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Swedish Tech 1
Question | Answer |
---|---|
contraindication | MT or pt altered state, pt refused to give consent |
precaution | MT or pt has fever, pt meds weaken bone-connective tissue-inc bleeding, edema due to CHF or Kidney failre, dec sensation (DM), inflammatory condition in acute stage, acute phlebitis or DVT, acute trauma or recent sx |
local avoidance | massage of splint mm around a swollen jt but no direct pressure to jt,local site of unstable fx,open wounds,hematomas,varicosities,recently healed scars,burns,foreign bodies or implanted hardware.no deep sacral or ab massage 1st trimester, pt overheated |
pt c cancer, tumors, acute or chronic infection in skin or deeper tissue | seek recommendation of the pt physician or NP after obtaining consent of pt |
general indications for massage | relieves fatigue,soreness,spasms,prevents atrophy of mm c nn supply,inc blood & lymph circ, peristalsis,breakdown adhesions, restore ROM,aids in remove waste product from mm,prep athlete b4 and p event,stim sluggish NS or sedates overactive NS, dec stress |
how many areas of endangerment | only 8 |
areas of endagerment | medial anlke,post knee, femoral triangle,axillary region,ant cervical triangle,post cervical triangle,post ramus of mandible |
medial ankle | tibial nn,post tibial artery and vein. some acu authorities consider massage to the medial ankle in pregnant women a contraindication |
femoral triangle | femoral nn,artery and vein. borders are the inguinal ligament, the sartorius and the add longus |
posterior knee | tibial nn, artery and vein |
deep central abdomen | descending abdominal aorta |
axillary region | under the arm-axillary nn and vein |
anterior cervical triangle | carotid artery,internal jugular vein,vagus nn,borders are the SCM mm, inferior aspect of the mandible and the midline of the neck |
posterior cervical triangle | brachial plexus,borders are the SCM, the clavicle,and the traps |
posterior ramus of the mandible | maxillary artery,facial nn,styloid process of the temporal bone, where you feel lymphnodes |
efflaurage | oils/creams 1st,flush out waste deeper massage,eval soft tissue,warm mm,relax,stim,broaden mm,inc venous return and lymph flow,inc circ and nutrition,dec spasm,flow smooth from one body part to another |
petrissage | kneading, assist in venous return,remove metabolic waste,stretch mm tissue,soften fascia,dec mm tension,inc circ and nutrition to deeper tissue |
compression | c or s lube and/or clothing,sports massage, chair massage,on belly of mm,specific pinpoint is direct pressure or ischemic compression(trigger points) |
friction | separate tissue and breaks down adhesions,inc circ and rasies local temp,softens deposits btw fascia and facilitates their removal,aids absorption of fluid around jt,dec spasm c direct pressure,limbers up jts,tendons, and mm |
jt movement | lube jt inc synovial fluid, breaking down adhesions,inc ROM |
tapotement | stim of mm and nn, inc circ, inc mm tone and contractibility,loosen phlegm(in resp condition),dec atrophy if nn supply is present,used on agonist mm to relax antogonist mm(reciprocal inhibition. |
vibration | sooothing and relzx if prolonged,desensitize an area, promotes peristalsis(ab massame), stim (if done briefly) |