chapter 005 dimensional massage techniques for the...

Chapter 005 Dimensional Massage Techniques for the Shoulder Girdle Muscles

True / False Questions

1. The philosophy of dimension massage uses to principles of motion: aggregate muscle action and the law of reaction. True False

2. A treatment protocol does not include taking SOAP notes in a massage therapy session. True False

3. Deep-tissue therapy is simply a series of specific techniques designed to unwind the soft tissue in a particular pattern or sequence with an end result that includes meeting specific goals. True False

4. Deep-tissue therapy uses deep pressure all the time without regard to client structure or comfort. True False

5. Dimensional Massage Therapy is a philosophical approach to therapy that is based on science, structure, and soft-tissue functions and that uses a variety of techniques for the client's benefit. True False

6. The technique, deep transverse friction has nothing to do with the direction of the fibers of the muscle or tendon tissue. True False

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7. Trigger points are always active and can never be felt in the area where the point is located. True False

8. Sequence is a specific series of techniques chosen to accomplish a particular goal in a session. True False

9. When applying techniques to a client, good body mechanics might include having your upper extremities as far in front of you as possible and not moving your body at all in the process. True False

10. Myofascial stretches are a series of techniques designed to stretch and warm up the tissues. True False

Multiple Choice Questions

11. The law of reaction is defined as A. for every action there is an opposite and equal reaction.B. for every action there is not an opposite reaction.C. not every action has reactions.D. the opposite action is more powerful than the action.

12. In order for the principle of motion aggregate muscle action to work muscles must A. cooperate to work in groups and but not in opposition.B. cooperate to work in groups and in paired opposition.C. operate one at a time.D. operate only as prime movers.

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13. The first thing you should do in a treatment protocol is A. give the treatment.B. perform palpation.C. take the client's medical history, interview the client, and record SOAP notes.D. release hypertonic tissues.

14. A treatment protocol is A. virtually unnecessary in manual therapies.B. a type of technique.C. a form of diagnosis.D. a synopsis of an overall approach to a massage session.

15. Trigger point work should be performed _______ on _________________ muscles. A. last; passively shortenedB. first; lengthenedC. first; actively contractedD. last; actively contracted

16. A dimensional approach to technique would involve A. using deep pressure immediately after palpation of the tissues.B. working individual muscles, their attachments, synergists, stabilizers, and antagonists, and studying the functional unit.C. working trigger points first.D. avoiding the treatment protocol altogether.

17. Following trigger point work you should A. retreat the trigger points over and over.B. do nothing and leave the area.C. slightly stretch the tissue in the area of the hypersensitivity.D. perform more deep tissue strokes over the trigger points.

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18. Technique goals are the ______________ expected from choosing techniques for a particular purpose. A. benefitsB. outcomes or resultsC. stretchesD. medical history

19. A therapist's goals are to ____________________. A. shorten and separate fibersB. lift, and broaden fibers to release hypertonicitiesC. decrease range of motion and increase pain and/or discomfortD. decrease circulation

20. Jostling is a deep-tissue technique that is a form of A. trigger point work.B. compression.C. vibration.D. effleurage.

21. Compression __________ circulation when executed correctly. A. decreasesB. stopsC. impedesD. increases

22. Stripping is a deep-tissue technique that _____________ fibers. A. shortensB. lengthensC. goes against the grain of theD. compresses

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23. Deep transverse friction can often be substituted with A. compression.B. stripping.C. effleurage.D. circular friction.

24. Stripping should be performed starting at the ________ of the fibers. A. distal endB. proximal endC. half-way upD. lateral end

25. Myofasical stretches are a series of techniques that are designed to ____________ the tissues. A. shorten and contractB. stretch and warm-upC. compress and shortenD. lengthen and compress

26. A technique that can be used on the middle trapezius that grasps the tissues and rattles the fibers back and forth is called A. compression.B. trigger point therapy.C. claw stripping.D. jostling.

27. Dual hand techniques uses _________ alternately or at the same time. A. two different techniquesB. the same techniqueC. three different techniquesD. a little lubrication

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28. Compression is a good technique for the rhomboids because they are located ______ to the trapezius. A. deepB. superficialC. medialD. lateral

29. Sequence is a specific _________ chosen to accomplish a particular goal in a session. A. techniqueB. SOAP noteC. series of techniquesD. massage bolster

30. When a technique is not working in a specific area it A. is the technique that is always the problem.B. is always the operator that is at fault.C. may be the opposing muscles that are causing restrictions.D. is always the muscle medial to the one you are working on.

31. The center of energy in the abdominal area is referred to by the Japanese as the A. hara.B. rectus abdominis.C. the abdomen.D. the colon.

32. Maintaining a good balance, bending your knees, using the lower body for momentum are examples of utilizing good ________________. A. techniquesB. body mechanicsC. protocolsD. sequences

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33. A bodyworker can help avoid injuries by A. using the most pressure as possible all the time.B. using incorrect body mechanics.C. keeping the forearms in alignment with the hands and wrist.D. using the thumbs with a significant amount of pressure repetitively.

34. A dual hand distraction method that involves an alternating clockwise and counter clockwise movement is called ___________. A. compressionB. deep transverse frictionC. jostlingD. elliptical movement

35. In the shoulder girdle region, elliptical movement can be easily performed on the A. clavicle.B. spine.C. upper trapezius.D. scapulae.

36. The technique of parallel thumbs can be easily performed on the _____________ muscle. A. rhomboid minorB. levator scapulaeC. lower trapeziusD. pectoralis minor

37. A deep-tissue technique where the thumbs roll over each other is called ______. A. compressionB. effleurageC. parallel thumbsD. cross fiber friction

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38. Ischemic compression is another name for A. a tourniquet.B. deep transverse friction.C. trigger point release.D. vibration.

39. A pincher palpation is a technique use to relieve A. trigger points.B. edema.C. hyperemia.D. tendons.

40. Satellite trigger points A. could be found anywhere.B. are often located in functional units of synergistic muscles.C. are only located in the muscle next to hypertonic tissue.D. are found only in tendons.

Fill in the Blank Questions

41. ___________ is a supportive action that a muscle or muscles may perform so that another joint and group of muscles can function appropriately. ________________________________________

42. The term used in a joint where the muscles cooperate to work in action and in paired opposition is often called the ____________________. ________________________________________

43. A therapist tries to _____________ hypertonic tissues in a treatment. ________________________________________

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44. _________________ is simply a series of specific techniques designed to unwind the soft tissue in a particular pattern or sequence with an end result that includes meeting specific goals. ________________________________________

45. A specific series of techniques chosen to accomplish a particular goal in a session is called the ____________________. ________________________________________

46. The therapist can laterally flex the head closer to the shoulder, which will _________________ the muscles on that side of the head. ________________________________________

47. Sequentially it makes sense to start the client in a(n) ________ position to utilize the head to assist with passively shortening muscles efficiently. ________________________________________

48. The technique edging the upper trapezius assists in ________________ the upper trapezius. ________________________________________

49. The technique hands under the back, connects the ____________ trapezius with the upper trapezius and _______________ fibers of the erectors. ________________________________________

50. In order to support good body mechanics, the therapist might have to __________________ of the table to match the individual height or weight of the client. ________________________________________

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Chapter 005 Dimensional Massage Techniques for the Shoulder Girdle Muscles Key

True / False Questions

1. The philosophy of dimension massage uses to principles of motion: aggregate muscle action and the law of reaction. TRUE

Bloom's: KnowledgeDifficulty: EasyLearning Outcome: 5-8

2. A treatment protocol does not include taking SOAP notes in a massage therapy session. FALSE

A treatment protocol is a synopsis of an overall approach to a massage session. Taking SOAP notes is a part of the therapeutic process.

Bloom's: ComprehensionBloom's: KnowledgeDifficulty: EasyLearning Outcome: 5-1Learning Outcome: 5-9

3. Deep-tissue therapy is simply a series of specific techniques designed to unwind the soft tissue in a particular pattern or sequence with an end result that includes meeting specific goals. TRUE

Bloom's: KnowledgeDifficulty: EasyLearning Outcome: 5-1Learning Outcome: 5-3

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4. Deep-tissue therapy uses deep pressure all the time without regard to client structure or comfort. FALSE

Deep tissue therapy does not necessarily use a lot of pressure; it depends on the client's need and structure and palpation skills of the therapist.

Bloom's: ApplicationBloom's: ComprehensionBloom's: KnowledgeDifficulty: MediumLearning Outcome: 5-3Learning Outcome:5-9

5. Dimensional Massage Therapy is a philosophical approach to therapy that is based on science, structure, and soft-tissue functions and that uses a variety of techniques for the client's benefit. TRUE

Bloom's: ComprehensionBloom's: KnowledgeDifficulty: MediumLearning Outcome: 5-1Learning Outcome: 5-8

6. The technique, deep transverse friction has nothing to do with the direction of the fibers of the muscle or tendon tissue. FALSE

In order to be applied correctly, deep transverse friction should be performed at a right angle to the fibers of the tissue.

Bloom's: ApplicationBloom's: ComprehensionBloom's: KnowledgeDifficulty: MediumLearning Outcome: 5-1Learning Outcome: 5-7

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7. Trigger points are always active and can never be felt in the area where the point is located. FALSE

Trigger points can be active and can be latent; they can be felt by applying pressure on them and they may refer to a distant location or just hurt in the area of the irritated tissue.

Bloom's: ApplicationBloom's: KnowledgeDifficulty: MediumLearning Outcome: 5-1Learning Outcome: 5-6

8. Sequence is a specific series of techniques chosen to accomplish a particular goal in a session. TRUE

Bloom's: ApplicationBloom's: KnowledgeDifficulty: EasyLearning Outcome: 5-1Learning Outcome: 5-6

9. When applying techniques to a client, good body mechanics might include having your upper extremities as far in front of you as possible and not moving your body at all in the process. FALSE

The farther away your hands are from your body without lower body movement, the more the therapist is out of balance and will not be able to utilize body weight affectively for good body mechanics.

Bloom's: ApplicationBloom's: ComprehensionDifficulty: MediumLearning Outcome: 5-1Learning Outcome: 5-5Learning Outcome: 5-6

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10. Myofascial stretches are a series of techniques designed to stretch and warm up the tissues. TRUE

Bloom's: KnowledgeDifficulty: EasyLearning Outcome: 5-1Learning Outcome: 5-2

Multiple Choice Questions

11. The law of reaction is defined as A. for every action there is an opposite and equal reaction.B. for every action there is not an opposite reaction.C. not every action has reactions.D. the opposite action is more powerful than the action.

Newton's law reads that for every action there is an opposite and equal reaction. The other answers are not possible as proven by the law.

Bloom's: Comprehension.Bloom's: KnowledgeDifficulty: MediumLearning Outcome: 5-8

12. In order for the principle of motion aggregate muscle action to work muscles must A. cooperate to work in groups and but not in opposition.B. cooperate to work in groups and in paired opposition.C. operate one at a time.D. operate only as prime movers.

Newton's law of reaction supports this principle of motion as a muscle functions the opposing muscle is supporting the joint by its opposite attachment.

Bloom's: ComprehensionBloom's: KnowledgeDifficulty: MediumLearning Outcome: 5-8

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13. The first thing you should do in a treatment protocol is A. give the treatment.B. perform palpation.C. take the client's medical history, interview the client, and record SOAP notes.D. release hypertonic tissues.

In order to rule out contraindications and make sure it is not necessary to refer, it is best to have a medical history, receive feedback from the client, and document the process.


14. A treatment protocol is A. virtually unnecessary in manual therapies.B. a type of technique.C. a form of diagnosis.D. a synopsis of an overall approach to a massage session.

A treatment protocol gives the therapist a format to follow to receive information about a client to make treatment goals.


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15. Trigger point work should be performed _______ on _________________ muscles. A. last; passively shortenedB. first; lengthenedC. first; actively contractedD. last; actively contracted

Trigger point tenderness tends to be less if the treatment for them is performed after the area is loosened up and the muscle fibers are placed in a passively shortened position.

Bloom's: ApplicationBloom's: ComprehensionBloom's: KnowledgeDifficulty: MediumLearning Outcome: 5-2Learning Outcome: 5-3Learning Outcome: 5-6Learning Outcome: 5-7Learning Outcome: 5-9

16. A dimensional approach to technique would involve A. using deep pressure immediately after palpation of the tissues.B. working individual muscles, their attachments, synergists, stabilizers, and antagonists, and studying the functional unit.C. working trigger points first.D. avoiding the treatment protocol altogether.

Critically thinking about the entire area and working from a knowledgeable standpoint of the functional unit is a dimensional approach to treatment.


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17. Following trigger point work you should A. retreat the trigger points over and over.B. do nothing and leave the area.C. slightly stretch the tissue in the area of the hypersensitivity.D. perform more deep tissue strokes over the trigger points.

Once trigger points are treated, they should be slightly stretched, but not retreated as it could make the sensitivity worse and make them hyperactive.

Bloom's: ApplicationBloom's: ComprehensionBloom's: KnowledgeDifficulty: MediumLearning Outcome: 5-2Learning Outcome: 5-3Learning Outcome: 5-7Learning Outcome: 5-9

18. Technique goals are the ______________ expected from choosing techniques for a particular purpose. A. benefitsB. outcomes or resultsC. stretchesD. medical history

Therapists should develop technique goals based on the client's individual needs.

Bloom's: ApplicationBloom's: ComprehensionBloom's: KnowledgeDifficulty: MediumLearning Outcome: 5-2Learning Outcome: 5-7Learning Outcome: 5-9

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19. A therapist's goals are to ____________________. A. shorten and separate fibersB. lift, and broaden fibers to release hypertonicitiesC. decrease range of motion and increase pain and/or discomfortD. decrease circulation

Goals of individual techniques should assist lengthening and separating fibers, lifting and broadening fibers to release hypertonicities, increasing range of motion, and decreasing pain and increasing circulation.

Bloom's: ApplicationBloom's: ComprehensionBloom's: KnowledgeDifficulty: MediumLearning Outcome: 5-2

20. Jostling is a deep-tissue technique that is a form of A. trigger point work.B. compression.C. vibration.D. effleurage.

Jostling is a form of vibration.

Bloom's: ApplicationBloom's: KnowledgeDifficulty: EasyLearning Outcome: 5-1Learning Outcome: 5-2Learning Outcome: 5-3Learning Outcome: 5-7

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21. Compression __________ circulation when executed correctly. A. decreasesB. stopsC. impedesD. increases

Compression produces hyperemia to an area of the tissue when performed correctly.


22. Stripping is a deep-tissue technique that _____________ fibers. A. shortensB. lengthensC. goes against the grain of theD. compresses

Stripping is a deep-tissue technique that lengthens fibers as it pushes fluids.


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23. Deep transverse friction can often be substituted with A. compression.B. stripping.C. effleurage.D. circular friction.

Circular friction can be performed at the tendinous areas that are applicable for deep transverse friction. Compression needs a more broad tissue base, stripping needs to lengthen fibers, and effleurage usually is performed on larger areas.


24. Stripping should be performed starting at the ________ of the fibers. A. distal endB. proximal endC. half-way upD. lateral end

In order to push fluids and lengthen fibers, stripping should start at the distal end of the tissue.


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25. Myofasical stretches are a series of techniques that are designed to ____________ the tissues. A. shorten and contractB. stretch and warm-upC. compress and shortenD. lengthen and compress

As the tissue is stretched, the fascia becomes more pliable and circulation is increased.


26. A technique that can be used on the middle trapezius that grasps the tissues and rattles the fibers back and forth is called A. compression.B. trigger point therapy.C. claw stripping.D. jostling.

Jostling is a form of vibration that technically would shake the tissues.


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27. Dual hand techniques uses _________ alternately or at the same time. A. two different techniquesB. the same techniqueC. three different techniquesD. a little lubrication

Dual hand techniques are designed to use different techniques alternately or at the same time in different locations as in compression of the rhomboids and petrissage of the middle and upper trapezius.


28. Compression is a good technique for the rhomboids because they are located ______ to the trapezius. A. deepB. superficialC. medialD. lateral

The trapezius is located superficial to the rhomboids, which makes compression a useful technique to increase circulation in between the scapulae and the thoracic spine.


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29. Sequence is a specific _________ chosen to accomplish a particular goal in a session. A. techniqueB. SOAP noteC. series of techniquesD. massage bolster

Therapists must choose a series of techniques to work an area efficiently on a client based on the client's history, client's structure, and individual need.


30. When a technique is not working in a specific area it A. is the technique that is always the problem.B. is always the operator that is at fault.C. may be the opposing muscles that are causing restrictions.D. is always the muscle medial to the one you are working on.

In a dimensional approach, the therapist must critically think about the agonists, antagonists, synergists, and stabilizers in the functional unit.


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31. The center of energy in the abdominal area is referred to by the Japanese as the A. hara.B. rectus abdominis.C. the abdomen.D. the colon.

Shiatsu is a Japanese founded modality that calls the center of a person's energy the hara.

Bloom's: ApplicationBloom's: ComprehensionBloom's: KnowledgeDifficulty: EasyLearning Outcome: 5-4Learning Outcome: 5-5

32. Maintaining a good balance, bending your knees, using the lower body for momentum are examples of utilizing good ________________. A. techniquesB. body mechanicsC. protocolsD. sequences

Good body mechanics are safe methods to practice to execute techniques appropriately using good balance, momentum, and body weight.


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33. A bodyworker can help avoid injuries by A. using the most pressure as possible all the time.B. using incorrect body mechanics.C. keeping the forearms in alignment with the hands and wrist.D. using the thumbs with a significant amount of pressure repetitively.

Therapists perform a great deal of repetitive action in applying techniques. One of the common errors includes using the wrists at angles with pressure. Keeping the forearms in alignment with the hands and wrists assists good body mechanics.


34. A dual hand distraction method that involves an alternating clockwise and counter clockwise movement is called ___________. A. compressionB. deep transverse frictionC. jostlingD. elliptical movement

Elliptical movement is the only technique listed that uses alternating directions as part of the technique.


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35. In the shoulder girdle region, elliptical movement can be easily performed on the A. clavicle.B. spine.C. upper trapezius.D. scapulae.

The scapulae can be picked up and moved in alternating directions, which helps to loosen the shoulder girdle muscles.


36. The technique of parallel thumbs can be easily performed on the _____________ muscle. A. rhomboid minorB. levator scapulaeC. lower trapeziusD. pectoralis minor

Out of the above list only the lower trapezius is a superficial muscle that the technique could be easily applied to.


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37. A deep-tissue technique where the thumbs roll over each other is called ______. A. compressionB. effleurageC. parallel thumbsD. cross fiber friction

Parallel thumbs is a deep-tissue technique that uses the thumbs in a roll over fashion.

Bloom's: ApplicationBloom's: KnowledgeDifficulty: MediumLearning Outcome: 5-1Learning Outcome: 5-3Learning Outcome: 5-6

38. Ischemic compression is another name for A. a tourniquet.B. deep transverse friction.C. trigger point release.D. vibration.

Ischemic compression and trigger point release are interchangeable terms used for applying digital pressure to a trigger point.

Bloom's: KnowledgeDifficulty: MediumLearning Outcome: 5-1Learning Outcome: 5-3Learning Outcome: 5-7

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39. A pincher palpation is a technique use to relieve A. trigger points.B. edema.C. hyperemia.D. tendons.

Placing the trigger point between two digits is another way to apply digital pressure.

Bloom's: ApplicationBloom's: KnowledgeDifficulty: MediumLearning Outcome: 5-1Learning Outcome: 5-3Learning Outcome: 5-7

40. Satellite trigger points A. could be found anywhere.B. are often located in functional units of synergistic muscles.C. are only located in the muscle next to hypertonic tissue.D. are found only in tendons.

Satellite trigger points exist where muscles cooperate to function the common joint such as the rotator cuff muscles.


Fill in the Blank Questions

41. ___________ is a supportive action that a muscle or muscles may perform so that another joint and group of muscles can function appropriately. Splinting


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42. The term used in a joint where the muscles cooperate to work in action and in paired opposition is often called the ____________________. functional unit


43. A therapist tries to _____________ hypertonic tissues in a treatment. release

Bloom's: ApplicationBloom's: KnowledgeDifficulty: MediumLearning Outcome: 5-2Learning Outcome: 5-9

44. _________________ is simply a series of specific techniques designed to unwind the soft tissue in a particular pattern or sequence with an end result that includes meeting specific goals. Deep-tissue therapy

Bloom's: ComprehensionBloom's: KnowledgeDifficulty: EasyLearning Outcome: 5-1Learning Outcome: 5-3

45. A specific series of techniques chosen to accomplish a particular goal in a session is called the ____________________. sequence


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46. The therapist can laterally flex the head closer to the shoulder, which will _________________ the muscles on that side of the head. passively shorten


47. Sequentially it makes sense to start the client in a(n) ________ position to utilize the head to assist with passively shortening muscles efficiently. supine


48. The technique edging the upper trapezius assists in ________________ the upper trapezius. stretching


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49. The technique hands under the back, connects the ____________ trapezius with the upper trapezius and _______________ fibers of the erectors. lower; lengthens


50. In order to support good body mechanics, the therapist might have to __________________ of the table to match the individual height or weight of the client. adjust the height


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chapter 005 dimensional massage techniques for the...

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