814 final: massage

Recreational massage

- The use of a variety of manual techniques designed to relievate stress and promotes general wellness in a person who has no definable health problems.

Therapeutic massage

- The use of a variety of manual techniques designed to promotes stress relieve and relaxation, mobilize various structures, relieve pain swelling and promote functional independence in a person who has a specific heath condition.

Physiological effects of massage on musculoskeletal system

- Blood flow: increase blood flow and waste removal.

- Bulk/ shape/ size: indirect influence

- Muscle atrophy: can't prevent but can alter.

Physiological effects of massage on nuerooskeletal system

- Sensory: sensory receptors caught in epidermis cause vasodilation

- Reflex: reflex sedation (deep tongue) or reflex arousal (light touch)

- Physiologic: human touch, release of endorphins, improve sleep

Physiologic effects on the cardiovascular system

- Superficial vasodilation enhanced venous return.

- Decrease HR and BP

- Improves breathing.

Physiologic effects on the integumentary system

- Alters local temp: increase.

- Improves texture: scars.

- Can absorb lymph.

- Decrease fibrosis.

How does massage effect fat?

- Temporary displacement

What touch should you use with lymphedema?

- Light touch

Indications for massage

- Muscle spasms and muscle stress

- Edema

- Scars

- Peripheral nerve injury

- Pressure injuries

Contradiction for massage (mechanical)

- Thrombosis or varicose veins

- Obstructive edema

- Hematoma

- Herniated disc

- Fractures and lacerations

- Pregnancy

Contraindications for massage (inflammation)

- Cellulitis

- Limb as risk for lymphedema

- Skin inflammation

- Skin cancer

Contraindications for massage (fluid overload)

- Cardiac or pulmonary dysfunction (congestive heart failure)

- Varicose veins

Effleurage details (light)

- Good for initiating touch

- Use for early palpitation and apply medium.

- Elicits a reflex action: increase vasodilation and relaxation.

Effleurage details (deep)

- Therapeutic effects to muscle

- More likely to increase blood flow in deeper areas.

Petrissage (kneading) details

- Involves manipulation, press, rolling of deep fascia and muscle.

- Used to impact deeper tissue and move specific tissue.

Friction message details

- Deep use of fingertips, thumbs, and elbow without lotion

- Used for scar tissue, trigger points and acupressure points.

- Follow with effleurage and petrissage.

Tapotement massage details

- Brisk blows, clapping, pounding.

o CROPS

Advantages of using a CMT or LMT

- Cost

- Access

- Meet PT goals.

Challenges to utilizing service of a CMT or LMT

- Less medical background

- Patient directed.

- Greater change real problem is avoided.

Wellness massage

- Holistic model of wellness addresses a client wellness outcome.

- Non-invasive approach to dealing with pian.

o Pain centers, women's health, and cancer

energy healing

- Uses patients biofield.

- sounds, touch, plants, and low electrical impulses.