Massage and Movement

Transcription

1 Massage and Movement Incorporating Movement into Massage Part One: Theory and Technique in Prone With Lee Stang, LMT NCBTMB # West Street Southington, CT

2 Benefits of incorporating movement into your work: Benefits Improves ROM Separates muscle fibers Elongates muscle fibers Increases circulation Breaks up scar tissue and adhesions Improves client awareness of how their body moves The type of movement is: Passive or active Concentric or eccentric contraction Concentric when broadening fibers Eccentric when lengthening fibers Active Movements Concentric contraction: muscle shortens as it contracts broadening the fibers. These techniques facilitate further broadening of fibers Eccentric contraction: muscle lengthens as it contracts lengthening the fibers. These techniques facilitate further lengthening of fibers. Handout technique format: Handout is organized to allow for ease in replication of technique. Each muscle worked includes: position of client, position of therapist relative to client and muscle to be worked; hand position for either broadening or lengthening fibers; and movement required. 2

3 Working the Posterior Body: 1. Levator: lengthening Therapist position: head of the table Hand position: fingers on cervical attachment of levator Movement: shoulder depression while stripping muscle, lengthening fibers 2. Upper Trapezius: lengthening Therapist position: head of table Hand position: fingers or thumb at cervical attachment of upper trap Movement: shoulder depression while stripping muscle, lengthening fibers 3. Rhomboids: lengthening Therapist position: head of table opposite side of muscle worked Hand position: fingers, fist, forearm at spinal attachments of rhomboids Movement: arm off front of table; scapula protraction while stripping muscle, lengthening fibers 4. Rhomboids: broadening with arm off the front of the table Therapist position: head of table same side of muscle worked Hand position: fingers placed perpendicular to muscle fiber direction Movement: arm off front of table; scapula retraction while crossing the fibers of the muscle, broadening fibers 3

4 5. Infraspinatus: lengthening with arm off side of table Therapist position: side of table opposite side of muscle worked Hand position: fingers just below spine of scapula Movement: arm off side of table; medially rotate the arm while stripping muscle, lengthening fibers 6. Infraspinatus: broadening with arm off side of table Therapist position: head of table, same side as muscle worked Hand position: fingers just below spine of scapula Movement: arm off side of table; laterally rotate the arm while crossing the fibers of the muscle, broadening fibers 7. Triceps: lengthening with arm off side of table arm extended at the elbow Therapist position: same side of table as muscle worked Hand position: fingers, fist, elbow placed at distal triceps just above the elbow Movement: flexion at the elbow while stripping muscle, lengthening fibers 8. Triceps: broadening with arm off side of table flexed at the elbow Therapist position: same side of table as muscle worked Hand position: fingers, palms placed on center of muscle belly Movement: extension at the elbow while crossing the fibers of the muscle, broadening the fibers 4

5 9. Lumbar erectors: lengthening Therapist position: same side of table, facing head; even with hips Hand position: fingers on erectors at the Lumbosacral junction Movement: posterior tilt of pelvis while stripping muscles toward head, lengthening fibers 10. Lumbar erectors: broadening Therapist position: opposite side of table as muscle worked Hand position: finger tips in laminal groove opposite side of spine Movement: anterior tilt of pelvis while crossing the fibers of the muscle, broadening fibers 11. Piriformis: lengthening with knee flexed Therapist position: side of table, even with hips Hand position: thumbs, fists, fingers at edge of sacrum over muscle Movement: medial rotation of the leg at the hip while stripping muscle from sacrum to trochanter, lengthening fibers 12. Quadrates Femoris: Frictioning with knee flexed Therapist position: side of table, even with hips Hand position: fingers sink into soft spot between ischeal tuberosity and posterior edge of greater trochanter Movement: medial/lateral rotation of the leg at the hip while frictioning muscle 5

6 13. Joint capsule release ; knee flexed Therapist position: same side of table facing head, even with thighs Hand position: fist placed on trochanter; hand under knee Movement: hip extension as compress trochanter (passive movement only) 14. Hamstrings: Lengthening with knee flexed Therapist position: side of table, knee level facing head Hand position: fingers, fist, forearm on hamstring just above knee Movement: extension of knee while stripping muscle 15. Hamstrings: Broadening with knee extended Therapist position: side of table, hip level facing feet Hand position: either side of hamstrings near proximal attachment Movement: flexion of the knee 16. Gastroc/Soleus Broadening Therapist position: side of table, hip level facing head Hand position: either side of calf near proximal attachment Movement: plantar flexion of the foot 17. Gastroc/Soleus: Lengthening with knee extended Therapist position: side or end of table, foot level facing head Hand position: on or along Achilles tendon Movement: dorsiflexion of the foot 6