Healing Hands School of Holistic Health Circulatory Massage Class

Transcription

1 Circulatory Massage Class Escondido Laguna Hills Day: Wednesdays & Fridays 8-2 Day: Tuesdays & Thursdays 8 2 Evening: Tuesdays & Thursdays 6-10 Evening: Tuesdays & Fridays 6 10 Intensive: Tuesday through Friday 8-2 Intensive: Tuesday through Friday 8-2 Teachers Teachers Sandra Christie Jeni Hartung schristiemassage@hotmail.com jhartungmassage@gmail.com Shaunna Avila-McClure Dan Martin harmonizing.hands@yahoo.com dmartin@dotprinter.com Claudia Baben claudia@healinghandsschool.com Course Description: Circulatory Massage provides the student with fundamentals needed for all future training by teaching the student how to deliver a professional massage. This class includes lectures, group discussions, and supervised hands-on practice. Special focus is given to the body s anatomy, massage strokes, and effective body mechanics used by professional massage therapists. Course Texts: The Anatomy Coloring Book, 3 RD or 4 th edition, by Wynn Kapit and Lawrence Elson Grading: This is a Pass/Fail course Course Requirements: In order to receive a Certificate of Completion in Circulatory Massage you must fulfill the following minimal requirements: Attendance: 100 in-class hours. Missed hours may be made up at the rate of $9 per hour in class, the make-up form is available in the school s office. Coloring: Finish required coloring. You are expected to bring Anatomy Coloring book to every class. Completed coloring is due on the last day of class. Participation: Participation is highly encouraged, if you are not participating in class activities, you will be docked hours. T ai Chi: All students are required to demonstrate the flow of movements learned in T ai Chi, as part of the final exam. Practical: All student are required to perform massage on the Instructor Public Day: Held on the second to last day of class. On Public day students will have an opportunity to give someone else s guest a massage. Anatomy Exam: Students are required to pass a written exam with 100 questions presented in a Fill in the blanks style, and students must achieve a minimum of 80% to pass this final. What to bring to class? Clean set of twin size sheets for your own use (a fitted sheet, flat sheet, and pillow case) 1

2 Pen/Pencil, notebook Required text books Flexible clothing so you can stretch out *optional extra blankets and/or pillows especially in chilly weather Nail Clippers & file Class Policies: Come to class on-time and do not leave earlier than the scheduled class time. If you are late, that time is taken off your attendance and you will be expected to make it up All cell phones and other disruptive electronic devices must be turned off when in class Cut your nails! For the comfort of yourself and your clients, finger nails need to be kept short and filed at all times Be considerate of your massage partner and take care of personal hygiene prior to each class. (This includes bringing a small hand-towel if you tend to perspire while performing body-work) Please listen respectfully when the instructor or a student is addressing the class, show mutual respect when responding to your classmates. Refrain from comments that could make anyone feel uncomfortable so as to keep this a safe and compassionate learning environment Clean up your mess! Any oils, pillows, chairs, cups, clothing, bottles that you have should be put away neatly, thrown out or taken home Tips for Succeeding in Class: Take Notes using handouts given in class, follow along with lectures and be involved in group discussions. Write down what is put on the board Come Prepared always have sheets, books, and an open heart Do homework regularly Homework in coloring book will not be checked weekly for this course, please keep up with material as to not fall behind Practice! Practice! Practice! Practice massage as much as possible to develop muscle memory, practice t ai chi, and study anatomy How do I make-up hours? Practice Session: held on demand about once every quarter, usually towards the end of class. They are usually held on a Sunday evening from 5:30 9:30. If you prepay, it is $30, or $35 at the door. This will make up 4 hours. Sit in on a daytime class: $54 for 6 hours (must be pre-approved by instructor or office) Sit in on a nighttime class: $36 for 4 hours (must be pre-approved by instructor or office) Work individually on the instructor Homework: Practice! Practice! Practice! Practice T ai Chi every day and do as much body-work as possible. If you need a table to practice, you may rent one for $25 a week. This money can be used towards purchasing a table in the office - $100 cap to rentals used for purchase. 2

3 Anatomy Coloring: Read pages X and XI in the Anatomy Coloring book. Color the following pages by the last day of class. Completely color each page as directed, including the bones and muscles not required for our Final Exam. 3 rd Edition 2, 21, 23, 24, 27-31, 33, 35, 37, 40, 42, 46-51, 54-58, 61-66, 69 Directions: Page# Muscles Continued Page# Directions 2 Back: Latissimus dorsi 56 Terms of Movement 23 Trapezius / 54 Bones: Page# Rhomboids Skeletal System 21 Erector Spinae 49 Rotator Cuff 55 Foot 42 Distal leg/ Proximal leg 40 Anterior legs Proximal leg: Quadrecepts 64 Sit bones/ Pelvic Girdle 37 Adductors 63 Distal leg 65 Tailbone / Sacrum 29 Vertebrae 27 Abdominals 51 Processes/ Atlas & Axis 28 Intercostals 50 Skull 24 Chest & Pectoralis major / 56 Arms: Deltoids Clavicle 31 Triceps/biceps 57 brachii Sternum 30 Extensors/ flexors 57 / 58 Scapula / Humerus 31 Neck Levator Scapulae 54 / 48 Radius/ Ulna 33 Spelnius capitis 49 Suboccipitals 48 Hand 35 Sternocleidomastoid Muscles Page# Face: Overview 46 Posterior Distal leg 66 Masseter 47 Distal Proximal leg 62 Leg: Gluteals/ Abductors / Iliotibial tract / Piriformis 61 MuscleMan: Functional Overview 69 Please be aware that coloring takes TIME you will need to set aside time each day and/or week to complete this homework. 3

4 Anatomy Coloring: Read pages Xii and Xiii in the Anatomy Coloring book. Color the following pages by the last day of class. Completely color each page as directed, including the bones and muscles not required for our Final Exam. 4 th Edition 2, 19, 21, 22, 25-29, 31, 33, 35, 38, 40, 44-49, 52-56, 59-64, 67 Directions: Page# Muscles Continued Page# Directions 2 Back: Latissimus dorsi 54 Terms of Movement 21 Trapezius / 52 Bones: Page# Rhomboids Skeletal System 19 Erector Spinae 47 Rotator Cuff 53 Foot 40 Distal leg/ Proximal leg 38 Anterior legs Proximal leg: Quadrecepts 62 Sit bones/ Pelvic Girdle 35 Adductors 61 Distal leg 63 Tailbone / Sacrum 27 Vertebrae 25 Abdominals 49 Processes/ Atlas & Axis 26 Intercostals 48 Skull 22 Chest & Pectoralis major / 54 Arms: Deltoids Clavicle 29 Triceps/biceps 55 brachii Sternum 28 Extensors/ flexors 55 / 56 Scapula / Humerus 29 Neck Levator Scapulae 52 / 46 Radius/ Ulna 31 Spelnius capitis 47 Suboccipitals 46 Hand 33 Sternocleidomastoid Muscles Page# Face: Overview 44 Posterior Distal leg 64 Masseter 45 Distal Proximal leg 60 Leg: Gluteals/ Abductors / Iliotibial tract / Piriformis 59 MuscleMan: Functional Overview 67 Please be aware that coloring takes TIME you will need to set aside time each day and/or week to complete this homework. 4

5 Characteristics of Swedish Massage Speed Consistently SLOW! Pressure each hand or thumbs have the same pressure 1. Effleurage: lighter 2. Pettrisage: medium 3. Fanning: deepest Consistency Is the speed and pressure consistent from the beginning of stroke to the end? Follow all tai chi principles to be consistent Connection 1. LISTEN to the client with your heart and hands 2. FOCUS on client 3. Be in the present moment 4. Stay connected with touch Location Are you in the right area? Knowing your anatomy boosts confidence. What do you feel in the muscle you are in? Draping Do it quickly and efficiently; the client will feel covered and safe. Transitions Flow from one stroke to another; flow from one body part to another (effleurage) When there is a direct connection between the hands, the heart, and intensions, the massage flows better from movement to movement. 5

6 Tai Chi Wu chi. Take a breath into your belly. Exhale; sink into your right leg. Step shoulder distance, heel first toes facing forward. Shift your weight into the left leg. Turn your tan tien to meet the angle of the right toes. Lift right toes and following tan tien bring it to center to complete a horse stance. Inhale beautiful maidens wrists up, exhale them back, inhale and exhale hands down. Shift your weight into the left leg, lift the right toes with the right fingertips and turn tan tien to the right, shift into your right leg. Lift left heel and place heel directly where left tows were, stepping heel first. Shift weight into left leg, pivot right foot to a 45 angle, and switch arms into ward off left position with left palm facing heart and right palm down facing away. Check bow stance here. Lift right heel, turn tan tien to the right, pivoting on right toes, bringing right palm to face up and left palm to face down. Step heel first with right leg. Shift weight into right leg as hands form a small ball with right palm facing you and left palm facing away. Slightly turn whole tan tien to the right as you cradle the baby, bring both palm up now, left fingers touch right elbow. Shift back into left leg as left hand swoops down to gather, turn whole tan tien to the left here as you gather and then shift back into the right leg as left hand comes across the chest to press wrists. Make sure hips follow. Wash hands, maintaining bow stance here, shift back into left leg, and shift forward into right leg, and back into left leg again. With weight in left leg, lift the right toes, and turn whole tan tien all the way to the left. Let your feet be awkward as you shift back into right leg. Lift left heel and sweep left hand to catch the bird droppings coming from the right hand bird. Send the beak out. Turn left foot and hand out, opening up your tan tien. Step heel first very wide to the left, look at your left palm, pivot your right foot to a 45 angle, and shift your weight into the left leg as you push with your left palm. Right hand stays in bird position. Open up to hug the tree. Turn tan tien to the right as right foot and right hand turn out, lifting right heel. Bring it all to center, ankles and hands line up here. Right hand over left, palms facing away from each other, right heel is up. 6

7 Wrist to hip, ankle to ankle. Right heel is still up, and both hands come down to left hip bone. Step heel first with right foot, turn tan tien to the left and push with the left hand right next to shoulder. Do not let left hand go past your right shoulder. As if you are pushing a refrigerator, keep shoulders over hips. Bring left foot to meet right foot with left heel up now, and hands go into white crane position. Right hand up, left hand down, palms facing away from each other. First rollback 1, 2, 3. Hips stay with you! Step to the wide left, brush left palm over left knee, pivot right foot here to bring hips center and directly under shoulders again and push right hand, left hand down by your left side. Check bow stance. Shake hands, slightly lifting right foot off ground. Set foot back down, shift into right leg and bring left foot to meet right as hands come into play guitar. Right hand on right hip, left hand holding neck of guitar. Second roll back, 1, 2. Step, brush, pivot, push again. Shift back into right leg, lifting left toes, hands go to left hip. Shift your weight into left foot, and step to a right diagonal while you perry your hands from your left to your right hip, shift weight into right foot. Step into a perfect bow stance with the left foot forward and punch your right hand as the left hand blocks heart as you shift your weight into the left leg. Open right palm to the left diagonal. Shift back into right leg as you wipe your blade and hands come up as tan tien turns to the right, facing forward. Feet are still planted in a bow stance. Turn tan tien back towards the left, push with hands as you shift into left leg, shift back into right leg and lift left toes. Turn whole tan tien, tows included to the right, preparing for a horse stance. Feet should be awkward here. Shift into left leg, and step with right foot to complete horse stance. Weight becomes even on both feet in original horse stance as hands first cross at the bottom, and then again at the top by your heart. Bring hands together and bow. 7

8 T ai Chi Principles 1. Extended Head 2. Third Eye (soft gaze on the horizon) 3. Relaxed Shoulders 4. Eggs under armpits 5. Rounded elbows 6. Soft wrists 7. Breath in belly 8. Follow your tan tien (2 inches below belly button) 9. Tai Chi Trunk 10. Bent Knees 11. Complete shift of weight 12. Stay level Horse Stance Bow Stance 8

9 TAI CHI CHUAN Tai Chi Chuan is a Chinese martial art emphasizing strength, balance, flexibility and speed. The common translation is supreme ultimate fist or shadow boxing. It was practiced as a fighting technique but over time became a slow and gentle discipline that benefits the body, mind & spirit. It has been described as a moving form of yoga, moving meditation, walking meditation or moving harmony. Tai Chi focuses on circulating the chi breath energy or life-energy of life force, vital or universal energy within the body. Practice promotes a state of wakeful relaxation, body alignment, finescale motor control & tranquility. It helps to improve the powers of concentration, coordination & inner balance. THE TAI CHI SYMBOL Tai Chi Principles Level 1 Level 2 Level 3 Extended Head Tai Chi Trunk Beautiful Maidens Wrists Soft Gaze on Horizon Eggs under Armpits Rounded Elbows Stay Level Breath in Belly Bent Knees Relaxed Shoulders Follow Tan Tien Complete Shift in Weight Notes: When stepping forward, always step with the heel first When stepping backward, always step with the toe first When you Step into a forward stance, be certain to step wide, a shoulder s distance apart A common error is stepping into a narrow forward stance ALWAYS keep the elbows & knees slightly bent. NEVER lock them Inhale whenever the arms are contracted or pulled backwards Exhale whenever the arms are stretched, raised of pushed forwards 9

10 Try a Massage By Paula & Neha Curtiss Do you ever feel bored, stuck, trapped in an unchanging regimen of mundane activities? Do you long for something to propel you into a new perspective on life, something fresh and bright to rekindle that zest you ve been missing? Or do you more often find your life to jarring, too exciting, over filled with unending activities? Do you long to escape your harried, frenetic, fast-paced life for even an hour or two? Or maybe you just want to feel pampered, nurtured and cared for. The benefits of massage range from soothingly pleasurable to profoundly enlightening. There are many different styles of massage and bodywork available today. The type of bodywork style a practitioner utilizes may be indicative of the type of experience you can expect to receive. Swedish massage, for instance, is a type of massage particularly suited for the reduction of stress and the relaxation of muscle tension. The massage practitioner using this style will use long gentle strokes with flat hands, and short deeper strokes with the thumbs to rub along and release sore and tense muscles. Massage oil is usually used to keep the strokes smooth and frictionless. Swedish massage is sometimes called circulatory massage when directed towards the heart. This style has proven to be very beneficial in increasing the circulation of blood from extremities to the heart. The psychological effect of having one s muscles systematically relaxed is often one of great relief and has been described as blissful. A more recent addition to the realm of bodywork is a style pioneered by Milton Trager. Sometimes called passive joint movement or trager work, this form of bodywork focuses on the joints where bones connect. Employing a system of rocking and slow gentle manipulation of the arms, legs, hips, and head, the practitioner gently guides the client to experience the full range of motion of the body. The effect is particularly nurturing and one may feel a deep sense of being cared for. This type of bodywork works well with those who can consciously let go of control of their muscles. A new sense of self awareness can occur to those who experience this for the first time. Those who aren t able to let go gain first hand knowledge of where and how they hold their tension. Physically, clients find that they feel looser and more fluid in their movements. With the discovery of new physical possibilities, there is often a corresponding increase in psychological possibilities, leading to a healthier, more flexible personality. Deeply held beliefs of one s self-imposed limits is also the core of the bodywork called structural balancing. Although the first impression of structural work might lead one to suspect it is purely physical, this bodywork style is based on the concept of body/mind unity. What affects the body affects the mind and what affects the mind affects the body. Structural balancing is mostly concerned with the manipulation of the fascia that surrounds muscles and holds them in place. Ida Rolf started this type of bodywork when she discovered that the balancing of one s body as a result of deep manipulation inevitably results in the balancing of one s psyche. Sometimes called deep tissue massage, deep touch, or Rolfing, this work consists of slow, deep strokes and compression, usually without oil, to encounter tightly held fascial tissue. By pressing into these spots, the practitioner allows the fascia to relax and move into a more balanced state. Clients benefiting from this type of massage report, among other things, standing taller, being able to breath deeper, better 10

11 posture, feeling more centered, feeling lighter and having more energy. And because the body has learned that some of it habitual patterns and postures are not necessary or even desirable, the psychological pattern that helped create the situation are left open to reevaluation. Long held beliefs of limiting ideas can be seen from a new perspective and profound self-awareness, change, and growth are a result. Other forms of bodywork include acupressure and shiatsu, which focus on the Chinese system of healing. This type of bodywork systematically releases blocked energy which optimally should move freely throughout the body. Yet another style of massage focuses on the therapeutic aspects in response to specific strains, pulls and other injuries. A deep, rapid friction technique is used to free up internal scar tissue. Harmful adhesions and attachments which result in soreness and stiffness can be loosened to encourage the muscle to be more elastic, allowing it to work more efficiently. Any of the bodywork types can, and often do, result in physical, psychological and spiritual healing and growth. There are common characteristics of all good bodywork. You should always feel safe and comfortable, trusting and trusted with you bodyworker. Touch itself can be profoundly nurturing and can reach the foundation of one s core being. Good bodywork is never exceedingly painful, intrusive, or aggressive. Massage should be a healthy, nurturing, growth experience. So, next time you feel bored, tense, stressed, sore, depressed, frantic or even curious try a massage! 11

12 A Brief History of Massage Throughout history and all over the world we have used our hands to promote healing. Simple massage is something that we already do naturally: we stroke our heads to soothe headaches, rub our aching shoulders, pat a child s head for reassurance and hold a friend s hand for comfort and support. It is the most natural of human instincts to reach out and touch, and massage is merely an extension of this intuitive response. We have been doing this for centuries. Massage may be defined as any systematic form of touch, which is found to give comfort and promote good health. Because touch is such a powerful way of communicating, it makes us feel accepted and helps us to form strong social bonds. The Ancient Egyptians used massage extensively for health and beauty that can be seen in tomb paintings dating back to 3,000 B.C. Hippocrates, a noted Greek physician spoke back in the 5 th century B.C. how rubbing can bind a loose joint as well as loosen a joint that is too rigid. The Yellow Emperor s Classic of Internal Medicine, dates from the 3 rd century B.C. tells us the different uses of massage as an important part in Ayurvedic medicine. Many Romans had daily massages after their famous public baths. After the fall of the Roman Empire, the use of massage was suppressed. During the Renaissance, the ancient knowledge of the Greeks and Romans was reintroduced to Europe and there was a renewed interest in massage as a medical treatment. In the 19 th century, a Swedish gymnast, Per Henrik Ling, developed a system of massage known as Swedish massage. Whose technique remains much the same today. By the end of the 19 th century, massage was a popular medical treatment performed by physicians and surgeons. But houses of ill repute also used the word massage as a cloak for their own activities, and set back the public s understanding and view of massage, even still today. During WWI patients with shell shock and nerve injury were treated with massage with success. We are still helping out veterans today! However, when the pharmaceutical revolution arrived, massage was relegated to a back seat and its use was considered indulgent rather than therapeutic. The human potential and personal growth movement of the 1960 s and 70 s saw that massage could be a powerful agent for personal change. Esalen Institute in northern California was the hub of this attitude which sought to apply massage in a truly holistic and intuitive way as a means of getting in touch with repressed emotions and memories locked within the musculature of the body. Today, massage has become one of the fastest growing complementary therapies. Its therapeutic benefits have been recognized by a new generation wanting to find natural ways to achieve good health. Welcome to the world of massage! 12

13 Effleurage (Gliding) Basic Massage Strokes 1. Stand in bow stance with your front foot in alignment to the direction you are working, back foot at 45 degree angle. 2. Hips face to the front foot 3. Power of the stroke using palm of hand and fingers 4. Begins connection with area 5. Spreads oil 6. Covers large area 7. Transitions from one part of body to another Petrissage (Kneading) 1. Stand I horse stance facing area to be worked (feet straight ahead) 2. Turn hips, shift weight, turn hips, shift weight 3. Grab at end of stroke 4. Kneading stroke using heel of hand and lateral edge 5. Covers smaller area than effleurage 6. Deep compression than effleurage Fanning 1. Stand in bow stance with front foot pointing toward the direction you re working on 2. Turn one hip; press thumbs into muscle making straight lines of small semi-circles 3. Work in lines the length of area 4. Most specific of the three main strokes 5. Deepest of all three 13

14 BENEFITS: Increase Circulation Moves Nutrients, Oxygen, Blood cells Movement of toxins and waste Increase lymph flow Boost immune system Relaxation Reduce Stress Reduce muscle tension Increase flexibility, range of motion Improve posture Skin tone/elasticity Improve digestion, elimination Helps insomnia Emotional well-being Increases body awareness Supports natural healing process Recover from physical activities faster Helps with appearance of scars Helps break-up adhesions Depression & Anxiety Parasympathetic state CONTRAINDICATIONS: Fever Intoxication Pregnancy (1 st Trimester No Deep Abdominal work) Pain Burns Wounds Extreme Fatigue Bone Fractures Inflammation Infectious / Contagious Skin Diseases Arthritis Bursitis Thrombosis / Phlebitis Varicose Veins High blood Pressure (not medicated) Diabetes Cancer / Lymphoma Severe / Congestive Heart Disease Recent Surgery Pain Medication 14

15 How to receive a massage Massage therapy can be an important part of our commitment to a life of health and well-being, yet many people feel uneasy about receiving their first massage. Here are a few guidelines to help you feel at east and to gain the greatest benefit from your massage therapy session. 1. Meet Your Therapist Before your session begins, your massage therapist will greet you and discuss your desired outcome. Tell the therapist about areas of your body which are injured, tense or sore. Also mention any medical conditions, such as high blood pressure, a heart problem, chronic headaches, varicose veins or recent surgery; and emotional concerns such as stress, loss, and sleep problems. 2. Begin Your Session The best way to receive massage is to be unclothed. Your therapist will leave the room while you disrobe. Your therapist is sensitive to your needs of comfort and privacy and will use professional draping techniques to keep our body covered with a sheet, except for the area being massaged. If this arrangement is not comfortable for you, you may wear underwear or a swimsuit. Contrary to a common notion in our society about massage, it is an ancient healing art and not a sexual service. The body might become aroused as you experience the pleasure of total relaxation. However, sexual behavior during the massage is inappropriate and will result in termination of the session. 3. Your Session Your massage therapist will create a customized session for you combining various techniques from many forms of therapeutic work. Your Body: Close your eyes and allow yourself to relax as completely as possible. Focus your attention on your breathing, which should be slow, deep and even. When the therapist s hands locate areas of pain or tension in the body, consciously try to relax those areas. As you inhale deeply, visualize the breath flowing to the tense area and relaxing it. As you fully exhale, visualize the tension leaving the body with the breath. Allow the therapist to move your limbs into various positions. Be limp, like a rag doll, and do not try to help move your arms, legs or head. The therapist is a trained professional who will not do anything to hurt you. However, feel free to speak up if anything the therapist does is too painful or ticklish, or uncomfortable in any way. Mental/ Emotional: Very often, as the body releases tension during a massage, the mind will release emotion. If you suddenly feel sad, angry or joyful, do not be alarmed. Allow yourself to express these feelings be crying or laughing. At the very least, feel free to 15

16 sigh with relaxation or hum with pleasure. Many people fall asleep during a massage, an indication that the body and mind are releasing stress and tension. The therapist will gently wake you when it is time to turn over or end the massage. Communication: Conversation can be distracting to you and the therapist. Good massage requires concentration on the part of the therapist. Please confine your conversation to feedback about the massage. Your therapist may ask you questions like: Would you like more pressure? or Would you like more work in this area? Feedback guidelines usually include: depth, consistency, speed, connection, location. Again, feel free to let your therapist know if anything is uncomfortable, ticklish, etc. We hope that your massage is both enjoyable and beneficial, and that this experience will be the beginning of a lifelong practice to help you enjoy the best possible health and relaxation. 16

17 Full Body Circulatory Massage Posterior Legs and Feet 1. Effleurage entire leg to spread oil 2. Deeply effleurage posterior thigh, carrying stroke around greater trochanter 3. Petrissage inner, center and outside of thigh 4. Petrissage gluteal 5. Thoroughly fan gluteals 6. Fan lateral, center, medial thigh 7. Cross-pull inner thigh/ wring entire thigh 8. Effleurage thigh carrying stroke down to back of knee 9. Lightly fan back of knee 10. Effleurage gastrocnemius 11. Petrissage gastrocnemius 12. Fan up center of gastrocnemius 13. Effleurage calf carrying stroke to ankle 14. Rotate and flex ankle 15. Stroke both sides of Achilles tendon 16. Rotate and press knuckle into heel pad 17. Facing distally, using a loose fist, stroke down bottom of foot from heel to toes 18. Fan bottom of foot from heel to toes 19. Gently squeeze, rotate and pull each toe 20. Effleurage entire leg and foot 17

18 Full Body Circulatory Massage The Back 1. Effleurage the back a. Stroke down middle of back b. Bring stroke out to sides, up half the length of sides c. Pull stroke up through inside of scapula to tops of shoulders d. Press shoulders down towards feet 2. Wring the width of the back Starting on one side of the back: 3. Deeply fan rhomboids from spine to medial edge of scapula 4. Fan across scapula 5. Place client s hand behind back press under scapula with thumb or knuckle 6. Fan down erector spinae 7. Fan edges and top of sacrum 8. Petrissage latissimus dorsi 9. Petrissage trapezius Effleurage whole back and repeat steps 2 8 on other side: 10. Palm knead rhomboids 11. Cross-pull latissimus dorsi, carrying pull up to trapezius and around the shoulder 12. Effleurage entire back 13. Grasp and knead back of neck 18

19 Anterior Legs Full Body Circulatory Massage 1. Effleurage entire limb to spread oil 2. Deeply effleurage the quadriceps 3. Petrissage the quadriceps 4. Thoroughly fan the quadriceps 5. Cross-pull and/or wring the inner thigh 6. Clutch grasp the knee 7. Fan around the knee 8. Effleurage the distal leg 9. Petrissage the distal leg 10. Fan tibialis anterior 11. Fan medial to tibia 12. Fan around ankle 13. With hands on both sides of foot, spread metatarsals 14. Gently trench between metatarsals 15. Pull, rotate, squeeze each toe 16. With gentle pressure, holding the foot at the heel, pull entire limb 17. Effleurage entire limb 19

20 Fully Body Circulatory Massage Abdomen Before removing the sheet: 1. Stand on the client s right side, compress palms around the abdomen clockwise Remove the sheet, repeat step #1 directly on the skin 2. Make large palm circles around abdomen using palms 3. Fan in spiraling circles, finishing at navel 4. Rotate loose fist on and around navel 5. Cross pull over ribs/ trench intercostals from both sides Chest and Arms If client wishes to remain draped, proceed to #4: 1. Standing at head of client, effleurage chest 2. Fan intercostals on both sides of sternum 3. Fan pectorals 4. Palm pectorals up and over deltoids 5. Lightly effleurage entire arm to spread oil 6. Securing arm with inside hand, use outside hand to effleurage upper arm 7. Clutch-grasp triceps 8. Petrissage upper arm 9. Fan inside of elbow 10. Carry stroke to lower arm with effleurage 11. Strip flexors 12. Fan extensors 13. Fan wrist 14. Fan down metacarpals 15. With interlocked fingers, fan palm 16. Squeeze, pull and rotate each finger 17. Effleurage entire arm, giving a gentle pull to the arm as you complete the stroke Repeat from #4 on other side 20

21 Full Body Circulatory Massage Neck Face 1. Kneed trapezius with palms up 2. Reach hands down to C-7, press fingertips up, draw hands up spine to occipital ridge 3. Make small deep circles in the suboccipitals 4. Cradling the head in one hand, stroke down the sternocleidomastoid, around the deltoid, and back up on the levator scapula 5. Clutch grasp neck 6. Repeat 4 & 5 on other side 1. Beginning with thumbs at the mid line of the forehead, stroke laterally 2. Compress into temples 3. Stroke along eyebrow ridge 4. Stroke along lower eye socket ridge 5. Lightly stroke over closed eyelids 6. With thumbs at bridge of nose, stroke down the nose with one thumb and up the forehead with the other thumb 7. Stroke along side of nose, down cheek bone (zygomatic arch) 8. Compress into masseter 9. Lightly stroke upper lip 10. Milk chin 11. Stroke along mandible out to ears 12. Rub, stroke and unroll ears Head 1. Rub scalp 2. Scratch scalp 21

22 Full Body Circulatory Massage Closure 1. Lightly place pads of fingertips on forehead 2. Place one hand on chest, one hand on abdomen 3. Place one hand on forehead, one hand on abdomen 4. Gently rock the body 5. Brush the aura 6. Squeeze the feet 7. Pull the feet 8. Any nurturing gesture of completion 22

23 The Back 1.Effleurage the back Stroke down middle of back Bring stroke out to sides, up half the length of sides Pull stroke up through inside of scapula to tops of shoulders Press shoulders down towards feet Wring the width of the back Starting on one side of the back: 2. Deeply fan rhomboids from spine to medial edge of scapula 3. Fan across scapula 4. Place client s hand behind back press under scapula with thumb or knuckle 5. Fan down erector spinae 6. Fan edges and top of sacrum 7. Petrissage latissimus dorsi 8. Petrissage trapezius Effleurage whole back and repeat steps 2 8 on other side: 9. Palm knead rhomboids 10. Cross-pull latissimus dorsi, carrying pull up to trapezius and around the shoulder 11. Effleurage entire back 12. Grasp and knead back of neck Posterior Legs and Feet 1. Effleurage entire leg to spread oil 2. Deeply effleurage posterior thigh, carrying stroke around greater trochanter 3. Petrissage inner, center and outside of thigh 4. Petrissage gluteal 5. Thoroughly fan gluteals 6. Fan lateral, center, medial thigh 7. Cross-pull inner thigh/ wring entire thigh 8. Effleurage thigh carrying stroke down to back of knee 9. Lightly fan back of knee 10. Effleurage gastrocnemius 11. Petrissage gastrocnemius 12. Fan up center of gastrocnemius 13. Effleurage calf carrying stroke to ankle 14. Rotate and flex ankle 15.Stroke both sides of Achilles tendon 16.Rotate and press knuckle into heel pad 17. Facing distally, using a loose fist, stroke down bottom of foot from heel to toes 18. Fan bottom of foot from heel to toes 19. Gently squeeze, rotate and pull each toe 20. Effleurage entire leg and foot Anterior Legs 1. Effleurage entire limb to spread oil 2. Deeply effleurage the quadriceps 3. Petrissage the quadriceps 4. Thoroughly fan the quadriceps 5. Cross-pull and/or wring the inner thigh 6. Clutch grasp the knee 7. Fan around the knee 8. Effleurage the distal leg 9. Petrissage the distal leg 10. Fan tibialis anterior 11. Fan medial to tibia 12. Fan around ankle 13. With hands on both sides of foot, spread metatarsals 14. Gently trench between metatarsals 15. Pull, rotate, squeeze each toe 16. With gentle pressure, holding the foot at the heel, pull entire limb 17. Effleurage entire limb Abdomen Before removing the sheet: 1. Stand on the client s right side, compress palms around the abdomen clockwise Remove the sheet, repeat step #1 directly on the skin 2. Make large palm circles around abdomen using palms 3. Fan in spiraling circles, finishing at navel 4. Rotate loose fist on and around navel 5. Cross pull over ribs/ trench intercostals from both sides Chest and Arms If client wishes to remain draped, proceed to #4: 1. Standing at head of client, effleurage chest 2. Fan intercostals on both sides of sternum 3. Fan pectorals 4. Palm pectorals up and over deltoids 5. Lightly effleurage entire arm to spread oil 6. Securing arm with inside hand, use outside hand to effleurage upper arm 7. Clutch-grasp triceps 8. Petrissage upper arm 9. Fan inside of elbow 10. Carry stroke to lower arm with effleurage 11. Strip flexors 12. Fan extensors 13. Fan wrist 14. Fan down metacarpals 15. With interlocked fingers, fan palm 16. Squeeze, pull and rotate each finger 17. Effleurage entire arm, giving a gentle pull to the arm as you complete the stroke Repeat from #4 on other side Neck 1. Kneed trapezius with palms up 2. Reach hands down to C-7, press fingertips up, draw hands up spine to occipital ridge 3. Make small deep circles in the suboccipitals 4. Cradling the head in one hand, stroke down the sternocleidomastoid, around the deltoid, and back up on the levator scapula 5. Clutch grasp neck 6. Repeat 4 & 5 on other side Face 1. Beginning with thumbs at the mid line of the forehead, stroke laterally 2. Compress into temples 3. Stroke along eyebrow ridge 4. Stroke along lower eye socket ridge 5. Lightly stroke over closed eyelids 6. With thumbs at bridge of nose, stroke down the nose with one thumb and up the forehead with the other thumb 7. Stroke along side of nose, down cheek bone (zygomatic arch) 8. Compress into masseter 9. Lightly stroke upper lip 10. Milk chin 11. Stroke along mandible out to ears 12. Rub, stroke and unroll ears Head 1. Rub scalp 2. Scratch scalp Closure 1. Lightly place pads of fingertips on forehead 2. Place one hand on chest, one hand on abdomen 3. Place one hand on forehead, one hand on abdomen 4. Gently rock the body 5. Brush the aura 6. Squeeze the feet 7. Pull the feet 8. Any nurturing gesture of completion 23

24 Student Clinic/Public Day Meet and Greet Script 1) Introduction: Greet with a smile and a handshake Hi, my name is and I will be your massage therapist today. 2) Listen and Repeat: Ask your client why they have come to get a massage/ what areas are problems for them. LET THEM TELL YOU. LISTEN. Then summarize what they just said and give them a chance to clarify anything they forgot/ what wasn t communicated. So you would like me to concentrate on [areas]is there anything else you would like me to know? Listen and repeat again 3) Plan of Action: Tell your client how you will address their problems. List modalities that you know/ specialize in clients love to know what your specialty is. Do they need relaxation? Do they need Deep Tissue work?...etc. Clients like to know that you know you have a plan 4) Welcome into Room: Show them where to put things Ask to silence cell phone Do you want them to lie face up for face down? Under the sheet? (yes, some people don t know) Undress to what extent? you can explain: If you would like work on your low back and glutes, it would be better if you remove your underwear. If you re uncomfortable doing so, you can leave them on. Explain that you will leave the room to wash your hands and to give them a chance to disrobe. 5) During the Session Avoid chatty conversation. Ask yes/no questions Would you like more pressure? [Depth/Pressure Is this the area you feel tension in? [Location] Avoid asking Is this OK? [You get no useful information from this question] 24

25 6) Finish the Session Explain that the session is complete, and give them a chance to dress. Bring them water. Say thank you. Your client just gave you a precious hour of trust. Ask if they have any questions or concerns. Encourage their continued health. Schedule their next session? 25

26 Massage Client Intake Form Are you currently experiencing any of the following conditions? Pregnancy Flu or Cold Infection Inflammation* Fever Contagious Disease Chiropractic Treatment Comments: Where do you tend to hold stress in your body? Do you have any especially tender-to-touch areas? Why have you come today for a massage? Please take a moment to carefully read the following information and sign. If you have a specific medical condition or specific symptom, massage/bodywork may be contraindicated. A referral from your primary care provider may be required prior to service. I understand that the massage/bodywork I receive provide for the basic purpose of relaxation and relief of muscular tension. If I experience any pain or discomfort during these sessions, I will immediately inform the practitioner so that the pressure and/or strokes may be adjusted to my level of comfort. I further understand that massage/bodywork should not be construed for medical examination, diagnosis, or treatment and that I should seek help with my physician, chiropractor or other qualified medical specialist for any mental or physical ailment that I am aware of. I understand that massage/bodywork practitioners are not qualified to perform spinal or skeletal adjustments, diagnosis, prescribe, or treat any physical or mental illness. And that nothing said in the course of the session given should be construed as such. Because massage bodywork should not be performed under certain medical conditions, I affirm that I have stated all my known medical conditions, and answered all questions honestly. I agree to keep the practitioner as to any changes in my medical profile and understand that there shall be no liability on the practitioner s part should I forget to do so. It is also understood that any illicit or sexually suggestive remarks or advances made by me will result in immediate termination of the session, and I will be liable for payment of the scheduled appointment: Client Signature Print Name 26

27 Massage Evaluation Form Date Student Name Client Name The purpose of the Clinic Program is to learn and grow from your peers, to build your skill technique and confidence in the service room. This evaluation is intended to be a forum for constructive criticism; honesty is extremely important to the process. Please circle the appropriate number, 1 being Needs Improvement and 5 being Excellent. Greeting, Communication and Intake Process: Did the student greet you with a smile and give an introduction? Were clear directions given once inside the room? Were you asked if there were any areas you would like concentration on? Did the student ask about pressure and adjust accordingly? Contact with Client: Did the student maintain appropriate contact with you throughout the massage? Focus and quality of attention: Was the proper attention paid to areas of concern? Was the service well rounded? Did you feel like the service was complete? Draping Technique: Did you feel comfortable and secure with the draping technique used? Comfort Level: Overall comfort level throughout the service Technical Skill: How was the flow of massage strokes? Did the massage flow from one area of the body to the other? Overall Experience: Comments on what you enjoyed during the service and Suggestions for improvement. 27

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29 ABMP Code of Ethics As a member of Associated Bodywork & Massage Professionals (ABMP), I pledge my commitment to the highest principles of the massage and bodywork profession as outlined here: 1. Commitment to High-Quality Care I will serve the best interests of my clients at all times and provide the highest quality of bodywork and service possible. I recognize that the obligation for building and maintaining an effective, healthy, and safe therapeutic relationship with my clients is my responsibility. 2. Commitment to Do No Harm I will conduct a thorough health history intake process for each client and evaluate the health history to rule out contraindications or determine appropriate session adaptations. If I see signs of, or suspect, an undiagnosed condition that massage may be inappropriate for, I will refer that client to a physician or other qualified health-care professional and delay the massage session until approval from the physician has been granted. I understand the importance of ethical touch and therapeutic intent and will conduct sessions with the sole objective of benefitting the client. 3. Commitment to Honest Representation of Qualifications I will not work outside the commonly accepted scope of practice for massage therapists and bodywork professionals. I will adhere to my state's scope of practice guidelines (when applicable). I will only provide treatments and techniques for which I am fully trained and hold credible credentials. I will carefully evaluate the needs of each client and refer the client to another provider if the client requires work beyond my capabilities, or beyond the capacity of massage and bodywork. I will not use the trademarks and symbols associated with a particular system or group without authentic affiliation. I will acknowledge the limitations of massage and bodywork by refraining from exaggerating the benefits of massage therapy and related services throughout my marketing. 4. Commitment to Uphold the Inherent Worth of All Individuals I will demonstrate compassion, respect, and tolerance for others. I will seek to decrease discrimination, misunderstandings, and prejudice. I understand there are situations when it is appropriate to decline service to a client because it is in the best interests of a client's health, or for my personal safety, but I will not refuse service to any client based on disability, ethnicity, gender, marital status, physical build, or sexual orientation; religious, national, or political affiliation; social or economic status. 5. Commitment to Respect Client Dignity and Basic Rights I will demonstrate my respect for the dignity and rights of all individuals by providing a clean, comfortable, and safe environment for sessions, using appropriate and skilled draping procedures, giving clients recourse in the event of dissatisfaction with treatment, and upholding the integrity of the therapeutic relationship. 6. Commitment to Informed Consent I will recognize a client's right to determine what happens to his or her body. I understand that a client may suffer emotional and physical harm if a therapist fails to listen to the client and imposes his or her own beliefs on a situation. I will fully inform my clients of choices relating to their care, and disclose policies and limitations that may affect their care. I will not provide massage without obtaining a client's informed consent (or that of the guardian or advocate for the client) to the session plan. 29

30 7. Commitment to Confidentiality I will keep client communication and information confidential and will not share client information without the client's written consent, within the limits of the law. I will ensure every effort is made to respect a client's right to privacy and provide an environment where personal health-related details cannot be overheard or seen by others. 8. Commitment to Personal and Professional Boundaries I will refrain from and prevent behaviors that may be considered sexual in my massage practice and uphold the highest professional standards in order to desexualize massage. I will not date a client, engage in sexual intercourse with a client, or allow any level of sexual impropriety (behavior or language) from clients or myself. I understand that sexual impropriety may lead to sexual harassment charges, the loss of my massage credentials, lawsuits for personal damages, criminal charges, fines, attorney's fees, court costs, and jail time. 9. Commitment to Honesty in Business I will know and follow good business practices with regard to record keeping, regulation compliance, and tax law. I will set fair fees and practice honesty throughout my marketing materials. I will not accept gifts, compensation, or other benefits intended to influence a decision related to a client. If I use the Associated Bodywork & Massage Professionals logo, I promise to do so appropriately to establish my credibility and market my practice. 10. Commitment to Professionalism I will maintain clear and honest communication with clients and colleagues. I will not use recreational drugs or alcohol before or during massage sessions. I will project a professional image with respect to my behavior and personal appearance in keeping with the highest standards of the massage profession. I will not actively seek to take someone else's clients, disrespect a client or colleague, or willingly malign another therapist or other allied professional. I will actively strive to positively promote the massage and bodywork profession by committing to self-development and continually building my professional skills. 30

31 -EUS -IUS -US -IS -AE -LE pectineus splenius longus brevis scapulae mandible soleus intermedius magnus subscapularis vertebrae clavicle (pl.) calcaneus gastrocnemius supraspinatus capitis fasciae gluteus radius infraspinatus femoris latae sartorius rectus lateralis spinae trapezius vastus medialis medius humerus tibialis maximus fibularis latissimus piriformis minimus abdominis semitendinosus pectoralis semimembranosus gracilis axis hallucis -OUS -AL -UR -ER -OR spinous carpal femur trochanter levator cervical masseter flexor tarsal extensor occipital erector ishcial minor 31

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