Appearance
- Professional
- No jeans, leggings, t-shirts
Client Position and Draping
- Be clear and concise with instructions on how to lay on table and how they will be draped
- Be fast and efficient
- Be neat
- Pillow under knees
Hand wash
- At least 30 seconds
- Be sure to wash palms, back of hands, fingers, thumbs, between fingers, finger nails
Massage Principles
- Proximal – Distal- Proximal
- Superficial – Deep- Superficial
- General – Specific – General
- Peripheral – Central – Peripheral
Muscle Treatment
- Accurate landmarking, do resistive test to double check
- Complete 4 neuromuscular techniques in the area
- Finish or complete a stretch on that muscle at some point during the treatment
Trigger point Treatment
- Identify trigger point
- Negotiate pain scale
- Prep the muscle first
- Finish with stretch and heat
Fascial Treatment
- Motion test fascia pre and post treatment
- Perform at least 2 fascial techniques
Joint Mobilization
- Treat and warm up area first with myofascial techniques
- Stretch the joint for about 30 seconds – state
- Traction joint
- Move up a grade of mobilization ( within scope)
- Communicate that you are taking up slack and moving to physiological barrier
- Hold for 8-10 seconds
- Partial release of grade for 2-5 seconds. State this
- Complete 3 sets
- Check in throughout
- Finish with movement into restricted plan
- End with finishing technique
Swelling Treatment
- Open lymph nodes at closest termini
- Proximal – Distal lymph techniques
- Don’t skip any part of the area
- Clearly identify borders of swelling
- Check in with client
- Demonstrate “shaving the area”
Positioning
- Limb elevated
- Stable and supported
Guarding of Movement
- Check ROM at guarded joint
- Check in with client
- Treat entire area for tension/guarding with neuromuscular techniques
Post-treatments
- Let client know it is common to feel dizzy or light headed after treatment
- Let client know to get up slowly or ask if they would like some assistance
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