Musculoskeletal Contraindications
- unstable mss. tear
- muscular dystrophy
Endocrine contraindication
- diabetes
- hypothyroid (dry skin)
. skeletal Contraindication
- fracture
- severe osteoporosis
- unstable joints
nervous contraindications
- paralysis
- nerve damage
- mental instability
- hypo-hyper sensitivity
- pinched nerve (impingement)
Digestive contraindication
- ulcer
- lesion
- bowel distruction
lymphatic- cardiovascular contraindication
- cancer
- deep vein thrombosis
- peripheral vascular disease (PVD)
- varicose veins
Urinary contraindications
- alcoholic ( increase metabolism)
- kidney dysfunction
skin contraindications
- infection
- open wounds
- delicate skin (due to long term cortisone use)
Precautions
Osteoporosis Scar Tissue Peripheral Neuropathy (chronic Sore muscles 5 days post 5 mile run Proliferative phase of healing
Indications
Lymphedema
Prolonged Inactivity and Joint Immobilization
Remodeling phase of healing
Contraindications
skin
High Fever
Acute unstable phase of healing
What is the relationship between hands (upper extremities) and body when performing efficient and safe Massage Therapy?
Force Couple and proper body mechanics
What is Force Coupling and how does it relate to massage therapy application?
Force Couple - hand and body moving as one
effleurage
- Employs gentle hand movement along the long axis of the limbs or muscle (Tabers). Purpose is fluid drainage. Storking Gliding
Petrissage kneading
Kneading milks the muscle by alternately lifting and rolling skin, fascia and muscle tissue. Purpose:
i. aids circulation by promoting venous and lymphatic return when performed in a distal to proximal direction
ii. stretches skin, fascia and muscle tissue
iii. soft tissue manipulation
iv. breaks up superficial adhesions
v. relaxes muscle tissue mechanical contract relax stretch response
Compression
- force applied perpendicular to the cross sectional of the tissue in a direction toward the tissue. (therapeutic exercise book) pressure, pushing, and shearing
i. Improve circulation
ii. Increase range of motion
iii. tissue rejuvenation by cleansing the muscle of waste product
Tapotment
- A rhythmic, intermittent striking or percussion of the tissue. Promotes relaxation and desensitization of irritated nerve endings. chopping, tapping
Lymphatic massage
- increases and improves free flow of lymph. Moves lymphatic waste for elimination. moving extracellular fluid or lymphatic fluid
i. promotes good circulation of lymph to act as detoxification
Rolfing
establish tissue mobility
When performing massage to the lumbar spine what are the major complications in not putting a pillow under the abdomen to reduce the patient’s lumbar lordosis?
Hyperextend the pt. and compresses the facet
Trigger point
Painful tender spots in muscle tissue associated with nodules in muscle. Compression of trigger point may elicit local tenderness, referred pain or local twitch response.
Reffered point
Pain perceived at a site adjacent to or at a distance from the site of injury
i. EX: heart attack feel pain at arm but location of pain is at the heart
