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FONTS

Body Mechanics, Client Positioning, and Draping

Draping

Bolsters

-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

Body Mechanics

-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.

-According to the AMTA, the repetitive motion injury is the second most common reason why therapist leave the profession. (1st is the inability to grow a business).

-These injuries result in poor body mechanics by using muscular effort versus gravity.

Principles of Body Mechanics

3. Foot Stances

1. Prepare Yourself

5: Move From Center of Gravity

*foot are the foundation of body mechanics

  • located in the abdomen
  • called the dan tien, an area of focus and power
  • Physical Fitness
  • Wear Comfortable Attire
  • Warm-Up before Massage
  • Bow Stance (archer, lunge position)-is used to apply massage techniques that proceed from one point to the next along the client's body. One foot is pointed in the direction of movement.
  • Horse Stance (warrior) - used to apply massage techniques, such as compression and deep friction to a localized area.
  • Because movement originates from the center of gravity, point your abdomen in the direction of movement and your body will naturally flow (p. 119).

7. Relax

  • Be mindful
  • Stretch
  • Sit Down Occasionally
  • Breathe

2. Work Space & Table considerations

6. Techniques and Lubricant

4. Align your Spine

  • Perpendicular Pressure
  • Double Stack
  • Use a Variety of Techniques
  • Lubricant Use
  • Discuss on page 116 in 5th Ed.
  • Workspace--3foot space from all sides
  • Massage Table Height (consider client treatment goals, position of client, your height, client's size)
  • Light pressure = raise table, table height can be at your closed fist level
  • Deep Pressure = lower table, table height is mid-thigh
  • Massage Table Width ---wider tables are more difficult
  • Massage Table Padding--deep pressure, density should be firm. Light pressure , dense should be plush

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

Sheet Draping

Client Positioning

*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

  • (Right/Left) Lateral Recumbent Position = side lying position
  • Ask client to slide backwars until hip and shoulders are appx. 4 inches from the edge

Accessing the Abdomen on Female Clients

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

Turning your Clients Over

Side-Lying Using Sheet Draping

*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

  • Remove all bolsters
  • Ask client to take face/head off of face rest (prone = scoot down before they turn, supine they will scoot up after turned)
  • Ask client to place arms under sheets (or I will demonstrate what I do)
  • Uncover feet
  • Anchor sheet

*will demonstrate

Assisting Clients Onto And Off The Massage Table

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.

  • Fowler Position - the upper body is elevated 80 to 90 degrees
  • Semi-Fowler Position - upper body is elevated 30 to 45 degrees

-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

  • Beginning Prone, Ending Supine
  • Pros: starting with back pain first, sinuses drain right before massage ends
  • Cons: After relaxing face down, client has to turn over facing client which can be uncomfortable

-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

  • Beginning Supine, Ending Prone
  • Pros: allows client to sense what you are doing which puts clients at ease, allows the back to be worked on last (primary area of complaint) which will end the massage with the memory of you working on their back.
  • Cons: sinuses might be stopped up (but can use essential oils )
  • Client should be Supine
  • Remove all bolsters
  • Explain the procedure as you are conducting it
  • Face client lean against the table with your hip
  • slide hand and forearm under client's shoulder and grasp it from behind. Ask client to grasp your shoulder. Bend from your hips while keeping your back straight
  • Slide other forearm across the client's shoulders. Reach around teh far shoulder and grasp the top edge of the sheet
  • Ask client to sit up. Assist client during this action. Use your legs and keep your back straight. Pull the sheet loosely about the client's neck and shoulders, taking care not to expose female breasts.
  • Reach across both knees and grasp the side of the far knee
  • Pull the knees toward you until both legs are off the table. Client will swivel during the pulling action.
  • Ask client to stand up while you maintain the drape
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