Spasm

Question 1

History questions:?

Answer 1

1. How is the clt’s general health? Are there any contributing factors, such as diabetes mellitus, vascular disease or pregnancy? Does the clt have any alterations in electrolyte balance due to diarrhea, vomiting or excessive sweating?
2. Has there been any previous injury to the area?
3. Is there any pain? Where is it located? What is the quality of the pain?
4. Were there any precipitating factors, such as a change in sleeping or eating patterns, an increase in stress or overall high levels of stress for the clt?
5. Is the clt feeling chilled?
6. When was the onset of the spasm?
7. Has the clt consulted a physician about this? Is the clt taking any medication or nutritional supplements for the conditions?

Question 2

Contraindications?

Answer 2

1. do not attempt (no heat+massage )to completely eliminate reflex muscle guarding that is splinting an acute injury.
2. Avoid passively stretching an acutely spasmodic muscle
3. Hot hydrotherapy w acute injury
4. Deep vein thrombosis or thrombophlebitis of the calf

Question 3

Treatment goals? intrinsic + acute reflexive

Answer 3

INTRINSIC
I. Decrease sympathetic nervous system firing to :
1. break down the pain-spasm cycle
2a. decrease the spasm
2b. increase local circulation and flushed out metabolites
II. Increase relaxation to decrease the pain and sympathetic nervous system firing
III. Increase local circulation to reduce ischemia and metabolic retention
IV. Increase relaxation to decrease the hypertonicity
V. Reduce trigger points on the antagonists and synergists mm to increase relaxation
VI. Employ spinal reflexes to decrease the spasm
VII. Increase circulation to decrease ischemia and increase tissue health
VIII. Increase range of motion
REFLEXIVE
(Guarding Muscle Spasm - Acute stage)
1. ⬇️Spasm - DO NOT Eliminate
2. ⬇️ SNS Firing
3. ⬇️ HT in compensating MM
4. Treat compensation mm affected

Question 4

Treatment plan?

Answer 4

INTRINSIC
(self-perpetuating pain-spasm cycle)
1. Diaphragmatic breathing
2. Swedish on unaffected side - Eff, kneading, compression, petrissage
3. Reciprocal inhibition (agonist contraction by clt)
4. GTO/ O,I/ Mm approximation
5. Swedish
6. Passive stretch
7. Hydrotherapy:
a. chronic intrinsic mm spasm (tight, fibrous) –> heat
b. intrinsic spasm –> also use contrast
RELEXIVE
1. Stabilize injured area - Pillow
2. Diaphragmatic breathing
3. Cold Hydro to acute injury - ice massage
4. Swedish on compensation areas - Eff, kneading, compressions, petrissage
5. TX compensation / (specific to scenario or symptoms)

Question 5

Treatment process?

Answer 5

1. Ask for consent for the treatment
2. Ask for consent to undrape
3. Undrape and get visual on it
4. Reciprocal inhibition
5. GTO or O,I
6. Mm approximation
7. Kneading
8. Effleurage (flush out in circ)
9. Swedish to unaffected side

Question 6

Home care?

Answer 6