Lecture Massage therapy review: Passing the NCETMB, NCETM, and MBLEx (2/e): Chapter 4 - Laura A. Abbott

Chapter 4 - Therapeutic massage and bodywork assessment. This chapter presents the following content: Areas of competence, assessment methods, normal ranges of motion, endangerment sites, postural analysis, understanding kinesiology, other factors that affect the body.

MassageTherapyReview: PassingtheNCETMB,NCETM,andMBLEx Chapter4 TherapeuticMassageandBodyworkAssessment McGrawưHill â2011byTheMcGrawưHillCompanies,Inc.Allrightsreserved 4-2 PreưclassAssignment ReviewChapter 4ofyour MassageTherapy Reviewbook McGrawưHill â2011byTheMcGrawưHillCompanies,Inc.Allrightsreserved 4-3 AssessmentMethods H.O.P.S – History  – Observation – Palpation – Special Test McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 4-4 Assessment Methods, Cont’d • Visual Assessments – Gait or Walking Patterns – Posture – Breathing Patterns – Sympathetic or Parasympathetic 4-5 Normal Ranges of Motion • Foot – Dorsiflexion – 20­30 degrees – Plantarflexion – 30­50 degrees – Inversion – 50 degrees – Eversion – 25 degrees 4-6 Normal Ranges of Motion, Cont’d • Knee – Flexion – 160 degrees – Extension – 180 degrees 4-7 Normal Ranges of Motion, Cont’d • Hip – Flexion  •  90 degrees if knee is extended • 120 degrees if knee is flexed – Extension – 20 degrees – Internal Rotation – 30 degrees  – External Rotation – 60 degrees – Adduction – 30 degrees Abduction45degrees McGrawưHill â2011byTheMcGrawưHillCompanies,Inc.Allrightsreserved 4-8 NormalRangesofMotion,Contd Trunk Flexion40ư60degrees – Extension – 35 degrees – Lateral Flexion – 15­20 degrees – Rotation – 10­15 degrees McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 4-9 Normal Ranges of Motion, Cont’d • Neck – Flexion – 80 degrees – Extension – 60­70 degrees – Lateral Flexion – 35­45 degrees – Rotation – 80 degrees McGrawưHill â2011byTheMcGrawưHillCompanies,Inc.Allrightsreserved 4-10 NormalRangesofMotion,Contd Shoulder – – – – – Flexion – 180 degrees Extension – 45­50 degrees Abduction – 180 degrees Adduction – 30­45 degrees Internal Rotation – 30­45 degrees ExternalRotation80degrees HorizontalAbduction30degrees HorizontalAdduction140degrees McGrawưHill â2011byTheMcGrawưHillCompanies,Inc.Allrightsreserved 4-11 EndangermentSites AnteriorTriangleoftheNeck Common carotid arteries – Hyoid  – Internal jugular vein – Thyroid gland – Trachea – Vagusnerve Lymphnodes McGrawưHill â2011byTheMcGrawưHillCompanies,Inc.Allrightsreserved 4-12 EndangermentSites,Contd PosteriorTriangleoftheNeck Brachial plexus – External jugular vein – Facial nerve – Subclavian artery – Styloid process – Lymphnodes McGrawưHill â2011byTheMcGrawưHillCompanies,Inc.Allrightsreserved 4-13 EndangermentSites,Contd Axillary Axillaryarteriesandnerves Brachial arteries and plexus – Median nerves – Musculotaneous nerve – Radial and ulnar nerve – Axillary lymph nodes – Personal space 4-14 Endangerment Sites, Cont’d • Antecubital Area of Elbow – Brachial arter – Cubital vein – Mediannerve Radial/ulnararteries McGrawưHill â2011byTheMcGrawưHillCompanies,Inc.Allrightsreserved 4-15 EndangermentSites,Contd FemoralTriangle – Femoral artery and nerve – Great saphenous vein – Obturator nerve – Inguinal lymph nodes  McGraw­Hill  © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 4-16 Endangerment Sites, Cont’d • Lower Back – Floating ribs – Kidneys 4-17 Endangerment Sites, Cont’d • Olecranon Process – Ulnar nerve – Radial nerve 4-18 Endangerment Sites, Cont’d • Popliteal Fossa – Common peroneal nerves – Popliteal arteries – Tibial nerves McGraw­Hill  © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 4-19 Postural Analysis • • • Client should be barefoot Begin at head and work to the feet or vice versa Check  – Feet – Achilles – Gastrocnemius – Popliteal Fold – Head – Hips – Spine Shoulders McGrawưHill â2011byTheMcGrawưHillCompanies,Inc.Allrightsreserved 4-20 UnderstandingKinesiology Somatic holding patterns Ergonomics Proprioception Gravity 4-21 Preventing Injuries to Ourselves as  Therapists and Bodyworkers • • • • • • • • Table height Comfortable clothing Warm­up and stretch Variety of strokes Pressure behind your strokes Proper body mechanics Breathe Smooth movements McGraw­Hill  © 2011 by The McGraw­Hill Companies, Inc. All rights reserved .. . 4- 2 PreưclassAssignment ReviewChapter 4ofyour MassageTherapy Reviewbook McGrawưHill â2011byTheMcGrawưHillCompanies,Inc.Allrightsreserved 4- 3 Assessment Methods • H.O.P.S... â2011byTheMcGrawưHillCompanies,Inc.Allrightsreserved 4- 4 AssessmentMethods,Contd VisualAssessments GaitorWalkingPatterns Posture – Breathing Patterns – Sympathetic or Parasympathetic 4- 5 Normal Ranges of Motion... â2011byTheMcGrawưHillCompanies,Inc.Allrightsreserved 4- 16 EndangermentSites,Contd LowerBack Floatingribs Kidneys 4- 17 Endangerment Sites, Cont’d • Olecranon Process – Ulnar nerve – Radial nerve 4- 18