63 Questions
Which of the following is a contraindication for friction technique?
Proud flesh or keloid scars, open, or healing scars
What is the purpose of using friction technique?
To increase inflammation and bring fibroblasts and inflammatory proteins into the affected area
What is the goal of the friction technique in terms of scar tissue?
To create a functional scar aligned with the tensile stress
What is the purpose of the stretch following the friction technique?
To realign the scar along tensile stress
How long should friction technique be applied for?
4-20 minutes per session, with shorter durations in early or subacute stages
What is the purpose of the Cyriax friction technique?
All of the above
What is the recommended pain scale for applying friction technique?
No more than 4/10
What should the therapist assess before applying friction technique?
The area to be treated for tenderness, petrissage, stretch, and contraction
Which of the following is not a contraindication for friction technique?
Decreased range of motion due to scar contracture
What is the purpose of the analgesic effect that occurs after 1-2 minutes of friction technique?
To allow the therapist to increase the pressure of the frictions
What is the purpose of using cross-fiber frictions in scar tissue treatment?
To break down the scar tissue
How should a tendon with a synovial sheath be positioned during treatment?
In a lengthened position
What is the recommended rate of friction during treatment?
1-2 times per second
When should cold hydrotherapy be used in scar tissue treatment?
After 3 cycles or if overtreatment occurs
What should be done if a client experiences increased discomfort during the friction therapy?
Stop the friction technique
Why is superficial effleurage recommended if a client has a negative response to friction therapy?
To assist lymphatic drainage
What is the primary purpose of using friction techniques on scar tissue?
To break down existing and forming adhesions in muscles, tendons, and ligaments
What type of motion is used when applying friction techniques to scar tissue?
A cross-fiber or circular compressive motion
When are friction techniques typically used in the rehabilitation process?
During the chronic stage of injury
What is the primary purpose of using friction techniques to prevent hypertrophic scar formation?
To control the inflammatory response
Warm up the ______ tissue with hot hydrotherapy or with effleurage and specific petrissage.
overlying
Tissue is placed in an ______ position which allows for maximum separation of the fibers.
accessible
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.
stretch/lengthened
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.
reinforced
Friction for ______ minutes.
2
Cold hydrotherapy to reduce post treatment ______ or if overtreatment occurs after 3 cycles or as self-care.
tenderness
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.
thumb
Described first by ______ to breakdown existing and forming adhesions in muscles, tendons and ligaments.
James Cyriax
Using a cross-fiber or ______ compressive motion of superficial tissue over deep tissue.
circular
Frictions can result in a local temporary ______ effect – after about 1 minute of fractioning.
analgesic
Can prevent ______ (bigger than needed scar) scar formation by controlling inflammatory response.
hypertrophic
Work from the ______ to the center of the scar.
periphery
Friction technique is contraindicated for ______ scars.
proud flesh or keloid
Friction technique should not be done over ______ to avoid an electric shock sensation.
nerves
Friction technique is contraindicated in the ______ stages of healing.
acute
Friction technique is contraindicated in ______ arthritis when in flare up.
rheumatoid
Friction technique should not be applied too deep into the ______.
abdomen
Friction technique is contraindicated in clients with ______ medication use.
analgesic
Friction technique is contraindicated in clients with ______ tolerance.
low pain
The purpose of friction technique is to create ______ to bring proteins and clean up debris.
inflammation
The pressure of frictions should be within the client's ______ tolerance.
pain
The Cyriax friction technique is used for the treatment of ______.
bursitis
Friction technique should not be applied too deep into the abdomen, as it can damage the viscera.
True
Friction technique is contraindicated in clients with proud flesh or keloid scars, open, or healing scars.
True
Friction technique is contraindicated in the acute stages of healing.
True
Friction technique is contraindicated in clients with high pain tolerance, such as those with fibromyalgia.
False
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.
True
Friction technique should be applied with the tips of the 2nd, 3rd and 4th digits or thumbs, with reinforcement.
True
Friction technique is contraindicated in clients with high analgesic medication use, such as anti-inflammatory, muscle relaxants, Tylenol, Aspirin, and blood thinners.
True
The purpose of the friction technique is to separate adhesions and increase inflammation, which brings fibroblasts and inflammatory proteins into the affected area.
True
Friction technique should be applied for a minimum of 20 minutes to be effective.
False
Friction technique should not be done over nerves, as it can give the client an electric shock sensation.
True
The Cyriax friction technique is used to break down existing and forming adhesions in muscles, tendons, and ligaments.
True
Friction technique should not be applied too deep into the bone to avoid an electric shock sensation.
True
Friction technique is contraindicated in the early stages of healing.
True
Friction technique can prevent hypertrophic (bigger than needed) scar formation by controlling the inflammatory response.
True
Friction technique should be applied using a cross-fiber or circular compressive motion of superficial tissue over deep tissue.
True
The purpose of using cross-fiber frictions is to increase gliding between fibers in the structure being treated.
False
When treating a tendon without a synovial sheath, it is best positioned in a neutral position.
True
Frictions should be applied at a fast rate of 3-4 times per second for optimal results.
False
The length of movement when applying frictions should be more than 2cm to encompass a larger area.
False
It is recommended to apply friction for a maximum of 30 minutes per cycle.
False
If the client experiences increased discomfort during friction therapy, it is best to stop the technique and apply heat directly to the treated area.
False
Explore the technique of frictions, a non-gliding method used to penetrate dense connective tissue and break down adhesions in muscles, tendons, and ligaments. Learn about the cross-fiber or circular compressive motions for treating scar tissue and initiating an inflammatory response.
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