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Swed 2
Lecture 1
| Question | Answer |
|---|---|
| physical effects of massage on circulatory system | enhances venous return,reduces blood pressure and heart rate with regular relaxation massage |
| physical effects of massage on digestive system | improves movement of contents in large intestines, better digestion with relaxation |
| physical effects of massage on nervous system | stimulates parasympathetic nervous system(relaxation), reduces pain(neural gating mechanism),increases body awareness |
| physical effects of massage on endocrine system | release of endorphins(also involves NS),increases dopamine for fine motor coordination,increases HGH for healing,increases seratonin for sleep cycles,decreases cortisol stress hormone |
| physical effects of massage on integumentary system | stimulate sensory receptors in skin,increase superficial (skin) circulation,removes dead skin,adds moisture with oil or lotion,increases sebaceous gland secretion. |
| physical effects of massage on connective tissue | fascia connects everything in the body,wrapping ,supporting, guiding,fascia provides boundaries,massage improves pliability of fascia and separates tissue |
| physical effects of massage on muscular system | milks metabolic waste into venous and lymph flow,decreases muscular tension,relaxes mm (general and specific), and relieves myofascial trigger points. |
| physical effects of massage on skeletal system | increase joint mobility and flexibility |
| physical effects of massage on immune system | increases lymphatic flow and improves immune function via stress reduction. |
| mental and emotional effects of massage | increase relaxation,increase alpha waves,increase sense of well being,decrease anxiety,releasing suppressed emotions(cellular memory=the issue is the tissue) |
| Indications for massage | fatigue,mm soreness and spasms,prevents atrophy of mm as long as nn supply, blood/lymph circ,adhesion,inc peristalsis in colon-constipation,ROM,removal of waste from mm,prepare athlete before/after event,stim sluggish NS/sedates overactive NS,dec stress |
| contraindications for massage | fever.pain due to infection,unknown cause,or prolonged period of time.bleeding(include heavy menstruation).vomiting.jaundice.after eating (2 hours p eat).pitting edema.TB,Acute phlebitis,thrombosis. |
| Local or regional avoidance | arthritis in 1 jt.fx(til bone callus/bone healed completely 0.pus formation,cystic(fluid containg)tumor.ecchymosis/LTM old bruise. keloid scars-pre malignancy.spider veins.HT/HBP(uncontrolled/not tx)ab massage C.gastric/duodenal ulcers may hemorrhage. VV |
| Massage with caution | malignancy-need MD Rx,pregnancy-deep ab,trigger points and DTM |
| 8 areas of endangerment | medial ankle,post knee,femoral triangle,deep central abdomen,axillary region,ant cervical triangle,post cervical triangle,post ramus of mandible |
| define areas of endangerment | anatomical regions where arteries, veins,nerves close to surface and not protected by mm or connective tissue.no deep sustained pressure, LTM |
| medial ankle | tib nn,post tib artery and vein.contraindicated in pregnant women. |
| post knee | tib nn,popliteal artery and vein |
| femoral triangle | femoral nn, artery and vein.borders are inguinal ligament,sartorious,and adductor longus |
| deep central abdomen | desc abdominal aorta |
| axillary region | under the arm,axillary nn and vein |
| ant cervical triangle | carotid artery,internal jugular vein,vagus nn.borders are SCM,inf aspect of the mandible and midline of the neck |
| post cervical triangle | brachial plexus, borders are SCM,clavicle and trap |
| post ramus of mandible | maxillary artery,facial nn,styloid process of the temporal bone |
| effleurage | gliding,stroking,centripedal stroke,Deep/superficial,rhythmic,constant,venous/lymph circ,asses,reflexive(mechanical)effect on bodys structure.begin and end of massage and each body part massaged |
| petrissage | kneading,mm belly picked up,lifted from bones,rolled,squeezed or wrung.stim effect on mm and circ in the deeper blood vessels and lymph system.pick-up,skin rolling,compression |
| compression | pressing tissue to bone cause spread and squeezed,pumping action,lift-press heart beat pace,stim contract and eventually fatigues mm to enhance circ.can be petrissage or friction. |
| friction | deep,tx of jts and around boney prominence,direct pressure no gliding.circular,transverse,parallel to fibers.deepest direct stroke |
| jt movement | form of friction,body part toward or away from plane or axis of motion.actively or passively |
| tapotement | percussion,strike,tap,beat,slap,stim(constrict blood vessels stim nn) or sedate(prolonged expand blood vessels and sedate nn),hacking,tapping beating cupping,pincement, quacking.rapid and alternating.not excessive force.not over kidneys |
| vibration | trembling movement by hand or fingers.fine or coarse,acts on nn,short stim,prolonged sedate(inhibition),ab vibration stim stomach,intestines and other digestive organs, aids in peristalsis,effect penetrates deepest into the body. |
| specific areas of endangerment | eyes,inferior to ear,anterior cerv triangle,post cervical triangle,deep central abdomen,medial ankle,post knee,femoral triangle,lymph nodes,posterior cervical area |
| inferior to ear | facial nn,styloid process,external carotid artery |
| nn,artery,vein in anterior cervical triangle | carotid artery,internal jugular vein,vagus nn |
| posterior cervical area | spinous process,cervical plexus |
| nn,artery, vein post cervical triangle | brachial artery,brachial plexus |
| endangerment area medial brachium nn | btw bicep and tricep |
| endangerment area basilic vein | large vein on inner side of biceps of arm just below the elbow |
| endangerment area cubital area | of median nn,radial and ulnar arteries,median cubital vein |
| contraindication of massage on vein | deep stripping away from heart can damage valve |
| endangerment nn of arm | musculocutaneous,median and ulna nn |
| endangerment to knees | application of lateral pressue |
| purpose of gliding strokes | lotions,flush waste following deep strokes,assess,warm mm,relax,stim,broaden,lymph drain,flow smooth,centripedal,c mm fibers,superficial/deep,move body fluid,circ blood,venous return,nutrition,dec spasm/pain/swell,sedate nn,deep and passive str,tension |
| purpose of petrissage | deep venous return/lymph drain,knead across grain of mm,stretch mm,soften fascia, tension,relax,deep circ of DT,nutrition to cells/DT,mm off bone,prevent/dec atrophy if nn,pain/swelling, ROM,hyperemia,adhesions,triggerpoints,stim,inc size/strength mm, |
| purpose of friction | separate tissue/breakdown adhesions,inc circ,raise local temp,soften deposits btw fascia/facilitate their removal,aid in absorpt of fluid around jts,dec mm spasm,limber up jts,tendons,mm,induce local hyperemia,dec pain |
| friction is | deep and focused,generates heat,inc flow of synovial fluid,decrease adhesions,deposits and scar tissue,best stroke to breakdown scar tissue and adhesions,promotes abosrption of effusion,always followed by effleurage to flush out.best stroke to inc ROM |
| friction tendon to... | loosen muscle belly |
| purpose of joint movement | lubricate jts.breakdown and decrease adhesion,inc ROM,strengthen mm,stretch mm,often considered a friction stroke,active or passive |
| purpose of tapotement | inc/stim circ,mm tone/contractility,loosen phlegm/congestion,mm atrophy(if nn),recipricol inhibition,short stim nn,longer(20 sec)sedate,various stroke pertinent to diff part of body,red spasm/tension,relax,pain/phantom pain,assess deeper mm, |
| when tapotement is applied gentle/moderate | causes vascular dilation-decreased blood flow |
| when tapotement is applied prolonged | causes vascular dilation-increased blood flow |
| when tapotement applied parallel/longitudinal | increases mm relaxation |
| when tapotement applied transverse(perpendicular) | increases mm contraction |
| which is better at relieving tonicity | tapotement |
| which is better at relieving congestion | vibration |
| purpose of vibration | soothing and relaxing if prolonged,desensitizes an area,promotes and increases peristalsis(ab massage),stimulating if done briefly,can be fine,tremulous,course/gross,or rhythmic shaking. |
| vibration is more reflexive | acts on nn and nn plexuses, organs and glands. |
| what does vibration effect | superficial nn in fascia below the skin,will reach nn roots as well. |
Created by:
mloft
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