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19 Cards in this Set

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Use palpation to find
1) Temperature
2) Contour and Bulk
3) Texture and Consistency
4) Fluid Stasis: Turgidity (pitting) and Viscosity (thickness)
5) Soft Tissue layers
6) Tissue release phenomena
7) Anatomical Structures
8) Body Rhythms - pulse and respiration
9) Tremors / Fasciculations
10) Vibration
What are the six categories of massage?
1) Superficial Reflex Techniques
2) Superficial Fluid Techniques
3) Neuromuscular Techiniques
4) Connective Tissue Techniques
5) Passive Movement Technique
6) Percussive Technique
SUPERFICIAL REFLEX TECHNIQUES

Information
Resting position
- Passive Touch
- Superficial Touch
- Light Touch

Palpate Skin - very superficial
SUPERFICIAL REFLEX TECHNIQUES

3 types are..
1) Static Contact
2) Superficial Stroking
3) Fine vibrartion
SUPERFICIAL REFLEX TECHNIQUES

Static Touch
Establish report with patient

Reduce anxiety and perception of pain

Possible gentle stimulation of the parasympathetic nervous system ... changing contact frequently may change sedative effect

Important when teaching diaphragmatic breathing
SUPERFICIAL REFLEX TECHNIQUES

Static Touch

Counterindication
- locally when in area of acute pain

- may not be tolerated by patient in considerable pain
SUPERFICIAL REFLEX TECHNIQUES

Superficial Stroking

Information
Light Stroking

Gliding over the patient's skin with minimal deformation of subcutaneous tissue

Lighter pressure than effleurage

Applied Unidirectionally

Framing Technique and intergrades with superficial effleurage

palmar contact for sedative effect

Finger contact for arousal

May reduce pain by boosting oxytocin
SUPERFICIAL REFLEX TECHNIQUES

Superficial Stroking

Indications
Change patents level od arousal (sedate to arouse)

Pain Reduction

Facilitate changes to resting muscle tension and neuromuscular tone

Genrally used at beginning and end of massage
SUPERFICIAL REFLEX TECHNIQUES

Superficial Stroking

Counter Indications
Locally in areas of acute inflammation secondary to pain - perform on adjacent areas.

CAUTION: wait 48hrs after CABG

CAREFUL about tickling
SUPERFICIAL REFLEX TECHNIQUES

Superficial Stroking

Techniques
1) Face Sedative: Full palm on face stroking starting on chin

2) Face Arousal: Fingertips on Face starting at chin

3) Stomach - hand over hand palmar superficial stroking in colonic low direction

4) Stomach: Bidirectional stroking using dorsal and palmar sides of hand

5) Back - Sedative - Hand on back. Slow stroke from neck to lower back. Lift hand for return stroke.

6) Finger tips - Arousing - Slow straight or fast multidirectional
SUPERFICIAL FLUID TECHNIQUES

Information
Massage technique applied to superficial tissue to muscle to increase the return of flow of blood and lymph.
SUPERFICIAL FLUID TECHNIQUES

Technique Types
Superficial Effleurage

Superficial Lymph Drainage
SUPERFICIAL FLUID TECHNIQUES

Superficial Lymph Drainage
Nongliding in direction of lymphatic flow using short rhythmical strokes with minimal pressure.
SUPERFICIAL FLUID TECHNIQUES

Superficial Effleurage

Information
It is a gliding manipulation performed with light centripetal (directed to the heart or proximally) pressure that deforms the subcutaneous tissue down to the investing layer of deep fascia
SUPERFICIAL FLUID TECHNIQUES

Superficial Effleurage

Physical Effects
Circulatory Effects: Increases lymphatic and venous return from the region to which applied
SUPERFICIAL FLUID TECHNIQUES

Superficial Effleurage

Uses
Spread lubricant

Introductory stroke for regional and general massage.

Transitional stroke and between deeper techniques that engage patient's muscles
SUPERFICIAL FLUID TECHNIQUES

Superficial Effleurage

Indications
Lymphatic congestion

Edema or effusion associated with acute and subacute musculoskeletal injuries

Decrease anxiety and induce sedation, reduce pain

Venous drainage

Stimualte Peristalsis

Reduce neuron Excitability
SUPERFICIAL FLUID TECHNIQUES

Superficial Effleurage

Contraindications
WAIT: 48 hours after CABG

CAUTION: cardiac insufficiency or CHF

CAUTION: Severe kidney pathology

May not be tolerated by patients with Acute Orthopedic Injuries

May reduce duration of epidural anesthesia.

DO NOT PERFORM

- over newly formed scars
- over confirmed or suspected infection, cellulitis or thrombus
SUPERFICIAL FLUID TECHNIQUES

Superficial Effleurage

Technique info
Lubricant preferred but mandatory

hands pointed in direction of stroke

Pressure is towards lymph nodes or centripetally on limbs

Open up proximal areas to prevent fluid congestion.