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What is the protocol after releasing a trigger point?
Stretch the muscle passively, apply moist heat for 5 minutes or longer, and have the client perform full AROM
A repetitive, non-gliding technique where a specific contact such as the fingertips or thumb is used to penetrate dense connective tissue and produce small movements between its fibers
This technique promotes realignment and remodelling of collagen fibers in dense connective tissue
Frictions
Increase client's awareness of unnecessary tension by placing your hand on a tense area and/or directing the client's attention to it
What should you do if your outcome goal is to enhance return of lymph and venous blood?
Use centripetal pressure, assistance of gravity when possible, begin proximally, proceed distally, return proximally and repeat.
A gliding technique in which the therapist grasps the tissue superficial to the investing layer of deep fascia and continuously lifts and rolls over underlying tissues in a wave-like motion
Skin rolling
Which type of massage techniques counteract fatigue?
Techniques that are fast-paced, light, superficial and rhythmical
When should you apply massage techniques from the periphery to the center of the region?
When you are treating a circumscribed area of local pathology or an area of local swelling
This technique mobilizes bronchial secretions
What are possible causes of reduce active range of motion (AROM)?
Adaptive shortening, joint or bone malformation, inflammation, mechanical instability, connective tissue shortening, pain, trigger points, increased muscle resting tension, muscle spasm, muscle weakness, general deconditioning, edema, atrophy, and neurological conditions
What questions should you ask before treating pain?
"Are there any contraindications or cautions that necessitate referral to another healthcare professional?"
"Is the pain acute or chronic?"
"What is causing the pain?"
A gentle, repetitive oscillation of the pelvis and torso that results in waves of motion that travel along the body
Rocking
What are the mechanical effects of percussive techniques?
How should you perform treatment with impaired venous return, impaired lymphatic return, or edma?
Begin massage treatment proximally, move contact distally, and repeat several times or more
Use centripetal pressure throughout
This technique type improves airway clearance, increases arousal, reduces pain and is used for proprioceptive stimulation
Percussion
Repeated rhythmical light striking
Percussive techniques - aka tapotement
How should beating and pounding be performed?
Use ventral or ulnar surfaces of fists
Pincement, tapping, hacking, slapping, clapping (cupping), beating and pounding, are examples of what?
Percussive techniques
How should pincement, a percussive technique, be performed?
Pluck / lift with fingertips and thumbs
What order should massage techniques be performed when there is a muscle spasm?
Apply mechanical techniques to the attachments, superficial reflex techniques on site, and gentle mechanical techniques on site.
How should hacking be performed?
Use ulnar borders of open hands
If trigger points remain in adaptively lengthened muscles after treating adaptively shortened agonists, what should you do?
Treat with specific compression and short stripping strokes
How should slapping be performed?
Use open palmar surfaces
How should spastic muscles be treated?
Spastic muscles are sensitive to sudden stretch and need slow, smooth handling. Use slow, fairly deep, continuous and rhythmical effleurage and petrissage and a sedative approach
Treat flaccid tissue with superficial, stimulating massage techniques, applied with little force and no drag