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19 Cards in this Set
- Front
- Back
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Use palpation to find
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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 |
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What are the six categories of massage?
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1) Superficial Reflex Techniques
2) Superficial Fluid Techniques 3) Neuromuscular Techiniques 4) Connective Tissue Techniques 5) Passive Movement Technique 6) Percussive Technique |
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SUPERFICIAL REFLEX TECHNIQUES
Information |
Resting position
- Passive Touch - Superficial Touch - Light Touch Palpate Skin - very superficial |
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SUPERFICIAL REFLEX TECHNIQUES
3 types are.. |
1) Static Contact
2) Superficial Stroking 3) Fine vibrartion |
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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 |
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SUPERFICIAL REFLEX TECHNIQUES
Static Touch Counterindication |
- locally when in area of acute pain
- may not be tolerated by patient in considerable pain |
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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 |
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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 |
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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 |
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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 |
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SUPERFICIAL FLUID TECHNIQUES
Information |
Massage technique applied to superficial tissue to muscle to increase the return of flow of blood and lymph.
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SUPERFICIAL FLUID TECHNIQUES
Technique Types |
Superficial Effleurage
Superficial Lymph Drainage |
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SUPERFICIAL FLUID TECHNIQUES
Superficial Lymph Drainage |
Nongliding in direction of lymphatic flow using short rhythmical strokes with minimal pressure.
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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
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SUPERFICIAL FLUID TECHNIQUES
Superficial Effleurage Physical Effects |
Circulatory Effects: Increases lymphatic and venous return from the region to which applied
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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 |
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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 |
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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 |
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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. |
