major
– Latissimus Dorsi – Teres Major |
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The teres major and latissimus dorsi are what kind of muscles?
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Synergist (same actions)
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Muscles that are opposite in action?
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Antagonist
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The sits muscle, it initiates walking, is what muscle?
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Iliopsoas Muscle
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The iliopsoas and psoas major inserts where?
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Lesser Trochanter of Femur
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The adductor muscles, Magnus, Longus, Brevis, and Pectineus all adduct except the Pectineus, and all?
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Flexes the Thigh
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Deep 6 lateral rotators are?
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– Piriformis (strongest)
– Superior Gemullus – Obturator Internus – Inferior Gemellus – Obturator Externus – Quadratus Femoris |
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Which of the deep 6 lateral rotators does not abduct?
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Quadratus Femoris
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All deep 6 lateral rotators inserts where?
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Greater Trochanter
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Ethics is?
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Guidelines for Conduct
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With personal boundaries what is permeable?
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Allows Information and Feelings to Flow Easily in and out without Barriers
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With personal boundaries what is semi-premeable?
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– Also Called Flexible
– Allows Closeness When It Appropriate and Keep Someone at a Distance When Necessary – Can Cause Problems If Overly Flexible |
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With personal boundaries what is rigid?
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– Severely Limits the Flow of Information and Feeling in and out
– This Person Is Well Protected from External Harm or Stimuli but May Feel Isolated – Valuable When Someone Is Attacking or Berating You |
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What are some reasons why boundary crossings occur?
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– Lack of Understanding about Boundaries on General
– Practitioner Not Aware of Their Own Boundaries – Practitioner May Not Comprehend or Pay Attention to a Clients Boundaries – Practitioner May Make Incorrect Assumptions about Clients Ability To Communicate When a Boundary Has Been Crossed – Practitioner May Choose to Ignore Certain Therapeutic Boundaries |
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What are some steps to avoid boundary crossing and violations?
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– Increase Empathetic Awareness of Clients Experiences
– Take Action to Better Manage Your Own and Your Client Energy Fields – Enhance Skills for Identifying Clients Behavior That Indicate Cross Boundaries – Ask Questions That Identify When Cleints Boundaries May Have Been Violated – Teach Clients How to Identify and Establish Their Own Boundaries – Encourage Clients to Articulate Their Experience |
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When clients depend (needy) on practitioner is called?
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Transference
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When practitioner depends (needy) on client is called?
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Countertransference
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Passive, pressure, and nerve compression are?
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Types of Touch
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Circular, Rotary, and Spiral are?
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Types of Friction
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Digital, Palmar, Knuckle, and Reflex are?
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Types of Stroking
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Digital, Palmer, Rolling, Wringing, Chucking,and Fist are?
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Types of Deep Kneading
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Fulling, and Skin Rolling are?
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Types of Superficial Kneading
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Lateral, Knuckle, Superficial, Deep, Shaking, and Digital are?
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Types of Vibration
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