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Exam (elaborations)

Clinical Skills Exam 2|Complete and A+ Graded

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Clinical Skills Exam 2|Complete and A+ Graded Types of Lubricants? Most common in PT? - Creams are most common - Oils (too slippery) - Powders Most important when positioning a pt for a massage? - Pt must be well supported and comfortable - Must have enough pillows to properly support pt 3 key openings in a massage? - Back - Front - Side Body Mechanics for PT for the Back? - Make sure pt is close to you by slightly angling them so PT can have a good spinal posture, reducing mechanical stress - Pt feet can be supported to allow a better angle How high should be the treatment table? Level w/ greater trochanter Rate of stroking? Should your hands ever be off the patient? 6-7 inches per second NO, always have contact with the patient Should you look at the pt facial expressions? YES, it gives a lot of feedback What are the 6 different types of massage? - STM - Therapeutic Massage - General massage - Recreational Massage - Local Massage - Focal Massage What is a Soft Tissue Manipulation/Mobilization (STM)? Variety of manual techniques to the soft tissues done to improve intertissue mobility and provide pain-free function What is a Therapeutic Massage? Variety of manual techniques to promote stress relief and relaxation, mobilize various structures, relieve pain and swelling, prevent deformity, and promote functional independence in a person with a specific health problem What is a General Massage? Combination of different massage strokes applied to all major regions of the body in

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Clinical Skills Exam 2|Complete and A+ Graded
Types of Lubricants? Most common in PT?
- Creams are most common
- Oils (too slippery)
- Powders
Most important when positioning a pt for a massage?
- Pt must be well supported and comfortable
- Must have enough pillows to properly support pt
3 key openings in a massage?
- Back
- Front
- Side
Body Mechanics for PT for the Back?
- Make sure pt is close to you by slightly angling them so PT can have a good spinal
posture, reducing mechanical stress
- Pt feet can be supported to allow a better angle
How high should be the treatment table?
Level w/ greater trochanter
Rate of stroking? Should your hands ever be off the patient?
6-7 inches per second

NO, always have contact with the patient
Should you look at the pt facial expressions?
YES, it gives a lot of feedback
What are the 6 different types of massage?
- STM
- Therapeutic Massage
- General massage
- Recreational Massage
- Local Massage
- Focal Massage
What is a Soft Tissue Manipulation/Mobilization (STM)?
Variety of manual techniques to the soft tissues done to improve intertissue mobility
and provide pain-free function
What is a Therapeutic Massage?
Variety of manual techniques to promote stress relief and relaxation, mobilize
various structures, relieve pain and swelling, prevent deformity, and promote
functional independence in a person with a specific health problem
What is a General Massage?
Combination of different massage strokes applied to all major regions of the body in
order to achieve a particularly desired effect
What is a Recreational Massage?
Variety of manual techniques designed to relieve stress and promote relaxation and
general wellness for someone with no definitive health problem
What is a Local Massage?

, Combination of different massage strokes applied to individual regions of the body to
achieve a particularly desired effect
What is a Focal Massage?
Combination of one or more different massage strokes applied to specific anatomical
structures in order to achieve a particularly desired effect
When would you use stroking?
- Pain (acute or chronic)
- Muscle spasm (acute or chronic)
- Superficial scar tissue (in the skin)
- Flatulence, constipation, and general abdominal discomfort
- Insomnia
Warm up, cool down, and transitional
When would you use Effleurage?
For lymphatic drainage
- Chronic edema
- Chronic pain
- Chronic muscle spasm
- Superficial scar tissue
Can massage w/ varying pressures
When would you use Pressure Manipulation (Petrissage)?
- Chronic edema,
- Chronic pain
- Superficial scar tissue and subcutaneous tissue
- Contractures
Grab and lift (more intense)
When would you use Percussive Manipulations (Tapotement)?
- Respiratory disorders
- Chronic edema
- Chronic pain
- Superficial scar tissue and subcutaneous tissue
- Contractures
When would you use Vibration & Shaking?
- Respiratory disorders associated with mucus retention
- Weak muscle contraction
- Chronic pain
- Chronic problems with flatulence
Shaking motion; excitatory
When would you use Deep Frictions?
- Chronic lesions
- Chronic pain associated with lesions
- Chronic superficial scar tissue and subcutaneous tissue
Cane & Cross Friction; Most agressive
Relaxed Passive movements are for?
- Pain (acute or chronic)
- Muscle spasm (acute or chronic)
- Superficial and deep scar tissue in the skin

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