Unit 5- Chapter 12 Soft Tissue

Risks

· Belief that sputum clearance --> other authors consider blood oxygenation to be a measure of pulmonary function and not of sputum · Treatment maybe valuable to cystic fibrosis ( lung infection) · Stimulates reflexes that contracts and shortens the muscle when it is applied to the muscle belly or tendon · Tapping a tendon/muscle may inhibit contraction both locally and in synergist muscle groups Increase HR /BP

Benefits of Percussive

• Enhance airway clearance • Reduce or increase neuromuscular tone • Proprioceptive stimulation techniques Increase levels of arousals Increase alertness

Percussion components: 1. Contact surface 2. Pressure 3. Tissues engaged 4. Amplitude 5. Direction 6. Rate (Chapter 12 Objectives)

1. Fingers, fingertips, ulnar border of hands, palms, heels, and dorsal surface interphalangeal joints, in various combinations 2. Light to heavy 3. Superficial subcutaneous tissues (lighter techniques) to deeper muscle and contained viscera such as the lungs (heavier techniques) 4. N/A 5. The contact and release strokes are perpendicular to the surface of the client's body (except for pounding) 6. 2 to 10 or more cycles per second (Hz) using both hands

List each percussive massage technique

1. Pincement 2. Tapping 3. Hacking 4. Slapping or "Splatting" 5. Clapping 6. Beating or "Rapping" 7. Pounding

Describe the outcomes of care, indications, contraindications, and common uses associated with each massage technique. (Chapter 12 Objectives)

Contraindications: - In thorax region: avoid percussion in cases of rib fracture, untreated pneumothorax, possible coronary thrombosis or pulmonary embolism on the patient's back prior to physical activity b. on the back in a patient with a rib fracture c. over a muscle spasm in the erector spinae d. tapping the quad to facilitate contraction - Avoid muscles with spasm and post-exercise cramping Common uses: - Facilitating airway clearance - Facilitate or inhibit neuromuscular tone - Increase arousal

Describe how the Percussive techniques in this category affect different types of tissue.

Percussion techniques engage superficial subcutaneous tissues (lighter techniques) to deeper muscle and contained viscera such as the lungs (heavier techniques)

Define Percussive

used to control striking of the body to quickly deform and release tissues