Tappan's 6,7,8

Which of the following precautions applies specifically to clients with low blood pressure

get up slowly from a horizontal position

In Therapeutic Touch, the energy field of the recipient is re-balanced or re-patterned by sweeping hand movements performed:

A few inches above the skin

Tapotement

Also known as percussion; movements consisting of short, quick tapping, slapping, and hacking movements.

what region of the neck should be avoided during massage?

Anterior triangle

Clinical massage therapy

Applications of massage in the treatment of human pathologies

General Contraindications

Avoid massage altogether

Massage consideration: Diabetes

Caution. Can have decreased sensation.

massage consideration: Cancer

Caution. Consult with healthcare provider before massage service. Can be symptomatic relief.

Massage consideration for Osteoporosis:

Caution. Massage with care and light pressure to not cause fractions.

what if a person recently had a tumor removed?

Do not massage the site!

Body-mind effects

Effects that result from the interplay of body, mind,and emotions in health and disease

Recipe-based massage

Every client receives exactly the same treatment for a particular medical condition

client centered massage

Focuses on the recipient's unique situation, needs, and goals as the basis for treatment planning, as opposed to recipe-based or formula massage.

Petrissage

Kneading movement performed by lifting, squeezing, and pressing the tissue with a light, firm pressure.

Character armor

Muscular tension caused by suppression of emotions

Persons under the influence of alcohol or recreational drugs

No massage. Can alter sensation, affect mood, and reduce good judgement.

Massage consideration: kidney disease

No massage. general contraindication.

Massage consideration: Acute injury

No massage. the injury just occurred and the body trying to heal.

Friction massage

Rubbing surfaces together to increase circulation; body heat and stimulate the skin; deep, circular motion; break up adhesions.

a complete description of evidence based practice includes

Scientific research, experience, and judgement, and client values

Thixotropy

Softening of the muscle and soft tissue due to movement or heat.

Endangerment (head/face)

Temporal artery, parotoid gland, facial nerve, trigeminial nerve, lymph nodes, styloid process

principle based therapy

The creation of an overall treatment plan directed toward the achievement of specific treatment goals

endangerment sites (elbow/wrist)

funny bone, antecubital region, deep pointed pressure in the radial brachial artery.

massage consideration: lymph edema

Yes. Indicated for massage.

Health History

a collection of subjective information that provides information about the patient's health status

endangerment sites (major veins in extremities)

always apply deep flushing effleurage to the arms and legs from distal to proximal (toward the heart)

Endangerment sites

areas of body where delicate structures are less protected and may be more easily damaged when receiving massage.

If you feel a pulse, it means that you are touching an

artery

endangerment sites (popliteal)

avoid heavy specific pressure

endangerment sites (inguinal)

avoid pressure of clusters of lymph nodes; do not massage

Local Contraindication

avoid the specific area of the body affected

A massage application found to be an effective, non-invasive technique for promoting relaxation and improving communication with elderly, institutionalized patients is:

back massage

If a client's medication decreases his or her sensitivity to pain, it is best to conduct the massage:

before the scheduled dosage

physiological effects of massage

body's reaction to massage

Types of medications that require caution

can alter sensations, affect the blood and circulation, compromise tissue integrity, alter mood

a primary concern related to long term use of corticosteriods is that it tends to:

compromise tissue integrity

contraindication

conditions or situation that make receiving of massage inadvisable because of the harm it might do.

clients with diabetes usually have this condition in the feet

decreased sensation

Mechanical effects of massage

direct effect of touch, pressure, and stretching

the use of deep transverse friction in treating repetitive strain injuries is an example of:

direct therapeutic outcome

the section of a research report that speculates on why the massage application worked or did not work as hypothesized is:

discussion

palliative care

focus on easing discomfort and improving the quality of life for those with chronic medical conditions or terminal illness.

indirect therapeutic outcomes

focus on enhancing the effectiveness of a primary treatment, or creating a more favorable environment for healing; complementary to health care.

direct therapeutic outcome

focus on the healing of a diagnosed medical condition or easing of its symptoms, alternative or integrated health care.

person-centered therapy

focuses on the client rather than his or her pathologies.

the effect of massage therapy for which there is the best evidence from scientific research is:

increased general circulation

elements within the design or execution of a research study that make it more or less credible affect the study's:

internal validity

For massage, skin acne is a

local contraindication

massage consideration: varicose veins

local contraindication. avoid massaging of direct area.

for a frail or seriously ill person, in addition to choose less vigorous massage techniques, you might also

make the session shorter

Energetic effects of Massage

massage and bodywork have been described as balancing and improving the flow of energy

evidence-based practice

massage applications based on research, clinical expertise and client values

"indirect" effects of massage

massage assisting another treatment to be more effective; bonus of massage

type of research study that offers the strongest evidence of cause and effect is the:

meta-analysis

Do no harm

most basic principle in massage and bodywork

Joint movement

moving joints through a range of motion and stretching.

If the receiver feels a shooting or electrical sensation, you have probably hit a....

nerve

Hypertonic

occurs when muscle tone increases and becomes stiff

Reflex effects of massage

organic processes of the body on cellular, tissue, or organ system levels

Forceful or heavy pressure techniques are generally contraindicated if a client has...

osteporosis

Vibration massage

quivering or trembling to stimulate digestive organs awareness of breath and joint fluidity.

client-centered massage is the opposite of:

recipe-based massage

hyperemia

redness of the skin due to increased blood flow.

effects of massage

refer t o changes that occur in the body, mind, and emotions of the recipient during a massage session

understanding the scientific method and locating and evaluating research articles are essential skills of

research literacy

indication

safe to perform the massage

caution

situation of potential danger, requires thoughtful consideration and possible modification of technique application.

Effleurage

slide and glide, continuous-stroking massage movement; warm up tissue and relax muscles.

Touch without movement

static pressure often used for energy work; aka passive touch.

"direct" effects of massage

the intended result of massage