Effects Chart.docx

Technique Uses Mechanical Effects Reflex Effects CI’s Effleurage Drainage Apply lotion Inro to touch 4 T’s of palpation Reduce edema ↑ Circulation ↓HT, p ↓Ischemia ↑ Blood flow Directly assist venous flow ↓ Edema Elongate muscle fibers, if deep enough ↓HT, p ↑Lymphatic flow ↓ Ischemia...

Technique Uses Mechanical Effects Reflex Effects CI’s Effleurage Drainage Apply lotion Inro to touch 4 T’s of palpation Reduce edema ↑ Circulation ↓HT, p ↓Ischemia ↑ Blood flow Directly assist venous flow ↓ Edema Elongate muscle fibers, if deep enough ↓HT, p ↑Lymphatic flow ↓ Ischemia General relaxation Abdomen – stimulates peristalsis ↑PNS ↓SNS Lesions Distal to areas of acute inflammation /infection Uncovered or covered open or contagious lesions Repetition on the limbs of pts w/ hypertension, heart disease, varicose veins or edema causes by a thrombus Petrissage Kneading Wringing Picking up Skin rolling M stripping C-scooping Compressions M squeezing ↓Adhesions ↓Edema ↓HT, p Tx in chronic conditions of joints Stimulating or soothing ↓M fatigue or toxicity Palpate tp or adh. Skin rolling can be used to find fascial restrictions Loosen/stretch m fibers ↓Adh, p edema, HT ↑M temp. ↑Circ. Stretches scar tissue Abdomen – moves intestinal contents Relaxing Stimulate m tone Stimulate vasomotor reflex (constriction or dilatation of a blood vessel in response to a stimulus) Soothing or stimulating on nerves Abdomen – stimulates peristalsis Most acute conditions Severely atrophied or atonic mm’s Flaccid mm’s Moderate to severe varicosities Muscle Stripping Pful tight scars Areas of Adh, HT, ischemia Realign mm fibers ↓Adh Loosen stretch scar tissue Elongate m fibers ↑Circ., temp ↑ Elimination of wastes ↑Glandular activity of skin ↑ Cellular metabolism Relaxes deep mm’s Stimulating effects on m at faster pace M spasm Insomnia (faster pace) Technique Uses Mechanical Effects Reflex Effects CI’s Tapotement Pincement Point percussion (tapping) Clapping Cupping Ulnar percussion (hacking) Knuckle percussion (beating) Pounding Chronic respiratory infections Fatigue Flaccid paralysis (light only) Low back – atonic constipation Pain HT Loosens mucus ↑Gaseous exchange and local metabolism ↑Circ ↓HT ↑SNS Stimulate vasomotor reflex ↑m tone temporarily Relaxing (↓fatigue) Analgesic ≥3 min Soothing to sacrum if light Low back –stimulates abdominal organs Affects stomach activity over the dorsal ribs ↑Glandular activity of the skin Dilates bronchioles when applied to thorax Light – all local CI’s Heavy – over kidney, bony area, low back while pregnant or menstruating Abdomen Insomnia/neurasthenia Very atrophied mm’s/flaccid paralysis (light indicated) Neuritis, pful conditions Spastic paralysis Technique Uses Mechanical Effects Reflex Effects CI’s Shaking/Rocking Arms Legs Abdomen Thorax Nose Vibrations Oscillations Fine Coarse Chronic respiratory conditions *Stiff joints (thorax) Digestive disorders Sinus congestion Laryngitis Circ conditions *HT Fine – p, edema, lymphatic congestion, m spasm, digestive disorders, relaxation Coarse – spastic constipation, flaccid or atrophies mm’s Respiratory disorders Loosen jt ligs Stretch tend + m fibers ↑Gaseous interchange Assist venous + lymphatic drainage (direct shaking) Relax mm’s ↑Circ, ↓ tone Soothing and stim ↑peristalsis Stim deep organs Assists respiration Relieves venous congestion Moves synovial fluid ↑succussive action Fine - ↓lymphatic congestion, soothing to cutaneous nerves, deep organs Soothing to PNS (when over sacrum) ↑peristalsis ↓flatulence Relax mm’s Coarse – MILDLY Assists circ, stimulating to cutaneous nerves, deep organs, intestines ↓m tone ≥30 sec All CI’s to local or abdominal massage Spastic paralysis Flaccid mm’s Insomnia Pful conditions Over low back if pregnant or menstruating Not used over uncovered or covered skin lesions Coarse vibrations may cause a temporary increase in spastic paralysis Technique Uses Mechanical Effects Reflex Effects CI’s Stroking Pain Soothing Palpate temp Create sense of awareness Flaccid paralysis Atonic (lack of normal muscle tone or strength in the colon. Also, known as lazy colon) constipation (abdomen) ↑ Lymphatic flow ↑PNS ↓SNS ↑ Relaxation Mildly assist circ Soothing or stimulation ↑ Peristalsis ↓ BP Local CI’s Uncovered open or contagious skin lesions. Frictions Cross fiber Circular Chronic inflammatory conditions Pful/tight scars Adh Limited ROM Post trauma/injury ↓Adhs Loosen/ stretch scar tissue ↑Circ, hyperemia ↑Waste elimination ↑Glandular activity of skin Stimulating on mm ↑SNS Analgesic if ≥3 min Over peripheral nerves Acute injury Inflammation Too deep structures ↓P tolerance If client is on anti-inflammatories Tp’s Steroids, anti-coagulants Arthritis Tractioning Jt play Pful jts Jt stiffness ↓ROM HT/mm tightness Assessment ↓Tone of surrounding mm’s ↑Succussive action to jts ↑ROM Acute injury Unhealed fractures Ruptured ligs Hyper mobile jts RA Dislocated jts Technique Uses Mechanical Effects Reflex Effects CI’s Rib Springing Jt mobility Respiratory conditions HT of intercostals P ↑Tissue and jt mobility Relaxes intercostals mm’s ↓HT Encourages efficient breathing Hyper mobile jts Restricted jts RA OA Inflammation of costal cartilage Broken ribs/hx of Ischemic Compressions Prolonged Alternate Tp’s HT Adhs Ischemia P ↓Tp’s ↓Adhs Temporary ischemia Hyperemia ↑Waste elimination ↓HT Pful conditions Ex: fibromyalgia Mm relaxants Diaphragmatic Breathing ↑ Relaxation ↑ Lymphatic Flow Facilitate stretching techniques ↑ relaxation ↑ efficiency of gas exchange ↓ p & stress Long term diabetes Kidney disease