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9 Cards in this Set
- Front
- Back
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Tapotement Description: |
Tapotement is rhythmic striking or percussion of tissue. Delivers a penetrating impact. -Applied with fingertips, ulnar boarder of hand, open or cupped hand, or soft fist. -Performed with loose wrists and hands. |
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Tapotement Uses: |
-Stimulates and sedate - Block pain - Reduce hypertonicity - Reduce respiratory congestion - Increase local circulation |
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Tapotement Variations Light: |
Drumming- light fingertips strike, without wrist motion. Tapping- fingertips strike Pincement- fingertips and thumb strike, flick on rebound. Hacking- strike with fingertips of ulnar aspect of hand |
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Tapotement Variations Heavy: |
Hacking- Strike with entire ulnar aspect of hand Cupping- strike with cupped hand Slapping- strike with flat hand Beating- strike with soft fist pronated Pounding- strike with ulnar aspect of soft fist |
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Contraindication General |
Tapotement is GENERALLY contraindicated for clients with history of physical abuse,insomnia,spastic paralysis, neuritis, or neuralgia (always in pain) |
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Contrainidication Locally |
- Kidneys, liver, spleen - Superficial bone structures - sacrum during pregnancy - Nerve dysfunction - Restricted circulation - Unresponsive muscle - Acute inflammation -Brusing or varicosity |
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Tapotement Nervous system: |
Produces fight or flight sympathetic response. 30 seconds to 3 min applictation results in parasympathetic rest and recuperative response. Can over stimulate sensory pathways, engaging a neural gating response, deadening the treated area and relieving pain. Very slow applications may help to reorganize sensory pathways in cases of nerve damage |
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Circulatory effects: |
Strokes initially cause local vasoconstriction, immediately followed by vasodilation, resulting in hyperemia. Deep vasular changes can result from prenetrating reverberation and through reflexive mirroring. Strokes can liquefy and mobilize gelled intersitial fluid. |
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Tissue Effects: |
cupping strokes liquefy and mobilize mucus and congestion in the respiratory tract. |
