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FONTS
-the reason for draping=to provide the client a sense of comfort emotionally, professionally, and a sense of warmth.
-As the client relaxes, the basal temperature drops, the client will feel chilled
-the are to be placed behind the knee when client is supine, which reduces tension in the hips and lower back.
-when the client is prone, a bolster is to be put under the ankles. This prevents excessive dorsi-flexion and uncomfortable rotation of knees, which may cause leg or foot cramps
-can put face rest under client's neck when supine, or a rolled up washcloth/ small towel
-The face rest is a type of face bolster.
Towel Draping
Female Clients
*will demonstrate
Accessing the Abdomen on Female Clients
Male Clients
*will demonstrate
Turning Your Client Over?
*will demonstrate
-BM = is use of foot stances, body alignment, and gravity to deliver massage techniques effectively.
-Effective Body Mechanics = execution of the massage, decrease in therapist fatigue and discomfort during/after the massage
Repetitive Motion Injury
For LMTs,
-Anterior Forearm muscles become overdeveloped from repetitive finger flexing. Over time, this 'hypertrophy' causes the flexor retinaculum to compress tendons and nerves supplying hands.
Principles of Body Mechanics
3. Foot Stances
1. Prepare Yourself
5: Move From Center of Gravity
*foot are the foundation of body mechanics
7. Relax
2. Work Space & Table considerations
6. Techniques and Lubricant
4. Align your Spine
Symptoms Include:
pain & weakness in the arm, wrist, and/or hand.
Examples of Repetitive Motion Injuries:
-Carpel Tunnel Syndrome
-Cubital Tunnel Syndrome (pressure/stretching
of ulnar nerve (funny bone nerve), which
causes numbness/tingling in the ring and
small fingers, pain in the forearm, and
weakness in hand
-Thoracic Outlet Syndrome
-De Quervian Tenosynovitis
-Tennis and Golfers Elbow
*Draping is REQUIRED under state law
a statement that draping will be used during the session, unless otherwise agreed to in writing by both the client and the licensee;
-Certain positions promote comfort and relaxation through proper body alignment. During the interview process, you will ascertain if you need to avoid any positions that would contraindicate a condition a client might have. With limitations, you must be adaptable!
*the treatment area is the only part of the body that will be un-draped during a massage (except of course the head)
Prone
Side lying
-is when clients lie on their left or right sidee
Seated Positioning
-The client is laying face down
-Support is in the ankles, face, and sometimes in the female breast area
-If prone with bolster support, and client complains of lower back pain, still put a pillow/ towel under a clients hips or abdomen.
-Also, let them adjust the face rest, large breasted women will most likely want face rest above table
-Some tables just have a hole cut in them for the face, use pillows under forehead
*will demonstrate
*will demonstrate--but all genital areas WILL BE DRAPED and COVERED
-Some clients require being in a seated position for a health condition, or situation reasons.
-pg 126 for picture
-advance prenatal massage should be done this way
-It offers unlimited access to the hip and shoulder girdle
-also, clients with breathing difficulty can use this method-
-whatever side the client feels most comfortable in, however, lying on the left side is best for blood pressure
-You can use a stool to get to the back
-before turning your client over, remove all the pillows
*will demonstrate
Semi-reclining
How to begin: Prone? Supine?
-Some circumstances require the client's upper back to be elevated while supine to create a semi-reclining or semi-sitting position.
-Your table may adjust this way, there could be a special bolster, or several pillows.
-You can use this position with your prenatal clients....also the bigger she is, you can roll up a towel under her right side to reduce compression of abdominal blood vessels
-Beginning Prone, Ending Supine
read page 122
Supine
-client laying face up
-Supported areas are the neck and the knees
-Towel or other pillow device is placed under the neck, avoid over hyper-extending or hyper- flexing the neck.
-The knee bolster helps relax the back, if it still does not relieve, put a pillow under the ankles