Deep Tissue
This type of massage focuses on a goal; often including a variety of techniques and modalities to address issues.
Deep Tissue
This handheld device delivers rapid, repeated pulses to soft tissue and is commonly used on muscles before or after exercise.
Percussion Tool
When telling a client to contract a muscle, how hard do we tell them to push/pull
This is what the body uses to sense where it is in space
Proprioreceptors
Oobleck is what type of fluid
Non-newtonian Fluid
Before increasing pressure during a deep tissue session, a therapist should do this to make sure the pressure is appropriate.
Communicate with the client; use the pain scale of 1-10, ask close-ended style questions.
This tool is used to glide across lubricated skin with controlled pressure and strokes to apply a technique known as instrument-assisted soft tissue mobilization.
Gua Sha Tool / Muscle Scraper
What does PNF stand for?
Proprioreceptive Neuromusclar Fascilitation
A client has difficulty extending the hip when rising from a squat. Name the primary muscle responsible for powerful hip extension and one synergist that assists it.
What are the gluteus maximus and the hamstrings? The gluteus maximus is the primary powerful hip extensor, while the hamstrings assist.
When stretching a muscle, how long should you hold the stretch for
30 seconds + (to bypass the reflex response)
A client has a tender point in the upper trapezius. Instead of immediately applying heavy pressure, the therapist should first do this.
Assess the area, warm up the tissue, and gradually increase pressure as tolerated; using techniques such as swedish, MFR, or MET, etc.
A client has a fresh bruise on their thigh. They ask you to use a percussion massage gun directly over the discolored area. What should you do?
Avoid percussion directly over the fresh bruise, assess for injury, and modify or defer treatment as appropriate
Describe the process of using Positional Release on a Tp
Find Trigger point, activate by pressing, move muscle into a length that reduces the pain down to a 3-5, continue with TpR treatment until desired result
What are the 2 different types of nerves?
Afferent, and Efferent (sensory, and motor), with most being mixed
What about of microns of pressure can the body sense in terms of tissue distortion
10-30 Microns
What are the 12 adjustable variables used in deep tissue?
Pressure, point of application, magnitude, direction, drag, speed, pacing, rhythm, sequencing and transitioning, frequency, duration, intention for outcome.
When applying a Gua Sha tool, how many strokes/how long should you apply the technique?
20-30 strokes / until the desired result is achieved.
Who is attributed to coining the term MET
Fred Mitchell Sr
A client has difficulty abducting the shoulder, particularly during the early part of the movement. This muscle is a major contributor to the first approximately 15 degrees of shoulder abduction.
The supraspinatus
A client has a history of osteoporosis and requests a relaxing Swedish massage. What adjustments should the therapist consider?
Use gentle, controlled pressure, avoid forceful techniques and excessive pressure over vulnerable areas, and adapt the session to the client's fracture risk and medical guidance
A client requests deep tissue work on a painful, swollen calf that became swollen yesterday after a long flight. What should the therapist do, and why?
Avoid massage and refer the client for urgent medical evaluation because the symptoms could indicate a deep vein thrombosis?
A client asks you to use a percussion gun over the front of the neck and a gua sha tool directly over visible varicose veins in the leg. Identify the safety concern with each request and explain what you should do.
Avoid percussion over the anterior neck because of vulnerable structures, and avoid vigorous scraping directly over varicose veins because of potential tissue or vascular injury? Choose safer alternatives or decline those areas, depending on the assessment.
Name the 6 MET techniques discussed in class
Agonist Contract
Antagonist Contract
Agonist Contract Relax Antagonist Contract Stretch
Direct Manipulation
Positional Release, Strain/Counterstrain
Pulsed Muscle Energy Manipulation
Physical forces that are converted intro intraceullarly biochemical responses that influence cell behavior and differentiation.
Mechanotransduction
A client asks you to massage an area where they have a new, unexplained lump. They say it does not hurt and insist that you work directly on it. What is the most appropriate response?
Avoid direct treatment of the unexplained lump and recommend appropriate medical evaluation before considering local massage