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Final review

Massage therapy

QuestionAnswer
What is osteoporosis/what causes it/how can it be prevented/how does this apply to massage Is a loss of bone mass and density brought about by endocrine imbalances and poor metabolism of calcium Massage is indicated
What is Bell’s palsy/what nerve is effected/ is it a contraindicated to massage Is a flaccid paralysis of one side of the face caused by inflammation or damage to cranial nerve VII, the facial nerve. Massage is indicated to maintain flexibility and good circulation in the affected muscles.
What is Parkinson disease/definition/cause/is it a contraindicated to massage is a degenerative disease of the substantia nigra cells in the brain. These cells produce the neurotransmitter dopamine, which helps the basal ganglia to maintain balance, posture, and coordination
Condyle the rounded end of a long bone usually not set off by a neck, usually smaller than a head
Epicondyle a bump above a condyle
process A broad designation for a bump on a bone
fossa a basin like depression in a bone
Hyperemia congestion unusual amount of blood in body part. Red area on skin indicating influx of blood to that area
Atrophy is the partial or complete wasting away of a part of the body
Ischemia local and temporary deficiency of blood flow to an area
Hypoxia deficiency of oxygen
Name specifically the location of the kidneys. which lie on either side of the vertebral column between the peritoneum and the back wall of the abdominal cavity at the level of the 12th thoracic and first three lumbar vertebrae
Location of the jugular vein. Right and left internal jugular vein pass inferiorly on either side of the neck lateral to the internal carotid and common carotid artery, and drain blood from the cranial bones, meninges and brain.
Liver: Second largest organ in the body, located below the diaphragm, mostly on the right side of the body.
pancreas: lives beneath the stomach
Stomach: directly below the diaphragm- the stomach connects the esophagus to the duodenum
Gallbladder is a pear shaped sac that hangs from the lower front margin of the liver
RICE - what is it and how does it apply to massage therapy treatments. Rest, Ice, Compression, and elevation The initial care of musculoskeletal injuries is controlling the hemorrhaging, early inflammation, and spasm
Integumentary Components: Skin, hair, nails, sweat and oil glands Functions: Regulate body temperature; protects the body; eliminates some wastes; helps make vitamin D; and detects sensations such as touch, pressure, pain, warmth, and cold
Skeletal Components: Bones, joints, and associated cartilages Functions: Supports and protects the body; provides a specific area for muscle attachment; assists with body movements; stores cells that produce blood cells; stores minerals and lipids
Superior Toward the head, or the upper part of a structure
Inferior Away from the head, or the lower part of a structure
Anterior Nearer to or at the front of the body
Posterior Nearer to or at the back of the body
Medial Nearer to the midline or Midsagittal plane
Lateral Farther from the midline or Midsagittal plane
Proximal Nearer to the attachment of a limb to the trunk
Distal Farther from the attachment of a limb to the trunk
Superficial Toward or on the surface of the body
Deep Away from the surface of the body
Plasma: proteins that are synthesized mainly by the liver
Red Blood Cells responsible for carrying oxygen
White blood cells Combat microbes either by phagocytosis or by producing antibodies
Platelets Prevents blood loss by initiating a chain of reactions that result in blood clotting
Pericardium Encloses and holds the heart in place
Outer fibrous pericardium Prevents overstretching, provides a tough protective covering for the heart, anchors the heart in the mediastinum
Inner Serous Pericardium Outer parietal layer is fused to the fibrous pericardium and inner visceral layer is attached to the myocardium
Heart wall Epicardium, myocardium, and endocardium
Isometric The contraction is a voluntary concentric contraction in which no joint movement and muscle length is unchanged.
Isotonic The contraction is a voluntary contraction where resistance is added and movement is allowed at the joints
Concentric in which the muscle shortens as it works
Eccentric in which the muscle exerts force while being lengthened by an outside force
Deep Effleurage All mechanical effects Stretches and broadens fibers Increases circulation both venous and lymphatic Reduces edema
Petrissage All mechanical effects Stretches and broadens fibers Increases circulation both venous and lymphatic Milks muscles of metabolic wastes breaks up adhesions
Friction All mechanical effects Stretches and broadens fibers Increases circulation locally Breaks up adhesions Creates hyperemia
Vibration All reflex effects Relaxes musclesIncreases circulation both venous and lymphatic Stimulates organ function and synovial activity Relieves pain
Light Tapotement All reflex effects Sedation of the tissues Relaxation of the tissues
Deep Tapotement All mechanical effects Increases circulation both venous and lymphatic Enhances muscle tone Creates local hyperemia (redness)
Effleurage A light or deep stroking or gliding movement following bodily contours which dynamically affect the body mechanically and/or reflexively.
Variations of Effleurage Deep or light, fast or slow, long or short and nerve strokes
Practical Applications of Effleurage Used to apply oil, to adapt the body to touch, to evaluate the client, too evaluate their tissue, to facilitate transitions between strokes, and to drain the area after other manipulations.
Petrissage Is a lifting, stretching or squeezing movement used to lift the soft tissue away from the adjacent structures.
Variations of petrissage Fast or slow, skin rolling, kneading, Big C/little c, lifting, picking-up (stretch), fulling (the flesh is grasped between the fingers and palm of the hands).
Yoga A system of stretches and exercises for attaining physical, mental and emotional control and well- being
Biofeedback A series of exercises to promote conscious control of or awareness of the physiologic responses to stress, pain, or disease; normally involves the use of electronic instruments to monitor the desired effect.
Breath work The use of breathing exercises designed to promote focus, energy and the physiologic responses of relaxation; similar to biofeedback
Visualization Promoting mental images through verbal guidance or meditation; has been proved to alter the physiology of the participant, which in turn affects emotional and mental sates; the most used relaxation technique in massage
Exercise One of the most commonly used stress reduces; creates an endorphin release and promotes physical health.
Meditation Promotes focus, balance, a state of peace, and a clearing of the mind; prayers, chants, fasts, and solitude are a few of the common forms being used; much like visualization and biofeedback in its effect.
bony end feel CL: bony structures of joints ( full extension of knee) H: Client feels no pain. Therapist feels abrupt end of range with spring back following overpressure P: Client may feel pain. Therapist feels abrupt, hard stop before full range due to callus, fracture or mysositis ossificans
Migraines means “half a skull” pain usually unilateral proposed causes include a. vascular dilation in head structures (intracranial arteries (dura matter) become dilated/inflamed) genetics c. altered neurotransmitter (e.g. serotonin) levels
Cluster headaches (migrainous neuralgia) “cluster” HA closely packed grouping of attacks that last for several weeks. 10 x more common in men than women * begins 2nd or 3rd decade of life (mean age 20’s) * extremely acute onset of pain * referred to temple/eye unilaterally proposed cause: *hypothalamus “biological clock” * vulnerable intracavernous carotid artery affected by neural influences from dysfunctional hypothalamus * mixture vascular and neurogenic mechanisms
Tension HA (muscle contraction or stress) cause * tension, spasm, irritation or trigger points in head and cervical region * association with * fatigue * stress * prolonged reading * depression/anxiety ymptoms pain is dull, persistent, changes intensity * pain described as tightening or pressing * located bilaterally in a band around head
Acupressure Energy flowing in these meridians can be stimulated or sedated to achieve desired changes through the manipulation of over 2000 acupressure points Acupressure is the technique that uses digital pressure to accomplish similar effects. Acupressure is derived from early Chinese medical practices in which the body is mapped out as a series of energy meridians
Alexander Technique The _____ technique retrains the client’s movement patterns to be come more efficient and less painful. With a distorted posture, normal movement is hindered and altered and distortion set in through repetition of that movement. For example, if a person slouches, he has a limited ability to breathe. With a distorted posture, normal movement is hindered and altered and distortion set in through repetition of that movement. It is based on conscious awareness and movement of one’s posture in an effort to lengthen the spine.
Aston Patterning on the work of Ida Rolf, whose concept of postural balance related to body symmetry. one hand massages in the direction of the grain of the muscle while the other hand uses a spiraling motion that follows where the tissues direct or lead. while the other hand uses a spiraling motion that follows where the tissues direct or lead.
Esalen Massage Located just outside Big Sur, California, the ___ Institute uses an integration of multiple techniques. Using everything from Swedish massage to Rolfing, the practitioner focuses on blending body, mind and spirit in each massage.
Feldenkrais Method was created by Dr. Moshe Feldenkrais, concerned with integrating the body and mine through reeducating learned movements of the body. By reintroducing different styles of movement through repetition we can bring into awareness old habits and crate new one, leading to new ways of being. It is based on the belief that our bodies and our movements are a direct expression of our lifestyles and emotional makeup.
Jin Shin Do Developed by Iona Teeguarden, this modality is a blend of Shiatsu, acupressure, breath work,psychology , and Taosit philosophy. Balance of the body, mind, and spirit is the effect that is being promoted. This technique incorporates bodywork, dialogue, breath exercises, and pressure-point work during which pressure points are held for up to 5 minutes.
Lomi Lomi Native to the Hawaiian Islands, this ancient massage technique was handed down from generation to generation.It is a blend of Swedish massage, sports massage, chiropractic medicine, prayer, and meditation.
acupuncture. In Chinese medicine, these points are primarily stimulated through the use of needles in a technique known as
Digestive Components: Organs of the GI tract including mouth pharynx, esophagus, stomach, small and large intestines, rectum and anus. Also includes accessory digestive organs such as salivary glands, liver, gallbladder and pancreas Functions: Ingestion; secretion; mixing and movement of food; digestion; absorption;
Homeostasis is the maintenance of relatively stable conditions. It ensures that the body’s internal environment remains steady despite changes inside and outside the body.
Ion An atom that has a positive or negative charge due to unequal numbers of protons and electrons
Cation A positively charged ion
Anions A negatively charge ion
Metabolism The sum of all the chemical reactions in the body
Energy Is the capacity to do work
Acid A substance that dissociates into one or more hydrogen ions when it dissolves in water
Base A substance that dissociates into one or more hydroxide ions when it is dissolved in water
Ph A scale that determines a solutions acidity or alkalinity by the number of hydrogen ions in the solution
what is the actual fluid portion of the cytoplasm Cytosol
Organelles Specialized structures inside the cell that have its own specific functions
Cytoskeleton Structural network that supports the cell
Centrosome Critical role in cell division
Cilia Provides the motion for the cell
Flagella Similar to cilia but longer and can move an entire cell (like a sperm cell)
Ribosomes Site of protein synthesis
Endoplasmic Reticulum Rough ER is a factory for synthesizing proteins and
Golgi Complex Sort and package proteins into vesicles and then secretes them
Lysosomes Allows final products of digestion to be transported into the cytosol
Peroxisomes Detoxes the cell
Mitochondria The “powerhouses” of a cell because they are the site of mostATP production
Nucleus The brain of the cell that contain most of the cell’s hereditary units
Passive transport When a substance moves down its concentration gradient using only its own energy of motion to move through the membrane
Diffusion Random mixing of substances that occurs in a solution due to the substances kinetic energy
Osmosis Net movement of a solvent (water) though a selectively permeable membrane
Active transport When the substance moves uphill against its concentration gradient using cellular energy to push it through the membrane
Vesicular Transport Transporting substances from one structure to another within the cells
Simple Squamous Epithelium Found in parts of the body that requires filtration (kidneys) or
Simple Cuboidal Epithelium Secretion and absorption
Non-Ciliated Simple Columnar Epithelium Secretion and absorption
Ciliated Simple Epithelium Moves mucus and other substances by ciliary action
Stratified Squamous Epithelium Protection for areas that may lose layers by abrasion
Stratified Cuboidal Epithelium Protection and limited secretion and absorption
Stratified Columnar Epithelium Protection and secretion
Transitional Epithelium Permits organs to stretch without rupturing
Pseudostratified Columnar Epithelium Secretion and movement of mucus by ciliary action.
Sebaceous glands (oil glands) are connected to the hair follicles and secret an oily substance called sebum.
Sudoriferous glands (sweat glands) release sweat into hair follicles and to the skin surface through pores
Eccrine glands Distributed throughout the skin mainly in forehead, palms, and soles
Apocrine glands Found in the skin of the axilla, groin, areolae of the breasts, and bearded regions of the face in adult males
Ceruminous glands which are present in the external auditory canal (other ear canal) and secrete cerumen (earwax)
Name the basic functions of the skeletal system Supports and protects the body; provides a specific area for muscle attachment; assists with body movements; stores cells that produce blood cells; stores minerals and lipids
Diaphysis Bone shaft or body
Epiphyses Distal and proximal ends of the bone
Metaphyses Regions in a mature bone where the diaphysis joins the epiphyses
Epiphyseal (growth) plate A layer of hyaline cartilage that allows the diaphysis of the bone to grow in length
Articular cartilage Thin layer of hyaline cartilage covering the part of the epiphysis where the bone forms an articulation with another bone
Periosteum Tough sheath of dense irregular connective tissue and its associated blood vesselsthat surround the bone surface wherever it is not covered by articular cartilage
Medullary cavity Hollow cylindrical space within the diaphysis that contains fatty yellow bone marrow in adults
Endosteum Thin membrane that lines the medullary cavity
Long bones Femur, tibia, fibula, humerus
Short bones Wrist and ankle bones
Flat bones Cranial bones, sternum, ribs, scapula
Irregular bones Vertebrae and some facial bones
Axial Skeleton Skull, hyoid, auditory ossicles, vertebral column, thorax (sternum and ribs)
Appendicular Skeleton Pectoral (shoulder) girdles, upper limbs, pelvic girdle, and lower limbs
Synarthrosis An immovable joint (Remember A SIN to move) Sutures in the skull; The teeth that fit into maxillae and mandible
Amphiarthrosis A slightly moveable joint Distal articulation between the tibia and the fibula
Diarthrosis A freely moveable joint Remember “Die if you don’t move or have movement All synovial joints Planar, hinge, pivot, Condyloid, saddle, and ball-and-socket joints
Excitability Ability of muscle tissue (and nerve cells) to receive and respond to stimuli by producing electrical impulses
Contractility Ability of muscle tissue to contract (shorten and thicken) when stimulated by action potentials (impulses)
Extensibility Ability of muscle tissue to stretch without being damaged
Elasticity Ability of muscle tissue to return to its original shape after contraction or extension (stretch)
Name the functions of muscle tissue Producing Body Movements Stabilizing body positions Storing and moving substances within the body Producing heat.
Skeletal muscle tissue Attached to bones and moves parts of the skeleton. Striated and voluntary
Cardiac muscle tissue Found only in the heart, and forms the bulk of the heart wall. Striated and involuntary
Smooth muscle tissue Located in the walls of hollow internal structures (blood vessels, airways, stomach,intestines). Nonstriated and involuntary
Sliding filament theory During muscle contraction, myosin heads of the thick filaments pull down on the thin filaments, causing the thin filaments to slide toward the center of a sarcomere. The I Bands and H Zones eventually disappear altogether when the muscle is maximally contracted
All or none principle As long as a stimulus is strong enough to cause a threshold-level depolarization, an action potential occurs. It either has enough potential to happen or it doesn’t, can’t have a partial potential
Isometric contractions Contracting the muscle without movement (with resistance)
Isotonic contractions Contracting the muscle with movement (resistance while doing the movement)
Identify the two principal divisions of the central nervous system The brain and the spinal cord
Structure of neuron Cell Body Contains a nucleus surrounded by cytoplasm that includes typical organelles such as rough endoplasmic reticulum, lysosomes, mitochondria, and a Golgi complex
Dendrites Receiving or input parts of the neuron
Axon Conducts nerve impulses toward another neuron, muscle fiber, or gland cell
Cervical enlargement Contains nerves that supply the upper limbs
How many Spinal segments that give rise to the spinal nerves 31 total = 8 pairs of cervical nerves; 12 pairs of thoracic nerves; 5 pairs of lumbar nerves; 5 pair of sacral nerves; 1 pair of coccygeal nerves
Brain stem Continuous with the spinal cord and consists of the medulla oblongata, pons, and midbrain
Diencephalon Consists mostly of the thalamus, hypothalamus, and pineal gland
Cerebrum The bulk of the brain; surface is composed of a thin layer or gray matter (the cerebral cortex), and the cerebral white matter
Cerebellum Posterior to the brain stem
different divisions of tactile sensations Crude touch Ability to perceive that something has contracted the skin, even though its exact location, shape, size or texture cannot be determined
Fine touch Provides specific information about location, shape, size, and texture
Plasma Plasma proteins are synthesized mainly by the liver
Red Blood Cells responsible for carrying oxygen
White blood cells Combat microbes either by phagocytosis or by producing antibodies
Platelets Prevents blood loss by initiating a chain of reactions that result in blood clotting
identify the components of the cardiovascular system The blood, heart and blood vessels (arteries and veins)
Pericardium Encloses and holds the heart in place
Outer fibrous pericardium Prevents overstretching, provides a tough protective covering for the heart, anchors the heart in the mediastinum
Inner Serous Pericardium Outer parietal layer is fused to the fibrous pericardium and inner visceral layer is attached to the myocardium
Heart wall Epicardium, myocardium, and endocardium
Chambers Left and right atrium, Left and right ventricles
Arteries Large blood vessels that carry blood away from the heart and divide into smaller and smaller arteries and finally into arterioles. They have walls constructed of 3 layers, are elastic, and have contractility.
Veins Blood vessels that carry blood from the tissues toward the heart. The layers are thinner and not as strong; the lumens of the veins are larger and have valves to prevent backflow of blood
dentify and locate major blood vessels in the body Radial artery; Brachial artery; common carotid artery; popliteal artery; Dorsalis pedis artery; Superior vena cava; Inferior vena cava; Coronary sinus; jugular vein; thoracic, and abdominal aorta; common iliac arteries
Name the principal organs of the respiratory system Nose, pharynx, larynx, trachea, bronchi, bronchioles, and terminal bronchioles
Ventilation( process of respiration) 1 The inflow and outflow of air between the atmosphere and the lungs
External (Pulmonary) Respiration (process of respiration) 2 Exchange of O2 and CO2 between the lungs and the bloodstream
Transport (process of respiration) 3 Carriage of O2 from the lungs to tissue cells, and CO2 back to the lungs via the bloodstream
Internal (tissue) Respiration ( process of respiration ) 4 Exchange of O2 and CO2 between the blood capillaries and the interstitial fluid and tissue cells
Ingestion ( digestive process 1) Taking foods and liquids into the mouth
Secretion ( digestive process 2) Cells within the walls of the GI tract and accessory organs secrete water, acid, buffers,and enzymes into the lumen of the tract
Mixing and movement of food ( digestive process 3) Also called motility
Digestion (digestive process 4) The breakdown of food by both chemical and mechanical processes
Absorption (digestive process 5) Passage of digested food from the GI tract into the bloodstream and lymphatic system for distribution to cells
Defecation (digestive process 6) Elimination of indigestible substances from the GI tract
Explain what is cryotherapy and how does it apply to massage It is the therapeutic use of ice. Used in massage to help realign fibers after cross fiber friction and in other hydrotherapy uses
Epinephrine what does it do/where does it come from It is released by the adrenal medulla upon stimulation and circulates throughout the body where it intensifies the responses elicited by sympathetic post-ganglionic neurons. Location of brachiocephalic vein/artery The brachiocephalic trunk divides to form the right subclavian artery and right common carotid artery.
Thyroxine where does it come from and what is its effect on the body It is produced by the follicular cells in the thyroid gland. Thyroid hormones increase the basal metabolic rate, which is the rate of oxygen consumption under standard or basal conditions.
TMJ what is it/ what joint is involved/how would you treat/what nerve is involved Temporal-Mandibular joint dysfunction; Involves the Temporal Mandibular joint and the Trigeminal nerve; Pin and stretch off zygomatic arch, striping
Popliteal fossa - what is located in this area/name the muscle borders Posterior knee. From Lat to med Common peroneus nerve; Tibial Nerve; Popliteal vein; Popliteal artery; Popliteal lymph nodes. Muscle borders Biceps Femoris; semimembranosus;Gastrocnemius
Cervical Plexus Branches out from the C-spine
Brachial Plexus Branches out from the shoulder down the arm
Lumbar Plexus Branches out from the lumbar spine
Sacral Plexus Branches out from the sacral segments of the spine
What is the average resting pulse rate 75 BPM
What causes Rickets It’s a disease in children in which the growing bones become “soft” or rubbery and are easily deformed due to inadequate calcification of the extracellular bone matrix, usually caused by a vitamin D deficiency.
Cervical Curve Neck
Thoracic Curve Includes ribs and chest cavity
Lumbar Curve Lower back
Sacral Curve Hip
Kyphosis Bent, curved, or stooped
Lordosis Bent backward
What regulates calcium The parathyroid
Sprain Is an injury to a ligament. Forcible twisting of joint with partial rupture to attachments
Strain Is am injury to a muscle or tendon. Stretched or partially torn muscle
Acute having rapid onset, severe symptoms and a short course
Subacute somewhere in between acute and subacute
chronic Long term or frequency recurring; applied to a disease that is not acute
Kyphosis an exaggeration of the thoracic curve of the vertebral column, resulting in a “rounded-shouldered” appearance. also called hunchback
Lordosis an exaggeration of the lumbar curve of the vertebral column also called hollow back
Scoliosis an abnormal lateral curvature from the normal vertical line of the backbone
What regulates the release of food from the stomach pyloric sphincter
What is the functional unit of the kidney nephron its chief function is to regulate the concentration of water and soluble substances like sodium salts by filtering the blood, reabsorbing what is needed and excreting the rest
Name the two main ducts lymph drains into/where are they located Thoracic duct on the Left side of body, and right lymphatic duct
Tendon a white fibrous cord of dense regular connective tissue that attaches muscle to bone
Ligament Dense regular connective tissue that attaches bone to bone
What part of the brain controls the pituitary gland/identify the function of the pituitary gland The Hypothalamus, the pituitary glands release several hormones
Pericardium membrane that surrounds and protects the heart and holds it in place. ( pg 365 A&P)
Mediastinum central portion of thoracic cavity between the lungs; extends from the sternum to vertebral column and from neck to diaphragm; contains the heard, thymus, esophagus, trachea, and several large blood vessels. (Pg.15 A&P)
Name the covering that wraps the entire muscle into one functioning unit Epimysium
Osteocytes mature bone cells and are the main cells in bone tissue and maintain daily metabolism, such as the exchange of nutrients and waste with the blood.
Osteoblasts are bone- building cells. They synthesize and secrete collagen fibers and other organic components need to build the extracellular matrix of bone tissue.
Osteoclasts huge cells derived from the fusion of 50 or more monocytes and are concentrated in the endosteum. They release powerful lysosomal enzymes and acids that digest the protein and mineral components of the bone extracellular matrix.
What is an exaggeration of the thoracic curve of the spine Kyphosis
Thoracic cavity chest cavity; contains pleural and pericardial cavities and mediastinum (pg. 15 A&P)
Subluxation partial or incomplete dislocation
Dislocation complete- displacement of a bone from joint with tearing of igaments, tendons and articular capsule
Name the bat shaped bone that houses the pituitary gland Sphenoid bone (pg 128 A&P)
Name the muscle borders of the axilla Pect major/lats/teres major/serratus ant
How many bones make up the skull Has 22 bones (Pg. 125-127 A&P)
8 cranial bones frontal bones, two parietal bones, two temporal bones, occipital bone, sphenoid bone, and ethmoid bone
14 Facial bones 2 nasal bones, 2 maxillae, 2 zygomatic bones, the mandible, 2 lacrimal bones, 2 palatine bones, 2 inferior nasal conchae and the vomer.
Filtration separation of liquids and solids
Diffusion Spread of particles from high concentration to low concentration.
Osmosis The movement of solvent molecules to region of higher solute to equalize on two sides.
Isometric The joint and muscle are either worked against an immovable force or are held in a static position while opposed by resistance. Practitioner holding forearm down Client lifting to fire bicep NO movement
Isotonic tension remains unchanged and the muscle’s length changes. Practitioner hold forearm down client use 5% of strength little movement.
Toxemia Toxins in the bloodstream
Edema Abnormal amounts of interstitial fluids.
Hypoxia The body is deprived of i oxygen.
Ischemia Restriction of blood supply.
Muscle End feel Cause of limitations: full length of muscle reached Healthy: Client feels stretch. Therapist feels tension and spring back following overpressure Pathological end feel: Client may feel pain if adhesions or scarring are present. Therapist feels abrupt end of range.
Created by: MelinieWeaver
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