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42 Cards in this Set
- Front
- Back
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Percussion
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repeated rhythmic light striking
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Tapotement
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French
To tap |
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Percussive
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=tapotement
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Cupping
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=clapping
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Precompition sports massage
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Has a stimulating effect
(hacking, pounding ect) |
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When can percussion be used?
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after completion of a sedetary massage to increase arousal
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Uses of precussive tech
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Improved airway clearance
Proprioceptive stim pain relief facilitate or inhibit neuromuscular tone |
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How does percussion work?
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Vibration from cupping
-displaces mucus Stim of stretch receptors within mm Sympathetic response: increased alterness Pain: spinal gate theroy similar to TENS |
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Forms of percussion
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clapping
beating hacking pounding |
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Clapping
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used for chest PT
hold arms straight and relaxed rapid movement |
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Contact of percussion
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finger, finger tips, ulnar boarder of hands
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Pressure of percussion
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Light to heavey
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What does percussion engage
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superficial to deeper tissues and muscles and contained viscera
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Rate of percussion
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2-10 or more cycles per second
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Duration of percussion
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30sec up to 20min
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Clapping depth and pressure
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Light
use wrist not elbow |
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Variations of cupping
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finger pad clapping for neonate
index and middle fingers |
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Another name for beating
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rapping
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Beating
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1 or 2 hands
loosly flexed fingers and palm for rapid strike (cupping tech with closed fingers) |
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Rate of beating
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rapid
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Depth and pressure of beating
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more pressure than cupping
Greater stimulation with this stroke |
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Pounding
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Stand at right angle to long axis of the tx mm
Elbows flexed shoulders abducted forearms near horizontal wrists in almost full ext |
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Movement of pounding
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alternating pronation and supination of forearms at each hit
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Purpose of pounding
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Stimulating manipulation
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Depth and pressure of pounding
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Ulnar boarder use allows it to reach deeper layers
good for large deep mm masses |
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Hacking Tech
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lateral edges and dorsal surface of the fingers strike skin
(karate chop) |
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Stimulation of hacking
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rapid strong stimulating effect
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purpose of hacking
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stim to skin, subcutaneous,
superficial and deep mm |
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Cautions of percussion
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all general and local contra indications of mass.
Should not cause pain or erythema after tx (may need to use sheet or gown to decrease sensitivity) |
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What may positional changes for postural drainage cause?
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increased: O2 demand
CO2 release BP Q |
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What is a caution because of this?
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caution with head down position if pt is hypersensitive or has a head injury
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Critically ill pts
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monitored for hypoxemia
(increase O2 administration as necessary) |
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At what point in the day should you avoid percussive tech
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after meals and tube feedings
tube feedings must be cut off 30min prior to administration |
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Contras of Percussion of thorax
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Rib fx
untreated pneumothorax coronary thrombosis or PE unstable cardiac condition condition prone to hemorage after chest or spine sx during acute eisode of asthma |
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Postural drainage
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uses various positions to assist with drainage
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Chest PT percussion
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cupped hand
Vibration and shaking after deep inspiration |
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Deep breathing with chest PT
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segmental
lateral costal diaphragmatic |
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Local contraindication of percussion
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acute and subacute inj that are moderate to severe
spasm/post exercise cramping over kidneys with Hx of kidney stones |
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Cautions of percussion
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trigger points
bony prominances decrease force over areas of less mm (floating ribs, kidneys) Hx of pt physical abuse |
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Advantages of CPT
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increases airway clearance
minimal effort from pt no specialized equipment |
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Disadvantages of CPT
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caregiver assistance
expensive requires planning for tx throughout the day |
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Def of CPT
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group of treatments designed to improve respiratory efficiency, strengthen respiratory mm, promote expansion of lungs, eliminate secretions from RS
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