MT-MT20 Techniques II: Frictions Class 15-16
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Questions and Answers

Which of the following is a contraindication for friction technique?

  • Proud flesh or keloid scars, open, or healing scars (correct)
  • Decreased range of motion due to scar contracture
  • Decreased extensibility of subcutaneous connective tissue
  • Chronic pain conditions

    • What is the purpose of using friction technique?

  • To increase range of motion by stretching the tissue
  • To numb the area and reduce pain
  • To increase inflammation and bring fibroblasts and inflammatory proteins into the affected area (correct)
  • To reduce inflammation and promote healing

    • What is the goal of the friction technique in terms of scar tissue?

  • To completely eliminate the scar tissue
  • To create a nonfunctional, misaligned scar
  • To create a larger scar than the initial wound or injury
  • To create a functional scar aligned with the tensile stress (correct)

    • What is the purpose of the stretch following the friction technique?

    <p>To realign the scar along tensile stress</p> Signup and view all the answers

    How long should friction technique be applied for?

    <p>4-20 minutes per session, with shorter durations in early or subacute stages</p> Signup and view all the answers

    What is the purpose of the Cyriax friction technique?

    <p>All of the above</p> Signup and view all the answers

    What is the recommended pain scale for applying friction technique?

    <p>No more than 4/10</p> Signup and view all the answers

    What should the therapist assess before applying friction technique?

    <p>The area to be treated for tenderness, petrissage, stretch, and contraction</p> Signup and view all the answers

    Which of the following is not a contraindication for friction technique?

    <p>Decreased range of motion due to scar contracture</p> Signup and view all the answers

    What is the purpose of the analgesic effect that occurs after 1-2 minutes of friction technique?

    <p>To allow the therapist to increase the pressure of the frictions</p> Signup and view all the answers

    What is the purpose of using cross-fiber frictions in scar tissue treatment?

    <p>To break down the scar tissue</p> Signup and view all the answers

    How should a tendon with a synovial sheath be positioned during treatment?

    <p>In a lengthened position</p> Signup and view all the answers

    What is the recommended rate of friction during treatment?

    <p>1-2 times per second</p> Signup and view all the answers

    When should cold hydrotherapy be used in scar tissue treatment?

    <p>After 3 cycles or if overtreatment occurs</p> Signup and view all the answers

    What should be done if a client experiences increased discomfort during the friction therapy?

    <p>Stop the friction technique</p> Signup and view all the answers

    Why is superficial effleurage recommended if a client has a negative response to friction therapy?

    <p>To assist lymphatic drainage</p> Signup and view all the answers

    What is the primary purpose of using friction techniques on scar tissue?

    <p>To break down existing and forming adhesions in muscles, tendons, and ligaments</p> Signup and view all the answers

    What type of motion is used when applying friction techniques to scar tissue?

    <p>A cross-fiber or circular compressive motion</p> Signup and view all the answers

    When are friction techniques typically used in the rehabilitation process?

    <p>During the chronic stage of injury</p> Signup and view all the answers

    What is the primary purpose of using friction techniques to prevent hypertrophic scar formation?

    <p>To control the inflammatory response</p> Signup and view all the answers

    Warm up the ______ tissue with hot hydrotherapy or with effleurage and specific petrissage.

    <p>overlying</p> Signup and view all the answers

    Tissue is placed in an ______ position which allows for maximum separation of the fibers.

    <p>accessible</p> Signup and view all the answers

    For a tendon with a synovial sheath, the tendon is placed in ______ position so that there may be maximal force between the tendon and the sheath.

    <p>stretch/lengthened</p> Signup and view all the answers

    Use ______ fingers or thumbs to compress the superficial tissue over the adhesion in a direction at right angles to the fibers of the structure that is being treated.

    <p>reinforced</p> Signup and view all the answers

    Friction for ______ minutes.

    <p>2</p> Signup and view all the answers

    Cold hydrotherapy to reduce post treatment ______ or if overtreatment occurs after 3 cycles or as self-care.

    <p>tenderness</p> Signup and view all the answers

    MT-MT20 Techniques II Class 15-16: Frictions A repetitive non-gliding technique where specific contact such as a ______ or fingertip is used to penetrate dense connective tissue and produce small movements between its fibers.

    <p>thumb</p> Signup and view all the answers

    Described first by ______ to breakdown existing and forming adhesions in muscles, tendons and ligaments.

    <p>James Cyriax</p> Signup and view all the answers

    Using a cross-fiber or ______ compressive motion of superficial tissue over deep tissue.

    <p>circular</p> Signup and view all the answers

    Frictions can result in a local temporary ______ effect – after about 1 minute of fractioning.

    <p>analgesic</p> Signup and view all the answers

    Can prevent ______ (bigger than needed scar) scar formation by controlling inflammatory response.

    <p>hypertrophic</p> Signup and view all the answers

    Work from the ______ to the center of the scar.

    <p>periphery</p> Signup and view all the answers

    Friction technique is contraindicated for ______ scars.

    <p>proud flesh or keloid</p> Signup and view all the answers

    Friction technique should not be done over ______ to avoid an electric shock sensation.

    <p>nerves</p> Signup and view all the answers

    Friction technique is contraindicated in the ______ stages of healing.

    <p>acute</p> Signup and view all the answers

    Friction technique is contraindicated in ______ arthritis when in flare up.

    <p>rheumatoid</p> Signup and view all the answers

    Friction technique should not be applied too deep into the ______.

    <p>abdomen</p> Signup and view all the answers

    Friction technique is contraindicated in clients with ______ medication use.

    <p>analgesic</p> Signup and view all the answers

    Friction technique is contraindicated in clients with ______ tolerance.

    <p>low pain</p> Signup and view all the answers

    The purpose of friction technique is to create ______ to bring proteins and clean up debris.

    <p>inflammation</p> Signup and view all the answers

    The pressure of frictions should be within the client's ______ tolerance.

    <p>pain</p> Signup and view all the answers

    The Cyriax friction technique is used for the treatment of ______.

    <p>bursitis</p> Signup and view all the answers

    Friction technique should not be applied too deep into the abdomen, as it can damage the viscera.

    <p>True</p> Signup and view all the answers

    Friction technique is contraindicated in clients with proud flesh or keloid scars, open, or healing scars.

    <p>True</p> Signup and view all the answers

    Friction technique is contraindicated in the acute stages of healing.

    <p>True</p> Signup and view all the answers

    Friction technique is contraindicated in clients with high pain tolerance, such as those with fibromyalgia.

    <p>False</p> Signup and view all the answers

    The purpose of using cross-fiber frictions in scar tissue treatment is to increase functional mobility of the scar, promote connective tissue alignment, and reduce pain.

    <p>True</p> Signup and view all the answers

    Friction technique should be applied with the tips of the 2nd, 3rd and 4th digits or thumbs, with reinforcement.

    <p>True</p> Signup and view all the answers

    Friction technique is contraindicated in clients with high analgesic medication use, such as anti-inflammatory, muscle relaxants, Tylenol, Aspirin, and blood thinners.

    <p>True</p> Signup and view all the answers

    The purpose of the friction technique is to separate adhesions and increase inflammation, which brings fibroblasts and inflammatory proteins into the affected area.

    <p>True</p> Signup and view all the answers

    Friction technique should be applied for a minimum of 20 minutes to be effective.

    <p>False</p> Signup and view all the answers

    Friction technique should not be done over nerves, as it can give the client an electric shock sensation.

    <p>True</p> Signup and view all the answers

    The Cyriax friction technique is used to break down existing and forming adhesions in muscles, tendons, and ligaments.

    <p>True</p> Signup and view all the answers

    Friction technique should not be applied too deep into the bone to avoid an electric shock sensation.

    <p>True</p> Signup and view all the answers

    Friction technique is contraindicated in the early stages of healing.

    <p>True</p> Signup and view all the answers

    Friction technique can prevent hypertrophic (bigger than needed) scar formation by controlling the inflammatory response.

    <p>True</p> Signup and view all the answers

    Friction technique should be applied using a cross-fiber or circular compressive motion of superficial tissue over deep tissue.

    <p>True</p> Signup and view all the answers

    The purpose of using cross-fiber frictions is to increase gliding between fibers in the structure being treated.

    <p>False</p> Signup and view all the answers

    When treating a tendon without a synovial sheath, it is best positioned in a neutral position.

    <p>True</p> Signup and view all the answers

    Frictions should be applied at a fast rate of 3-4 times per second for optimal results.

    <p>False</p> Signup and view all the answers

    The length of movement when applying frictions should be more than 2cm to encompass a larger area.

    <p>False</p> Signup and view all the answers

    It is recommended to apply friction for a maximum of 30 minutes per cycle.

    <p>False</p> Signup and view all the answers

    If the client experiences increased discomfort during friction therapy, it is best to stop the technique and apply heat directly to the treated area.

    <p>False</p> Signup and view all the answers

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