AIPIE
Assessment Components
Positive effects of massage
Contraindications and Precautions
Methods of massage
100

A

Assess

100

Observation

observing entry of patient, gait, demeanour from beginning

100

Effect 1 

Reduce pain (endorphin release; reduction of muscle tension; distraction & positive psychological effect)

100

Contraindictions

Cuts or open wounds, bruises, varicose veins, fracture, burns, some skin conditions, pregnancy, epilepsy, asthma, autoimmune disorders, immunosuppressed, hypertension, chronic heart failure, chronic kidney failure

100

What is effleurage/stripping?

direction : in line w/ muscle fibres, peripheral to central

moderate/firm constant full hand contact

on : muscles

200

I

Interpret

200

History/Subjective Evaluation

Find out as much as you can about what happened to your client

- Precise area of pain/symptoms
- How did it happen and how long ago
- What aggravates or eases symptoms
- Past history and medical history
- Medication use?
- 24hr behavior (about pain)                                       - Additional questions that may help
alert to serious pathologies
- Social history
- Goals                                                                      - Use of body chart! 

200

Effect 2 

Promotion of parasympathetic activity (relax)

200

Precautions

Fever, blood clots/DVTs, inflammation, undiagnosed lump/tumour, advanced kidney/respiratory/liver failure, acute injury (24-48 hours), skin infection, systemic contagious/infectious disease, uncontrolled hypertension, pre-eclampsia (pregnancy)

200

What is petrissage?

direction : circular/variable compressive action (ie. kneading/squeezing)

moderate/variable hands firm in V shape, alternate hands

on : muscles

300

P

Plan

300

Physical (Objective) evaluation

neurological/vascular/clearing/screening/functional tests

articular/muscular tests (AROM/PROM, muscle strength, muscle length etc)

palpation

300

Effect 3

Influence on body chemistry (increase circulation of blood flow/oxygen; increase lymphatic circulation)

300

What is palpation?

method of feeling with the fingers or hands during a physical examination, physiotherapist touches & feels body to examine size, consistency, texture, location, and/or tenderness of body part.

300

What is skin rolling?

where a restriction is felt

direction : along/across a tissue

technique : pinches/pulls skin away then gently rolled forward in continuous forward motion

on : connective tissue over muscles, connective tissue between surface of skin to deeper & underlying tissues

400

I

Implement

400

Treatment/Intervention and Evaluation

advice/education, soft tissue massage, manual treatment, taping, exercise, hot/cold treatments

400

Effect 4

Mechanical effects (break down adhesions/scar tissue; increase flexibility + range of motion)

400

What is friction?

direction : circular or transverse (perpendicular, at right angles) across the soft tissue

firm, fingertips

on : ligaments, tendons, fascia and muscles, scar tissue

500

E

Evaluate

500

Evaluation of treatment

outcome measures, after initial consultation : patient should understand/know their diagnosis & prognosis; things themselves as well as the physio can do to help; things to avoid; have a collaboratively developed treatment plan  

500

Effect 5 

Promotion of restorative sleep

500

What is ischeamic pressure/trigger pointing?

direction : direct sustained compression, 30 seconds

firm

on : muscles

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