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Questions and Answers
What is the purpose of Golgi Tendon Organ (GTO) Release Technique? (PROPRIOCEPTIVE
TECHNIQUE)
What is the purpose of Golgi Tendon Organ (GTO) Release Technique? (PROPRIOCEPTIVE TECHNIQUE)
- Treats hypotonic muscles
- Increases muscle tone and spasm
- Stimulates hypertonic muscles
- Reduces tone and spasm (correct)
Where are proprioceptors found?
Where are proprioceptors found?
- In the skin
- In the brain
- In the heart
- In muscle bellies, tendons, and joint capsules (correct)
When is GTO Release Technique particularly useful? (PROPRIOCEPTIVE TECHNIQUE)
When is GTO Release Technique particularly useful? (PROPRIOCEPTIVE TECHNIQUE)
- When onsite petrissage is ineffective (correct)
- When the tendon is painful
- When the massage is too painful
- When treating hypotonic muscles
What are the indications for GTO Release Technique?
What are the indications for GTO Release Technique?
What is a contraindication for GTO Release Technique?
What is a contraindication for GTO Release Technique?
How should the affected tissue be prepared before applying GTO Release Technique?
How should the affected tissue be prepared before applying GTO Release Technique?
What is the purpose of the Origin and Insertion Technique? (PROPRIOCEPTIVE TECHNIQUE)
What is the purpose of the Origin and Insertion Technique? (PROPRIOCEPTIVE TECHNIQUE)
Which technique is used for muscles with a large, broad bony attachment? (PROPRIOCEPTIVE TECHNIQUE)
Which technique is used for muscles with a large, broad bony attachment? (PROPRIOCEPTIVE TECHNIQUE)
What is the main purpose of Deep Myofascial Techniques?
What is the main purpose of Deep Myofascial Techniques?
When would you use the Bear Claw technique? (DEEP MYO FASCIAL TECHNIQUES NO OIL)
When would you use the Bear Claw technique? (DEEP MYO FASCIAL TECHNIQUES NO OIL)
What is a contraindication for the Muscle Approximation Technique? (PROPRIOCEPTIVE
TECHNIQUE)
What is a contraindication for the Muscle Approximation Technique? (PROPRIOCEPTIVE TECHNIQUE)
What is the purpose of Skin Rolling? (DEEP MYO FASCIAL TECHNIQUES NO OIL)
What is the purpose of Skin Rolling? (DEEP MYO FASCIAL TECHNIQUES NO OIL)
What sensation is associated with Deep Myofascial Techniques?
What sensation is associated with Deep Myofascial Techniques?
What is a contraindication for the Origin and Insertion Technique?
What is a contraindication for the Origin and Insertion Technique?
In which technique are systematic friction-like strokes applied along the entire origin and insertion?
In which technique are systematic friction-like strokes applied along the entire origin and insertion?
What does the Muscle Approximation Technique aim to do?
What does the Muscle Approximation Technique aim to do?
What is a purpose of the cutting technique? (DEEP MYO FASCIAL TECHNIQUES NO OIL)
What is a purpose of the cutting technique? (DEEP MYO FASCIAL TECHNIQUES NO OIL)
What is a contraindication for using fascial torquing technique? (DEEP MYO FASCIAL TECHNIQUES NO OIL)
What is a contraindication for using fascial torquing technique? (DEEP MYO FASCIAL TECHNIQUES NO OIL)
What technique involves stroking along the muscle fibres while the muscle or limb is lengthening passively or actively? (DEEP MYO FASCIAL TECHNIQUES NO OIL)
What technique involves stroking along the muscle fibres while the muscle or limb is lengthening passively or actively? (DEEP MYO FASCIAL TECHNIQUES NO OIL)
What is the direction of force when the muscle fibre is vertical?
What is the direction of force when the muscle fibre is vertical?
What action should be taken if the goal is to reduce edema?
What action should be taken if the goal is to reduce edema?
Which condition is a contraindication for lymphatic drainage massage? (MANUAL LYMPHATIC DRAINAGE)
Which condition is a contraindication for lymphatic drainage massage? (MANUAL LYMPHATIC DRAINAGE)
What should be the pressure when performing manual lymphatic drainage?
What should be the pressure when performing manual lymphatic drainage?
What should be done first when incorporating MLD into a general Swedish massage?
What should be done first when incorporating MLD into a general Swedish massage?
What should be removed before starting the MLD protocol?
What should be removed before starting the MLD protocol?
When should hydrotherapy be applied for chronic conditions? (MANUAL LYMPHATIC DRAINAGE)
When should hydrotherapy be applied for chronic conditions? (MANUAL LYMPHATIC DRAINAGE)
What is the primary purpose of manual lymphatic drainage (MLD)?
What is the primary purpose of manual lymphatic drainage (MLD)?
What is an indication for lymphatic drainage massage?
What is an indication for lymphatic drainage massage?
What type of massage increases local circulation for 2-3 hours post-massage?
What type of massage increases local circulation for 2-3 hours post-massage?
What action should be taken if there is an obstruction in the lymph flow, such as scar tissue?
What action should be taken if there is an obstruction in the lymph flow, such as scar tissue?
Which technique involves using a repetitive non-gliding technique to penetrate dense connective tissue? (FRICTIONS TECHNIQUE)
Which technique involves using a repetitive non-gliding technique to penetrate dense connective tissue? (FRICTIONS TECHNIQUE)
In Swedish Lymphatic Drainage, how should the treatment be adjusted for chronic cases?
In Swedish Lymphatic Drainage, how should the treatment be adjusted for chronic cases?
What is the purpose of frictions in massage therapy?
What is the purpose of frictions in massage therapy?
Which area is NOT considered a lymph node in Swedish Lymphatic Drainage?
Which area is NOT considered a lymph node in Swedish Lymphatic Drainage?
What is the recommended direction for pumping in Swedish Lymphatic Drainage for the upper extremity?
What is the recommended direction for pumping in Swedish Lymphatic Drainage for the upper extremity?
How should the massage treatment be adjusted for acute cases in Swedish Lymphatic Drainage?
How should the massage treatment be adjusted for acute cases in Swedish Lymphatic Drainage?
What sensation can clients experience during deep myofascial techniques without oil?
What sensation can clients experience during deep myofascial techniques without oil?
What is the primary purpose of deep myofascial techniques without oil?
What is the primary purpose of deep myofascial techniques without oil?
Which technique involves using a repetitive non-gliding technique to penetrate dense connective tissue?
Which technique involves using a repetitive non-gliding technique to penetrate dense connective tissue?
When would hydrotherapy be applied for chronic conditions in manual lymphatic drainage?
When would hydrotherapy be applied for chronic conditions in manual lymphatic drainage?
What is the primary purpose of manual lymphatic drainage (MLD)?
What is the primary purpose of manual lymphatic drainage (MLD)?
When would the Bear Claw technique be used? (DEEP MYO FASCIAL TECHNIQUES NO OIL)
When would the Bear Claw technique be used? (DEEP MYO FASCIAL TECHNIQUES NO OIL)
What is a contraindication for using fascial torquing technique? (DEEP MYO FASCIAL TECHNIQUES NO OIL)
What is a contraindication for using fascial torquing technique? (DEEP MYO FASCIAL TECHNIQUES NO OIL)
Where are proprioceptors found?
Where are proprioceptors found?
Which statement accurately describes the concept of fascial transmission?
Which statement accurately describes the concept of fascial transmission?
Which technique assesses fascial restrictions by moving the skin over deeper structures in cardinal planes?
Which technique assesses fascial restrictions by moving the skin over deeper structures in cardinal planes?
What is the primary characteristic of a direct technique in fascia release?
What is the primary characteristic of a direct technique in fascia release?
Which statement accurately describes the sensation associated with intense direct fascial release techniques?
Which statement accurately describes the sensation associated with intense direct fascial release techniques?
What is the purpose of slow skin rolling during fascial assessment?
What is the purpose of slow skin rolling during fascial assessment?
Which technique involves passively moving a limb or body part until a barrier to motion is reached?
Which technique involves passively moving a limb or body part until a barrier to motion is reached?
What is the primary purpose of the J-stroke technique in fascial therapy?
What is the primary purpose of the J-stroke technique in fascial therapy?
What distinguishes vertical stroking from strumming in fascial therapy?
What distinguishes vertical stroking from strumming in fascial therapy?
When would the Bear Claw technique be most appropriately utilized in fascial therapy?
When would the Bear Claw technique be most appropriately utilized in fascial therapy?
Which technique involves applying counter pressure with one hand and pressure with the opposite hand along the length of a limb or specific muscle groups?
Which technique involves applying counter pressure with one hand and pressure with the opposite hand along the length of a limb or specific muscle groups?
What sensation can clients often feel when muscle fibers are treated effectively during strumming in fascial therapy?
What sensation can clients often feel when muscle fibers are treated effectively during strumming in fascial therapy?
Which method is NOT used during Pin and Stretch technique in fascial therapy?
Which method is NOT used during Pin and Stretch technique in fascial therapy?
What distinguishes the Vertical Stroking technique from direct friction-like strokes?
What distinguishes the Vertical Stroking technique from direct friction-like strokes?
'Bear Claw' technique is used to target which areas of the body in fascial therapy?
'Bear Claw' technique is used to target which areas of the body in fascial therapy?
'Cutting technique' in fascial therapy involves which of the following actions?
'Cutting technique' in fascial therapy involves which of the following actions?
Proprioceptors are specialized sense receptors found in muscle bellies, tendons, joint capsules, and the special sense organs. Types of proprioceptors include Golgi Tendon Organs and __________.
Proprioceptors are specialized sense receptors found in muscle bellies, tendons, joint capsules, and the special sense organs. Types of proprioceptors include Golgi Tendon Organs and __________.
The Golgi Tendon Organ (GTO) is located at the __________ junction.
The Golgi Tendon Organ (GTO) is located at the __________ junction.
The Golgi Tendon Organ (GTO) inhibits muscle contraction when tension in the tendon becomes too __________.
The Golgi Tendon Organ (GTO) inhibits muscle contraction when tension in the tendon becomes too __________.
The Golgi Tendon Organ (GTO) prevents tendon rupture or muscle injury from over-__________.
The Golgi Tendon Organ (GTO) prevents tendon rupture or muscle injury from over-__________.
The load on the tendon can be intrinsic via intrafusal muscle fibers or extrinsic via __________ muscle fibers.
The load on the tendon can be intrinsic via intrafusal muscle fibers or extrinsic via __________ muscle fibers.
The Golgi Tendon Organ (GTO) is an inhibitor of muscle contraction and is located at the musculotendinous junction to detect stress placed on the __________.
The Golgi Tendon Organ (GTO) is an inhibitor of muscle contraction and is located at the musculotendinous junction to detect stress placed on the __________.
The Origin and Insertion Technique is used on muscles with a large, broad ______ attachment.
The Origin and Insertion Technique is used on muscles with a large, broad ______ attachment.
The Muscle Approximation Technique decreases tone or ______ in muscle by affecting the muscle spindle.
The Muscle Approximation Technique decreases tone or ______ in muscle by affecting the muscle spindle.
A contraindication for the Muscle Approximation Technique is ______ conditions local to the muscle belly.
A contraindication for the Muscle Approximation Technique is ______ conditions local to the muscle belly.
In the Origin and Insertion Technique, cross-fiber and with-fiber strokes are applied on the same spot creating an ______ at least 2 times each way within the one spot.
In the Origin and Insertion Technique, cross-fiber and with-fiber strokes are applied on the same spot creating an ______ at least 2 times each way within the one spot.
The Muscle Approximation Technique is used for muscles with many ______ or insertions that are not easily palpable.
The Muscle Approximation Technique is used for muscles with many ______ or insertions that are not easily palpable.
A contraindication for the Origin and Insertion Technique is ______ conditions, such as tendinitis.
A contraindication for the Origin and Insertion Technique is ______ conditions, such as tendinitis.
When tension is placed on the tendon from a muscle contraction, the GTOs send information back to the central nervous system via the 1b afferent nerve about the changes in muscle force. This mechanism is the foundation of the __________ technique.
When tension is placed on the tendon from a muscle contraction, the GTOs send information back to the central nervous system via the 1b afferent nerve about the changes in muscle force. This mechanism is the foundation of the __________ technique.
The major sensory receptor within the muscle belly is the __________.
The major sensory receptor within the muscle belly is the __________.
The muscle spindle fibers lie parallel to the __________ fibers.
The muscle spindle fibers lie parallel to the __________ fibers.
In a pathological state, such as a muscle spasm, it is said that the muscle spindle activity is set too high. The more intense the stretch or the quicker the stretch, the greater the activation of these nerve endings. This information sent to the spinal cord causes a reflexive muscle contraction known as the Muscle _________ Reflex.
In a pathological state, such as a muscle spasm, it is said that the muscle spindle activity is set too high. The more intense the stretch or the quicker the stretch, the greater the activation of these nerve endings. This information sent to the spinal cord causes a reflexive muscle contraction known as the Muscle _________ Reflex.
The Golgi Tendon Organ (GTO) Release Technique is particularly useful when onsite petrissage is too painful or ineffective. Best for treating tendons which are long and easily palpable, such as the Achilles, biceps brachii, hamstrings, and forearm __________.
The Golgi Tendon Organ (GTO) Release Technique is particularly useful when onsite petrissage is too painful or ineffective. Best for treating tendons which are long and easily palpable, such as the Achilles, biceps brachii, hamstrings, and forearm __________.
The Golgi Tendon Organ (GTO) Release Technique helps reduce tone and spasm. It is contraindicated for hypotonic or __________ muscles.
The Golgi Tendon Organ (GTO) Release Technique helps reduce tone and spasm. It is contraindicated for hypotonic or __________ muscles.
The Golgi Tendon Organ (GTO) Release Technique involves direct compression or torquing of the tendon, near the musculotendinous junction using finger or body reinforcement, without gliding over the skin. The main goal is to reduce tone and spasm within the client’s pain tolerance by applying moderate to deep or with S or C __________.
The Golgi Tendon Organ (GTO) Release Technique involves direct compression or torquing of the tendon, near the musculotendinous junction using finger or body reinforcement, without gliding over the skin. The main goal is to reduce tone and spasm within the client’s pain tolerance by applying moderate to deep or with S or C __________.
The Origin and Insertion (O&I) Technique helps reduce tone and spasm especially when direct petrissage of a muscle belly is too painful or ineffective. It aims to work on the __________ of muscles.
The Origin and Insertion (O&I) Technique helps reduce tone and spasm especially when direct petrissage of a muscle belly is too painful or ineffective. It aims to work on the __________ of muscles.
The Origin and Insertion (O&I) Technique involves reducing tone and spasm by applying direct compression or torquing near the musculotendinous junction using finger or body reinforcement, without gliding over the skin. The technique is particularly useful for muscles with a large, broad __________ attachment.
The Origin and Insertion (O&I) Technique involves reducing tone and spasm by applying direct compression or torquing near the musculotendinous junction using finger or body reinforcement, without gliding over the skin. The technique is particularly useful for muscles with a large, broad __________ attachment.
The muscle approximation technique aims to decrease pressure off the muscle spindle and nuclear bag to decrease muscle tone of the muscle belly. This is achieved by approximating, or bringing the muscle tissue closer together, and releasing tension on the nuclear bag to cause a reflexive decrease in muscle __________.
The muscle approximation technique aims to decrease pressure off the muscle spindle and nuclear bag to decrease muscle tone of the muscle belly. This is achieved by approximating, or bringing the muscle tissue closer together, and releasing tension on the nuclear bag to cause a reflexive decrease in muscle __________.
The Golgi Tendon Organ (GTO) is located at the musculotendinous junction.
The Golgi Tendon Organ (GTO) is located at the musculotendinous junction.
Proprioceptors are specialized sense receptors found only in muscle bellies.
Proprioceptors are specialized sense receptors found only in muscle bellies.
The Golgi Tendon Organ (GTO) inhibits muscle contraction when tension in the tendon becomes too high.
The Golgi Tendon Organ (GTO) inhibits muscle contraction when tension in the tendon becomes too high.
The load on the tendon can only be intrinsic via intrafusal muscle fibers, not extrinsic via extrafusal muscle fibers.
The load on the tendon can only be intrinsic via intrafusal muscle fibers, not extrinsic via extrafusal muscle fibers.
Muscle spindles detect the stretch and tension on tendon tissue.
Muscle spindles detect the stretch and tension on tendon tissue.
The major sensory receptor within the muscle belly is the Golgi Tendon Organ (GTO).
The major sensory receptor within the muscle belly is the Golgi Tendon Organ (GTO).
The Muscle Approximation Technique is used for muscles with many origins and insertions that are easily palpable.
The Muscle Approximation Technique is used for muscles with many origins and insertions that are easily palpable.
The Golgi Tendon Organ (GTO) Release Technique involves applying direct compression or torquing near the musculotendinous junction without gliding over the skin.
The Golgi Tendon Organ (GTO) Release Technique involves applying direct compression or torquing near the musculotendinous junction without gliding over the skin.
Acute tendon conditions, such as tendinitis, are contraindicated for the Origin and Insertion Technique.
Acute tendon conditions, such as tendinitis, are contraindicated for the Origin and Insertion Technique.
The Muscle Approximation Technique involves bringing the origins and insertions of a muscle closer together.
The Muscle Approximation Technique involves bringing the origins and insertions of a muscle closer together.
The Origin and Insertion Technique is applied using gliding strokes over the skin.
The Origin and Insertion Technique is applied using gliding strokes over the skin.
The Golgi Tendon Organ (GTO) is responsible for detecting changes in muscle force during contraction.
The Golgi Tendon Organ (GTO) is responsible for detecting changes in muscle force during contraction.
When too much stress is placed on the tendon, the GTO signals inhibit further muscle contraction, resulting in relaxation and decreased tone.
When too much stress is placed on the tendon, the GTO signals inhibit further muscle contraction, resulting in relaxation and decreased tone.
The muscle spindle is located within the tendon and detects changes in muscle length.
The muscle spindle is located within the tendon and detects changes in muscle length.
The intrafusal fibers of the muscle spindle are innervated by gamma motor neurons.
The intrafusal fibers of the muscle spindle are innervated by gamma motor neurons.
The GTO Release Technique is contraindicated for acute tendon conditions, such as tendinitis.
The GTO Release Technique is contraindicated for acute tendon conditions, such as tendinitis.
The Origin and Insertion (O&I) Technique involves gliding over the skin while applying compression or torquing near the musculotendinous junction.
The Origin and Insertion (O&I) Technique involves gliding over the skin while applying compression or torquing near the musculotendinous junction.
The muscle spindle is sensitive to the rate and duration of stretch applied to the muscle.
The muscle spindle is sensitive to the rate and duration of stretch applied to the muscle.
The GTO Release Technique is best suited for treating short, broad tendons.
The GTO Release Technique is best suited for treating short, broad tendons.
The muscle approximation technique aims to decrease pressure off the muscle spindle and nuclear bag, thereby decreasing muscle tone.
The muscle approximation technique aims to decrease pressure off the muscle spindle and nuclear bag, thereby decreasing muscle tone.
In a pathological state, such as a muscle spasm, the muscle spindle activity is set too low.
In a pathological state, such as a muscle spasm, the muscle spindle activity is set too low.
Study Notes
Fascial Assessment
- Fascial shortening in one area of the body can affect another area, e.g., shortening around the left hip can affect the right shoulder due to the fascial component of the left gluteus maximus and the right latissimus dorsi.
- Three methods of fascial assessment:
- Slow skin rolling for resistance to superficial fascia: indicates fascial restriction and possibly trigger points.
- Fascial glide: therapist's hands contact skin and move or glide over deeper structures in cardinal planes (anterior/posterior, superior/inferior, and lateral/medial).
- Positional testing: passively moving a limb or body part through its range of motion until a barrier to motion is reached (subtle or obvious barrier).
Techniques
- Two categories of techniques: direct and indirect.
- Direct techniques:
- Engage the tissue barrier and then go beyond it carefully.
- Break down bonds between connective tissue fibers.
- Can cause a burning sensation (like rope burn).
- Techniques:
- Skin rolling: can be used in assessment and treatment.
- Cross-hand fascial stretch (sustained).
- Fascial spreading with fingers/thumbs.
- Cutting technique.
- Fascial torquing (sustained or motion).
- S-bowing fascial technique (sustained).
- C-bowing fascial technique (sustained).
- J-stroke.
Proprioceptive Techniques
- Proprioception: the central nervous system's ability to detect the position and movement of body parts in space.
- Proprioceptors: specialized sense receptors found in muscle bellies, tendons, joint capsules, and special sense organs.
- Types of proprioceptors:
- Golgi tendon organs (GTOs): detect stretch and tension on tendons.
- Muscle spindles: detect stretch and tension on muscle tissue.
Golgi Tendon Organ (GTO) Release Technique
- Reduces tone and spasm.
- Particularly useful when onsite petrissage is too painful or ineffective.
- Best for treating tendons that are long and easily palpable.
- Indications: spasm in muscles, hypertonic muscles, and when onsite massage is too painful.
- Contraindications: painful conditions local to the tendon, acute tendon conditions, hypotonic or atonic muscles, tissue fragility, pathologies of connective tissue, and skin lesions.
- Application:
- Warm up affected tissue with effleurage and specific petrissage.
- Direct compression or torquing of the tendon near the musculotendinous junction using finger or body reinforcement.
- Duration: 30 seconds or until tone decreases.
- Rate: slow smooth application.
- Moderate-heavy pressure within the client's pain tolerance.
Muscle Approximation Technique
- Decreases tone or spasm in muscle by affecting the muscle spindle.
- Used for muscles with many origins, insertions, or tendons that are not easily palpable.
- Indications: spasm in muscles, hypertonic muscles, and when onsite massage is too painful.
- Contraindications: painful conditions local to the muscle belly, acute conditions local to the muscle, hypotonic or atonic muscles, tissue fragility, connective tissue pathologies, and skin lesions.
- Application:
- Warm up tissue using effleurage and specific petrissage.
- Approximating - bringing the ends of the muscle together.
- With a broad contact surface, press into the ends of the muscle and bring your hands closer together.
- Do not glide over the skin.
- Rate: slow smooth application.
- Duration: 30 seconds – 2 minutes or until muscle tone decreases.
- Pressure: according to Rattray, use 2 lbs of pressure to approximate the ends of the muscle.
Origin and Insertion (O&I) Technique
- Reduces tone and spasm.
- Used for muscles with a large, broad bony attachment.
- Indications: spasm in muscles, hypertonic muscles, and when onsite massage is too painful.
- Contraindications: painful conditions local to the tendon, acute tendon conditions, hypotonic or atonic muscles, tissue fragility, pathologies of connective tissue, and skin lesions.
- Application:
- Warm up tissue using effleurage and specific petrissage.
- Systematic friction-like strokes along the entire origin and insertion.
- Move along the entire origin and insertion.
- Force is applied with a reinforced thumb or finger.
- Rate: slow smooth application.
- Pressure: moderate to deep or within the client's pain tolerance.
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Description
Learn about the pin and stretch massage technique, which involves stroking along the muscle fibers while the muscle or limb is lengthening passively or actively. Understand the direction of force, variations in pressure, and contraindications for this specific technique.
