Week 1 STM Lecture Notebook Lm

How does the Behrens textbook differ from the standard PT billing regarding the terms 'massage' and 'STM'

The textbook uses the terms interchangeably, which is generally not accepted for billing purposes

What is the primary focus of STM compared to a general massage

Focuses on the treatment of a particular dysfunction of tissues

Which CPT billing code is used for STM in PT

97124

Which CPT billing code is used for Manual therapy in PT

97140

What is the professional boundary regarding Manual Therapy billing for licensed massage therapists

Licensed massage therapists may not bill for STM or Manual Therapy

How does increased blood circulation from STM benefit tissue at a cellular level

it improves delivery of oxygen and nutrients while assisting in the removal of metabolic wastes

During which stage of tissue healing is STM considered a contraindication

inflammatory stage

In which phases of tissue healing can STM facilitate repair

The proliferative and remodeling phases

How does STM specifically affect connective tissue fibrosis and adhesions

it reduces them while keeping the tissue pliable and mobile

What effects does STM have on the autonmic nervous system to promote relaxation

it stimulates the parasympathetic nervous system

which pain management theory explains STM's ability to block pain signals at the spinal cord levels

gate control theory

How does STM influence the respiratory system

it encourages relaxed diaphragmatic breathing

What is the psychological term for unexpressed emotions coming to the surface during manual therapy

emotional release

which category of STM effects involves changes occurring at the cellular level

metabolic effects

which category of STM effects involves the activation of joint sense and awareness

mind body effects

Three absolute contraindications for STM related to acute localized conditions

acute localized surgery, burns, and fructures

Why is active cancer considered an absolute contraindication for STM

d/t the potential risks during radiation and chemotherapy treatments

A cardiovascular disorder that serves as a precautions for STM

Congestive Heart Failure

What body mechanics strategy should a therapist use to protect their own back and joints during STM?

use body weight to mobilize tissue through squats and lunges

What is the requirement for a therapist's fingernails when performing STM

They must be kept short and below the level of the fingertips

Why is it recommended to overdrape rather than underdrape a patient

to ensure the patient's modesty and comfort

How should a therapist regulate their own breathing when applying increased pressure

they should exhale as pressure is applied

Which product is suggested to help with scar tissue healing when the oil is extracted from capsules

Vitamin E

Why must a therapist use caution with Bee's wax despite its benefits for skin healing

to avoid potential allergic reactions to pollen and propolis

technique: effleurage

a technique that slides or glides over the skin with a smooth, continuous motion using superficial or moderate pressure

Technique: Petrissage

a technique that lifts, wrings, and squeezes soft tissue

what is the primary clinical goal of retrograde massage

edema management

what extremity position is required during retrograde massage to maximize effectiveness

the extremity should be elevated above the heart

in what direction should effleurage strokes be performed relative to muscle fibers

in the direction of muscle fiber orientation

what is the defining rule of shingles effleurage regarding hand contact

one hand must always be in contact with the patient's body

which effleurage variation involves both hands moving in opposite directions over large areas

horizontal stroking

which tapotement technique is performed using the ulnar border of the hands

hacking

which tepotement technique involves using palms down with loose fists

rapping

who developed structural integration (Rolfing) in the 1960s

Ida Rolf

which PT is credited with further devloping myofascial release in the 1980s

John Barnes

what is the primary intention of myofascial release for structural dysfunction

to normalize fascia that is shortened or adhered to other tissue

what property of fascia describes its ability to change from a solid to a liquid gel consistency

thixitropy

Under what three conditions does fascia become more pliable?

movement, stretching, and increased temperature

the 3 dimensional matrix of structural support that surrounds every nerve, vessel, and organ is called

fascia

MFR Technique: J-stroke

one hand moves in a small circular motion while the other hand provides counter pressure

MFR technique: focused stretching

using the heels of the hands to move in opposite directions to stretch fascia

MFR technique: skin rolling

lifting the skin and fascia away from deeper tissues

What is the mechanical purpose of superficial friction or skin rubbing?

to create heat, stimulate blood flow, and stretch fascia

how is warming friction typically performed on the skin

with a back and forth sawing motion, often using the ulnar sides of the hands

which friction technique is specifically used on paraspinal muscles to create cross fiber movement

deep friction

what is the physical mechanism behind retrograde tissue mobilization

moving fluid from distal to proximal to reduce swelling

Why is it important for a therapist to keep their hands soft with moisturizers, but not apply them directly before STM?

soft hands improve sensation, but immediate application prevents the necessary tack or grip on the skin

In PT how specific should the application of STM be within a tx plan

it should be applied to specific areas on specific tissues for specific goals

which term describes the mechanical effect of petrissage on circulation

wringing