PHTY1110 Prac Mastery 15 Flashcards

Examination prep flashcards for PHTY1110 practical mastery, covering screening procedures, regional anatomy, and massage techniques.

Why is a full history not required during the practical station?

The case card provides the specific problem, and the station is designed to test screening, consent, technique, and reasoning.

According to the transcript, how should a student locate a muscle using surface anatomy?

Start from a bony landmark and confirm the location with a gentle contraction, such as finding the tibialis anterior lateral to the tibial crest by having the patient lift the foot.

Why must you screen fit athletes for massage?

Screening is mandatory for everyone because even athletes can have a clot, skin issues, or be taking medications.

When petrissaging the wrist extensors or addressing grip strength, where should the treatment be focused?

The treatment should focus on the forearm because grip involve the extrinsic forearm flexors and extensors, not the intrinsic hand muscles.

What is the proper direction for effleurage and why?

Distal to proximal; because veins and lymphatics have one-way valves, and this direction milks fluid toward the nodes.

To which nodes do the lower and upper limbs drain?

The lower limb drains to the inguinal nodes (groin), while the upper limb drains to the axillary nodes (armpit).

What are the borders and contents of the femoral triangle?

The borders are the inguinal ligament, sartorius, and adductor longus; the contents are represented by the acronym NAVEL.

List the contents of the popliteal fossa.

Popliteal artery, popliteal vein, tibial nerve, common fibular n., and small saphenous v.

What are the contents of the axilla?

Axillary artery, axillary vein, brachial plexus, and axillary nodes.

How does petrissage differ from deep tissue massage in terms of objective?

Petrissage acts as a passive pump to mobilise metabolites and relax tight-sore tissue; deep tissue uses slow sustained pressure along fibres to lengthen chronic (non-acute) tightness.

Why is deep tissue massage contraindicated for a swollen leg?

Swelling is a fluid problem that requires effleurage; deep pressure on swollen or irritable tissue will aggravate the condition.

What are the $4$ principles of deep-tissue massage?

Direction of pressure, tissue locking, slow controlled strokes, and following along fibre orientation.

What is the use and primary contraindications for tapotement?

It is used to stimulate pre-activity over muscle bulk; it should never be used over bone, the kidneys, or acute tissue.

What is the recommended table height and the reason for it?

Hip height; it allows the practitioner to apply body weight through neutral wrists to avoid wrist strain.

How should deep tissue massage be described to a patient in plain language?

‐Slower, firmer pressure into the deeper muscle layers.‐

How often should consent be re-checked during a session?

Consenting is ongoing; check approximately every $60\,s$, and re-confirm consent and draping before changing techniques.

Why is it critical to screen for DVT in the legs before massage?

The calf is a classic site for clots, and a dislodged clot can cause a fatal PE (Pulmonary Embolism), making DVT an absolute contraindication.

What is the location and function of the tibialis anterior?

It is located on the front-outer shin, lateral to the tibial crest, and its function is to dorsiflex the foot.

What are the anatomical landmarks for the ITB?

The ITB runs from the hip (iliac crest/TFL) to Gerdy’s tubercle on the outer shin, passing the greater trochanter along the way.

Which technique and stem words are associated with reducing swelling?

Effleurage ($\pm$ petrissage) performed distal to proximal; associated with words like swollen, puffy, oedematous, or boggy.

What is the technique and indication for scar mobility?

Thumb-kneading or transverse frictions; indicated for scars, adhesions, or the need to work ‐across fibres.‐

What technique is used to release a ‐knot‐ defined as a discrete tender point that refers?

Trigger-point release.

Which technique is indicated to ‐warm up‐ or ‐switch on‐ a muscle before sport?

Tapotement, such as hacking or cupping.