soft tissue techniques

Question 1

What are the 4 primary interdependent soft tissue structures?

Answer 1

epithelial
nervous
muscular
connective

Question 2

Scar tissue adhesions can affect ___ and ___ structures.

Answer 2

neurovascular, lymphatic

Question 3

Scar tissue adhesions can result in…

Answer 3

• nerve conduction issues
• fluid balance issues
• reduced exchange of waste and metabolites from the region

Question 4

What are the stages of soft tissue layer assessment?

Answer 4

• skin gliding
• finger sliding
• skin rolling

Question 5

What are the stages of myofascial assessment?

Answer 5

• muscle tone
• muscle play
• muscle functional excursion

Question 6

definition: a massage technique with rhythmic and continuous motion in one direction to increase blood flow in that direction, relaxes the patient and aides in dispersal of waste products

Answer 6

effleurage (french for “to skim”)

Question 7

`(true/false) Effleurage should always be your first and last technique.

Answer 7

true

Question 8

When a person performs effleurage their hands should move from a ___ to ___ direction.

Answer 8

distal to proximal

Question 9

definition: massage technique where the basic movement is to compress, pick up, and then release the soft tissues

Answer 9

petrissage (french for “to knead”)

Question 10

When a person performs petrissage their hands should move from a ___ to ___ direction.

Answer 10

proximal to distal

Question 11

definition: applied pressure to the center of the restricted tissue… as restriction resolves, slack is taken up

Answer 11

sustained pressure mobilization

Question 12

definition: while maintaining a sustained pressure technique, the therapist assesses for the degree of tissue tension caused by clockwise and counter-clockwise rotary motions

Answer 12

unlocking spiral mobilization

Question 13

definition: involves sustained pressure applied at right angles or transverse to a bony contour or myofascial tissue to improve muscle and soft tissue play

Answer 13

perpendicular mobilization

Question 14

definition: involves applying pressure longitudinally to restrictions along the edge of the muscle belly, to the seam between two muscles, or along bony contours

Answer 14

parallel mobilization

Question 15

definition: used to evaluate for and treat increased tone and the loss of myofascial play.

The technique is applied through repeated, rhythmic deformation of a muscle belly, as one would strum the string of a guitar

Answer 15

perpendicular strumming

Question 16

definition: involving repeated cross-grain manipulation of lesions of tendinous and ligamentous tissues

Answer 16

friction massage

Question 17

What are contraindications for soft tissue mobilization?

Answer 17

• malignancy
• inflammatory skin condition
• fracture
• site of active hemorrhage
• obstructive edema
• localized infections
• aneurysm

Question 18

What are indications for soft tissue mobilization?

Answer 18

• tendonitis
• tendinosis
• muscle strains, tears, and calcification
• ligamentous lesions
• fascial restrictions
• peripheral nerve lesions
• lymphatics
• scars

Question 19

What are potential treatment responses for soft tissue mobilization?

Answer 19

• pain
• bruising
• tenderness to palpation
• increased swelling

Question 20

origin of upper trap.

Answer 20

medial 1/3 of the superior nuchal line
EOP
nuchal ligament

Question 21

Insertion of the upper trap.

Answer 21

lateral clavicle
acromion

Question 22

Actions of upper trap.

Answer 22

ipsilateral SB and EXT
contralateral ROT

Question 23

Origin of levator scapulae.

Answer 23

TP C1-C4

Question 24

insertion of levator scapulae.

Answer 24

superior/medial border of the scapula

Question 25

Actions of the levator scapulae

Answer 25

ipsilateral SB and EXT