Outcome-Based Massage: Across the Continuum of Care

 

Description:

 

Praised for its engaging approach and contemporary coverage, Outcome-Based Massage: Across the Continuum of Care, 4th Edition, continues a tradition of excellence in equipping students for success on board reviews and transitioning theory into clinical practice. Reflecting the fields of massage therapy, physical therapy, athletic training, education, psychology, medicine, and physiology, author ck Andrade and a team of experts deliver a comprehensive understanding of Outcome-Based Massage™ and its clinical applications at an accessible breadth and depth. This extensively updated edition integrates principles and techniques across the continuum of care and aligns content with the latest evidence, clinical practice guidelines, and healthcare regulations to help users confidently meet clients’ unique needs and achieve superior treatment outcomes.

 

Table of Contents:

 

PART I: PRINCIPLES OF OUTCOME-BASED MASSAGE™

Chapter 1 Principles of Outcome-Based Massage™

OUTCOME-BASED MASSAGE™: AN OVERVIEW

OUTCOMES FOR MASSAGE

Therapeutic Effects of Massage

Impairments and Outcomes for Medical Massage

Outcomes for Wellness Massage

Outcomes for Whole Systems Massage

THE CLINICAL CONTEXT FOR OUTCOMES

The Structure of Care for Massage

The Process of Care for Massage

TELEHEALTH: AN EMERGING CLINICAL CONTEXT FOR OUTCOMES

The History of Telehealth

Using Telehealth in Care

IN CONCLUSION

IMPAIRMENTS AND OUTCOMES FOR PATIENTS WITH CLINICAL CONDITIONS

WELLNESS OUTCOMES

TELEHEALTH OUTCOMES AND CARE

Chapter 2 Interpersonal and Ethical Issues for Massage

FOUNDATIONS OF THE THERAPEUTIC RELATIONSHIP

THE THERAPEUTIC RELATIONSHIP

Client-Centered Care

The Therapeutic Contract

Ethical Conduct within the Therapeutic Relationship

THE THERAPEUTIC PROCESS

Beginning Phase: Building Trust

Mid-phase: Exploring Sensations

Final Phase: Creating Healthy Closure

STRATEGIES FOR ENHANCING THE THERAPEUTIC RELATIONSHIP

Obtain Informed Consent

Communicate Clearly

Ensure Privacy and Confidentiality

Establish Healthy Therapeutic Boundaries

Enhance Client Adherence

EMOTIONAL RESPONSES TO MASSAGE

Emotional Responses to Changes in Physical Structure

Tissue Memory

Negative Past Experiences of Touch

Trauma and Anxiety

Addressing the Client’s Emotional Response to Massage

Manage Your Response to Clients’ Emotional Expression

Ensure Client Safety

IN CONCLUSION

Chapter 3 Evidence for Massage

WHY THERAPISTS NEED EVIDENCE

EVIDENCE-BASED PRACTICE

Initiating Evidence-Based Practice

FINDING THE EVIDENCE FOR PRACTICE

Evidence from Primary Sources

Evidence from Secondary Sources

UNDERSTANDING THE EVIDENCE FOR PRACTICE

Basics of Quantitative and Qualitative Research

Quantitative, Qualitative, and Mixed Methods Research Designs

Designs for Massage Research

EVALUATING THE EVIDENCE FOR PRACTICE

Levels of Evidence

Reading and Evaluating Research Articles

APPLYING EVIDENCE TO PRACTICE

TRENDS IN THE EVIDENCE ON MASSAGE

Effects of Massage on Pain Including Low Back Pain

Effects of Massage on Mood

Other Effects of Massage

ISSUES IN MASSAGE RESEARCH

Issues in Current Research Methodologies

Directions in Designing and Reporting Research for Massage

IN CONCLUSION

HOW TO READ A RESEARCH ARTICLE CRITICALLY

The Introduction

Research Methods

Research Results

Discussion and Conclusions

CLINICAL CASES ON EVIDENCE FOR MASSAGE

Part II: CLIENT EXAMINATION AND CLINICAL DECISION-MAKING

Chapter 4 Client Examination for Outcome-Based Massage™

FOCUS OF CLIENT EXAMINATION FOR OUTCOME-BASED MASSAGE™

Client Examination for Medical Massage

Client Examination for Wellness Massage

PERFORMING THE CLIENT EXAMINATION

Performing the Subjective Examination

Performing the Objective Examination

Using Palpation in Client Examination

MUSCULOSKELETAL EXAMINATION

Posture

Joint Integrity

Joint Mobility

Muscle Integrity

Muscle Performance

Resting Muscle Tension

Adhesions and Scarring

Connective Tissue Integrity

PSYCHONEUROIMMUNOLOGIC EXAMINATION

Stress

MULTISYSTEM EXAMINATION

Pain

Impaired Sensation Secondary to Entrapment Neuropathy

Swelling

NEUROLOGIC EXAMINATION

Neuromuscular Tone

CARDIOPULMONARY EXAMINATION

Dyspnea

Rib Cage Mobility

Airway Clearance

FUNCTIONAL EXAMINATION

Self-Care Activities

Health-Related Quality of Life

SCIENTIFIC BASIS OF SOFT TISSUE EXAMINATION

Soft Tissue Layers

Soft Tissue Mobility and Restrictive Barriers

Fascia

Resting Muscle Tension

IN CONCLUSION

PRACTICAL ASPECTS OF PALPATION

Anatomic Structures

Tissue Mobility and Restrictive Barriers

Temperature

Contour and Bulk

Texture and Consistency

Fluid Status

Body Rhythms

Tremors and Fasciculations

Vibration

PRACTICAL ASPECTS OF THE MUSCULOSKELETAL EXAMINATION

Posture: Visual Postural Analysis

Joint Integrity: Capsular Pattern Testing

Joint Mobility: Thoracolumbar Flexion Range of Motion

Muscle Integrity: Thomas Test

Muscle Integrity: Palpation of Trigger Points

Muscle Performance: Isometric Strength Testing

Scar: Scar Assessment

Fascial Mobility: Connective Tissue Mobility

PRACTICAL ASPECTS OF THE PSYCHONEUROIMMUNOLOGIC EXAMINATION

Stress: Self-Reported Symptoms of Chronic Psychosocial Stress

Stress: Self-Reported Levels of Chronic Psychosocial Stress

PRACTICAL ASPECTS OF THE MULTISYSTEM EXAMINATION

Pain: Visual Analog Scale and Body Diagram

Pain: Pain Interview

Pain: Palpation for Pain

Pain: Tissue Sensitivity with Pressure Algometer

Swelling: Girth Measurement

PRACTICAL ASPECTS OF THE NEUROLOGIC EXAMINATION

Muscle Tone: Spasticity Testing

Upper Motor Neuron Testing: Babinski Reflex

PRACTICAL ASPECTS OF THE CARDIOPULMONARY EXAMINATION

Rib Cage Mobility: Chest Expansion Testing

PRACTICAL ASPECTS OF THE FUNCTIONAL EXAMINATION

Self-Care: Barthel Index

Chapter 5 Outcome-Based MassageTM Clinical Decision-Making

THE OUTCOME-BASED MASSAGE™ CLINICAL DECISION-MAKING PROCESS

Phases in Outcome-Based Massage™ Clinical Decision-Making

OBM Clinical Decision-Making for Wellness versus Medical Massage

EVALUATION PHASE

Review Treatment Reason and Conduct Subjective and Objective Client Examination (Steps 1 and 2)

Analyze Findings and Confirm the Client’s Presenting Issue (Step 3)

TREATMENT PLANNING PHASE

Identify Client Problems/Wellness Goals and Specify Relevant Outcomes (Step 4)

Select Appropriate Treatment Techniques and Create Plan of Care (Step 5)

TREATMENT PHASE

Deliver the Treatment Outlined in the Plan of Care (Step 6)

Conduct Client Reexamination and Modify Treatment (Step 7)

DISCHARGE PHASE

Identify Client’s Discharge Needs and Formulate Discharge Plan (Step 8)

Discharge Client When Appropriate Outcomes Are Met (Step 9)

ONGOING CARE

CHART SYSTEMATICALLY

Reduce Risk of Harm

Measure Meaningfully and Describe Findings Clearly

Draw a Professional Conclusion

Frame a Complete Clinical Picture

Build a Treatment Scaffold

INTEGRATING THE THERAPEUTIC PROCESS AND EVIDENCE

OBM Clinical Decision-Making and Evidence-Based Practice

OBM Clinical Decision-Making and the Therapeutic Process

IN CONCLUSION

Part III: APPLICATION OF OUTCOME-BASED MASSAGE™ ACROSS THE CONTINUUM OF CARE

Chapter 6 Preparation and Positioning for Outcome-Based Massage™

THERAPIST’S PREPARATION FOR DELIVERING OBM INTERVENTIONS

Taxonomy of Massage Techniques

Intelligent Touch

Intelligent Practice of Massage Techniques

Receipt of Skilled Massage

THERAPISTS’ PHYSICAL PREPARATION FOR TREATMENT (SELF-CARE)

Movement

Stretching

Self-Massage

THERAPISTS’ PSYCHOLOGICAL PREPARATION FOR TREATMENT

Burnout Prevention

Time Management

Using Physical Modalities for Psychological Preparation

Spiritual Preparation

THERAPISTS’ PREPARATION OF MATERIALS FOR TREATMENT

Tables

Supports

Linen

Lubricants

IN CONCLUSION

POSITIONING AND DRAPING THE PATIENT DURING TREATMENT

Positioning

Draping

CLINICIANS’ POSTURE, ALIGNMENT, AND BODY MECHANICS DURING TREATMENT

Standing Aligned Posture

Standing Aligned Posture with Diaphragmatic Breathing

Standing Pelvic Tilt

Seated Aligned Posture

Lunge

Lunge and Reach

Lunge and Lean

Wide-Stance Knee Bend

Standing Controlled Lean

Seated Controlled Lean

Chapter 7 Superficial Reflex Techniques

DEFINITION

NAMES AND ORIGINS

USES

OUTCOMES AND EVIDENCE

HOW STATIC CONTACT MIGHT WORK

COMPONENTS OF STATIC CONTACT

PALPATION PRACTICE

MANUAL TECHNIQUE

THERAPIST’S POSITION AND MOVEMENT

PALPATE

OBSERVE

COMMUNICATION WITH THE CLIENT

CAUTIONS AND CONTRAINDICATIONS

USING STATIC CONTACT IN TREATMENT

Relaxation

DEFINITION

NAMES AND ORIGINS

USES

OUTCOMES AND EVIDENCE

HOW SUPERFICIAL STROKING MIGHT WORK

COMPONENTS OF SUPERFICIAL STROKING

PALPATION PRACTICE

MANUAL TECHNIQUE

THERAPIST’S POSITION AND MOVEMENT

PALPATE

OBSERVE

COMMUNICATION WITH THE CLIENT

CAUTIONS AND CONTRAINDICATIONS

USING SUPERFICIAL STROKING IN TREATMENT

Relaxation

DEFINITION

NAMES AND ORIGINS

USES

OUTCOMES AND EVIDENCE

HOW FINE VIBRATION MIGHT WORK

COMPONENTS OF FINE VIBRATION

MANUAL TECHNIQUE

THERAPIST’S POSITION AND MOVEMENT

PALPATE

OBSERVE

COMMUNICATION WITH THE CLIENT

CAUTIONS AND CONTRAINDICATIONS

USING FINE VIBRATION IN TREATMENT

Analgesia

IN CONCLUSION

Chapter 8 Superficial Fluid Techniques

DEFINITION

NAMES AND ORIGINS

USES

OUTCOMES AND EVIDENCE

HOW SUPERFICIAL EFFLEURAGE MIGHT WORK

COMPONENTS OF SUPERFICIAL EFFLEURAGE

PALPATION PRACTICE

MANUAL TECHNIQUE

THERAPIST’S POSITION AND MOVEMENT

PALPATE

OBSERVE

Reduction of Swelling

Relaxation

COMMUNICATION WITH THE CLIENT

CAUTIONS AND CONTRAINDICATIONS

USING SUPERFICIAL EFFLEURAGE IN TREATMENT

Orthopedic Injuries

Lymphedema

Venous Stasis

DEFINITION

NAMES AND ORIGINS

USES

OUTCOMES AND EVIDENCE

HOW SUPERFICIAL LYMPH DRAINAGE TECHNIQUE MIGHT WORK

COMPONENTS OF SUPERFICIAL LYMPH DRAINAGE TECHNIQUE

PALPATION PRACTICE

MANUAL TECHNIQUE

THERAPIST’S POSITION AND MOVEMENT

PALPATE

OBSERVE

COMMUNICATION WITH THE CLIENT

CAUTIONS AND CONTRAINDICATIONS

USING SUPERFICIAL LYMPH DRAINAGE TECHNIQUE IN TREATMENT

Orthopedic Injuries

Lymphedema

Venous Stasis

IN CONCLUSION

Chapter 9 Neuromuscular Techniques

DEFINITION

NAMES AND ORIGINS

USES

OUTCOMES AND EVIDENCE

Cardiopulmonary Effects

Effects on Resting Muscle Tension

HOW BROAD-CONTACT COMPRESSION MIGHT WORK

COMPONENTS OF BROAD-CONTACT COMPRESSION

PALPATION PRACTICE

MANUAL TECHNIQUE

THERAPIST’S POSITION AND MOVEMENT

PALPATE

OBSERVE

COMMUNICATION WITH THE CLIENT

CAUTIONS AND CONTRAINDICATIONS

USING BROAD-CONTACT COMPRESSION IN TREATMENT

Stress

Chest Wall Mobility

DEFINITION

NAMES AND ORIGINS

USES

OUTCOMES AND EVIDENCE

Psychoneuroimmunologic Effects

Musculoskeletal Effects

Neurologic Effects

Cardiovascular and Pulmonary Effects

Multisystem Effects

Use in Multimodal Interventions

HOW PETRISSAGE MIGHT WORK

COMPONENTS OF PETRISSAGE

Petrissage 1: Muscle Squeezing

Petrissage 2: Wringing

Petrissage 3: Picking-Up (“C-Kneading”)

Petrissage 4: Broad-Contact Kneading and Deep Effleurage

Petrissage 5: Specific Kneading (Thumbs, Fingerpads, Fingertips)

PALPATION PRACTICE

MANUAL TECHNIQUE: PETRISSAGE 1, MUSCLE SQUEEZING

THERAPIST’S POSITION AND MOVEMENT: PETRISSAGE 1, MUSCLE SQUEEZING

MANUAL TECHNIQUE: PETRISSAGE 2, WRINGING

THERAPIST’S POSITION AND MOVEMENT: PETRISSAGE 2, WRINGING

MANUAL TECHNIQUE: PETRISSAGE 3, PICKING-UP (“C-KNEADING”)

THERAPIST’S POSITION AND MOVEMENT: PETRISSAGE 3, PICKING-UP (“C-KNEADING”)

MANUAL TECHNIQUE: PETRISSAGE 4, BROAD-CONTACT KNEADING AND DEEP EFFLEURAGE

THERAPIST’S POSITION AND MOVEMENT: PETRISSAGE 4, BROAD-CONTACT KNEADING AND DEEP EFFLEURAGE

MANUAL TECHNIQUE: PETRISSAGE 5, SPECIFIC KNEADING (THUMBS, FINGERPADS, FINGERTIPS)

THERAPIST’S POSITION AND MOVEMENT: PETRISSAGE 5, SPECIFIC KNEADING (THUMBS, FINGERPADS, FINGERTIPS)

PALPATE: ALL FORMS OF PETRISSAGE

OBSERVE: ALL FORMS OF PETRISSAGE

COMMUNICATION WITH THE CLIENT: ALL FORMS OF PETRISSAGE

CAUTIONS AND CONTRAINDICATIONS: ALL FORMS OF PETRISSAGE

USING PETRISSAGE IN TREATMENT

Psychosocial Stress

Orthopedic Injuries

Postintervention Self-Care Instructions

DEFINITION

NAMES AND ORIGINS

USES

OUTCOMES AND EVIDENCE

Stripping

Myofascial Trigger Points

HOW STRIPPING MIGHT WORK

COMPONENTS OF STRIPPING

PALPATION PRACTICE

MANUAL TECHNIQUE

THERAPIST’S POSITION AND MOVEMENT

PALPATE

OBSERVE

COMMUNICATION WITH THE CLIENT

CAUTIONS AND CONTRAINDICATIONS

USING STRIPPING IN TREATMENT

Trigger Points

DEFINITION

NAMES AND ORIGINS

USES

OUTCOMES AND EVIDENCE

Musculoskeletal Effects

Neurologic Effects

Other Effects

HOW SPECIFIC COMPRESSION MIGHT WORK

COMPONENTS OF SPECIFIC COMPRESSION

PALPATION PRACTICE

MANUAL TECHNIQUE

THERAPIST’S POSITION AND MOVEMENT

PALPATE

OBSERVE

COMMUNICATION WITH THE CLIENT

CAUTIONS AND CONTRAINDICATIONS

USING SPECIFIC COMPRESSION IN TREATMENT

Trigger Points

Motor Control

CONCLUSION

Chapter 10 Connective Tissue Techniques

DEFINITION

NAMES AND ORIGINS

USES

OUTCOMES AND EVIDENCE

HOW SKIN ROLLING MIGHT WORK

COMPONENTS OF SKIN ROLLING

PALPATION PRACTICE

MANUAL TECHNIQUE

THERAPIST’S POSITION AND MOVEMENT

PALPATE

OBSERVE

COMMUNICATION WITH THE CLIENT

CAUTIONS AND CONTRAINDICATIONS

USING SKIN ROLLING IN TREATMENT

Mobilizing Chronic-Stage Scars

DEFINITION

NAMES AND ORIGINS

USES

OUTCOMES AND EVIDENCE

HOW MYOFASCIAL RELEASE MIGHT WORK

COMPONENTS OF MYOFASCIAL RELEASE

PALPATION PRACTICE

MANUAL TECHNIQUE

THERAPIST’S POSITION AND MOVEMENT

PALPATE

OBSERVE

COMMUNICATION WITH THE CLIENT

CAUTIONS AND CONTRAINDICATIONS

USING MYOFASCIAL RELEASE IN TREATMENT

To Increase Fascial Extensibility

For Postural Conditions

DEFINITION

NAMES AND ORIGINS

USES

OUTCOMES AND EVIDENCE

HOW DIRECT FASCIAL TECHNIQUE MIGHT WORK

COMPONENTS OF DIRECT FASCIAL TECHNIQUE

PALPATION PRACTICE

MANUAL TECHNIQUE

THERAPIST’S POSITION AND MOVEMENT

PALPATE

OBSERVE

COMMUNICATION WITH THE CLIENT

CAUTIONS AND CONTRAINDICATIONS

USING DIRECT FASCIAL TECHNIQUE IN TREATMENT

To Increase Fascial Extensibility

For Postural Conditions

DEFINITION

NAMES AND ORIGINS

USES

OUTCOMES AND EVIDENCE

HOW FRICTION MIGHT WORK

COMPONENTS OF FRICTION

PALPATION PRACTICE

MANUAL TECHNIQUE

THERAPIST’S POSITION AND MOVEMENT

PALPATE

OBSERVE

COMMUNICATION WITH THE CLIENT

CAUTIONS AND CONTRAINDICATIONS

USING FRICTION IN TREATMENT

To Decrease Adhesions and Fibrosis and Increase Connective Tissue Extensibility

For Contractile Lesions

IN CONCLUSION

Chapter 11 Passive Movement Techniques

DEFINITION

NAMES AND ORIGINS

USES

OUTCOMES AND EVIDENCE

HOW SHAKING MIGHT WORK

COMPONENTS OF SHAKING

PALPATION PRACTICE

MANUAL TECHNIQUE

THERAPIST’S POSITION AND MOVEMENT

PALPATE

OBSERVE

COMMUNICATION WITH THE CLIENT

CAUTIONS AND CONTRAINDICATIONS

USING SHAKING IN TREATMENT

To Reduce Unnecessary Muscle Tension

To Enhance Arousal (Wakefulness)

In Pre- and Intercompetition Sports Massage

DEFINITION

NAMES AND ORIGINS

USES

OUTCOMES AND EVIDENCE

HOW RHYTHMIC MOBILIZATION MIGHT WORK

COMPONENTS OF RHYTHMIC MOBILIZATION

PALPATION PRACTICE

MANUAL TECHNIQUE

THERAPIST’S POSITION AND MOVEMENT

PALPATE

OBSERVE

COMMUNICATION WITH THE CLIENT

CAUTIONS AND CONTRAINDICATIONS

USING RHYTHMIC MOBILIZATION IN TREATMENT

To Reduce Unnecessary Muscle Tension

To Enhance Arousal (Wakefulness)

In Pre- and Intercompetition Sports Massage

To Enhance Airway Clearance

DEFINITION

NAMES AND ORIGINS

USES

OUTCOMES AND EVIDENCE

HOW ROCKING MIGHT WORK

COMPONENTS OF ROCKING

PALPATION PRACTICE

MANUAL TECHNIQUE

THERAPIST’S POSITION AND MOVEMENT

PALPATE

OBSERVE

Movement Achieved

Relaxation or Sedation

COMMUNICATION WITH THE CLIENT

CAUTIONS AND CONTRAINDICATIONS

USING ROCKING IN TREATMENT

For Relaxation or Sedation

To Reduce Unnecessary Muscle Tension

IN CONCLUSION

Chapter 12 Percussive Techniques

DEFINITION

NAMES AND ORIGINS

USES

OUTCOMES AND EVIDENCE

HOW PERCUSSION MIGHT WORK

COMPONENTS OF PERCUSSION

PALPATION PRACTICE

MANUAL TECHNIQUE: MANUAL CONTACT SURFACES FOR THE FORMS OF PERCUSSION

Pincement (Figures 12-1 and 12-2)2

Tapping (Figures 12-3 and 12-4)4,6,8-11

Hacking (Figures 12-5 and 12-6)

Slapping or “Splatting” (Figures 12-7 and 12-8)4,8,11

Clapping (Figures 12-9 and 12-10)3,5,6,8-10

Beating or “Rapping” (Figures 12-11 and 12-12)3,4,8

Pounding (Figure 12-13)3,4,8,10

MANUAL TECHNIQUE FOR ALL FORMS OF PERCUSSION

THERAPIST’S POSITION AND MOVEMENT

PALPATE

OBSERVE

COMMUNICATION WITH THE CLIENT

In General

When Clapping Is Used with Postural Drainage to Enhance Airway Clearance

CAUTIONS AND CONTRAINDICATIONS

USING PERCUSSION IN TREATMENT

For PDP

After Performing PDP

For Facilitation and Inhibition of Neuromuscular Tone

To Increase Arousal

IN CONCLUSION

Chapter 13 Sequencing Massage Techniques for Outcome-Based Massage™

STEPS IN THE SEQUENCING OF MASSAGE TECHNIQUES

Summarize the Clinical Findings and Outcomes

Select Treatment Techniques

Specify the Scope and Duration of the Sequence of Massage Techniques

Choose a Framing General Technique

Sequence the Chosen Massage Techniques According to Principles

DESIGN OF REGIONAL SEQUENCES OF MASSAGE TECHNIQUES

DESIGN OF MORE EXTENSIVE SEQUENCES OF MASSAGE TECHNIQUES

FULL-BODY SEQUENCES OF MASSAGE TECHNIQUES FOR WELLNESS

APPROACHES TO FULL-BODY MASSAGE FOR WELLNESS

Maximizing Relaxation in Wellness Massage

Relaxation versus Addressing the Effects of Stress

THE ART OF COHERENCE

STUDENT PRACTICE OF FULL-BODY SEQUENCES OF MASSAGE TECHNIQUES

IN CONCLUSION

DESIGN OF REGIONAL SEQUENCES OF MASSAGE TECHNIQUES

Sample Short Regional Sequence for the Back2,5

Sample Short Regional Sequence for the Leg2,5,9

Sample Short Regional Sequence for the Neck2,5

Sample Short Regional Sequence for the Arm

Sample Regional Sequence for the Abdomen2,5,20

Sample Regional Sequence for the Leg2,5,9

Sample Regional Sequence for the Neck, Head, and Face2,5

Sample Regional Sequence for the Back2,5

Sample Regional Sequence for the Shoulders

DESIGN OF MORE EXTENSIVE SEQUENCES OF MASSAGE TECHNIQUES

Sample Full-Body Sequence for Stress When You Cannot Remove Clothing

Sample Full-Body Sequence to Increase the Range of Motion

Sample Stimulating Full-Body Sequence

Sample Gentle Full-Body Sequence to Relieve Pain and Maintain Joint Range

Sample Full-Body Sequence for General Relaxation

Chapter 14 Application of Outcome-Based Massage™ to Clinical Conditions and Wellness

THE ROLE OF IMPAIRMENTS AND OUTCOMES IN TREATMENT PLANNING

COMBINING INTERVENTIONS FOR MULTIPLE BODY STRUCTURES AND FUNCTIONS

Guidelines for Combining Interventions for Different Impairments and Wellness Goals

PROGRESSION OF INTERVENTIONS

Progression of Interventions for Clinical Conditions

Progression of Wellness Interventions

DISCHARGE

INTERVENTIONS FOR PSYCHONEUROIMMUNOLOGIC IMPAIRMENTS

Stress: Impaired Ability to Relax, General Adaptation Syndrome—Early Stages

General Adaptation Syndrome—Later Stages

Insomnia, Reduced or Disturbed Sleep

Fatigue, Lethargy, Suboptimal Arousal

Altered Body Image

INTERVENTIONS FOR IMPAIRMENTS RELATED TO PAIN

Before Treating Pain

Acute Nociceptive Pain

Chronic Pain, Chronic Pain Syndromes

INTERVENTIONS FOR CIRCULATORY IMPAIRMENTS

Impaired Venous Return, Impaired Lymphatic Return, Edema, Lymphedema

Impaired Arterial Supply

INTERVENTIONS FOR RESPIRATORY IMPAIRMENTS

Impaired Airway Clearance

Elevated Resting Tension of Respiratory Muscles

Chest Wall Tightness

Abnormal or Altered Breathing Patterns

INTERVENTIONS FOR IMPAIRMENTS RELATED TO MUSCLE

Unnecessary Muscle Tension

Elevated Resting Tension

Trigger Points, Myofascial Pain

Muscle Spasm

Muscle Weakness Associated with Reduced Resting Tension or Neuromuscular Tone

INTERVENTIONS FOR CONNECTIVE TISSUE IMPAIRMENTS

Decreased Connective Tissue Mobility

Restriction of Joint Capsule or Ligaments

Hypermobility (Laxity) of Joint Capsule or Ligaments

INTERVENTIONS FOR POSTURAL IMPAIRMENTS

Postural Malalignment Owing to Bony Deformity

Adaptive Shortening with Impaired Balance of Agonist–Antagonist Muscle Function

Adaptive Lengthening with Stretch Weakness230 and Impaired Balance of Agonist–Antagonist Muscle Function

Decreased Postural and Kinesthetic Awareness

INTERVENTIONS FOR IMPAIRMENTS RELATED TO INFLAMMATION

Acute-Stage Inflammation

Chronic-Stage Inflammation

INTERVENTIONS RELATED TO IMPAIRMENTS IN RANGE OF MOTION

Reduced Active Range of Motion

INTERVENTIONS FOR NEUROLOGIC IMPAIRMENTS

Spasticity, Spastic Paralysis

Flaccidity, Flaccid Paralysis

IN CONCLUSION

Chapter 15 Quick Treatment Guides and Clinical Cases Across the Continuum of Care

SYMPTOMS AND MEDICAL MANAGEMENT

Acute COVID-19 Infection

Post COVID-19

TRANSMISSION

References

Glossary

Index

 

An aparitie	12 July 2022
Autor	Carla-Krystin Andrade
Editura	LWW
Format	Paperback
ISBN	9781975153809
Limba	Engleza
Nr pag	608