Question

Please answers following question in relation to soft tissue manipulation

With effleurage advancing up the cephalic vein, axillary boundaries for the finish of the effleurage stroke are

a) Anterior fibres of deltoid, clavicle and pectoralis major

b) Middle fibres of deltoid, clavicle and pectoralis major

c) Posterior fibres of deltoid, teres minor and latissimus dorsi

d) Posterior fibres of deltoid, teres major and teres minor

. If a patient presents with pain and some feeling of fullness or swelling at soft tissue distal to the knee, but no obvious mechanism of injury to report, what would be the most appropriate course of action

a) Apply effleurage to assist fluid return, and then apply localised pressure at the most sensitive points to relieve the pain

b) Apply effleurage, and the petrissage techniques such as wringing and picking up to the gastrocnemius and soleus muscles to assist fluid return

c) Compare temperature and swelling between left and right sides with light palpation, educate the patient about risk of DVT and refer to their General Practitioner

d) Compare temperature and swelling between left and right sides with light palpation, then elevate the limb and apply deep tissue massage

. Use of anticoagulant medication or other causes for raised risk of bleeding would contraindicate which of the following techniques?

a) Effleurage

b) Deep tissue massage

c) Petrissage

d) All of the above

The phrase “proximal preparation” prior to applying massage techniques in the region of an injury refers to

a) Preparing the plinth height, pillows and draping to assist with patient and therapist ergonomics

b) Preparing height of the patient’s limb to assist with venous and lymphatic fluid return

c) Preparing the proximal limb region with local petrissage and effleurage, to assist venous and lymphatic fluid return

d) Preparing the injured area with focal application of petrissage techniques, as tolerated with regard to patient sensitivity in the area.

Answer 1

1) C - Post fibres of deltoid, teres minor , latissimus dorsi

2) C - Compare temperature and swelling of right and left sides, educate patient about risk of DVR and refer to general practitioner

3) D - ALL of the above.

Massage techniques are contraindications when patient taking anticoagulants.

4) A