5 1 Kinesiology for Manual Therapies Chapter 5

5 -1 Kinesiology for Manual Therapies Chapter 5 Dimensional Massage Techniques for the Shoulder Girdle Muscles Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -2 Learning Outcomes 5 -1 Define key terms. o 5 -2 List goals of individual techniques. o 5 -3 Describe deep-tissue therapy. o 5 -4 Give examples of some general principles of body mechanics. o Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -3 Learning Outcomes (cont. ) 5 -5 Practice safe body mechanics. ¡ 5 -6 Demonstrate specific techniques on shoulder girdle muscles. ¡ 5 -7 Incorporate dimensional massage therapy techniques in a regular routine or use them when needed. ¡ Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -4 Learning Outcomes 5 -8 Identify two underlying principles for theory of dimensional massage. ¡ 5 -9 Determine safe treatment protocols and refer clients to other health professionals when necessary. ¡ Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -5 Introduction Two significant principles of motion: ¡ Aggregate muscle action: muscles work in groups and in paired opposition. ¡ Law of reaction: For every action there is an opposite and equal reaction. Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -6 Introduction (cont. ) Dimensional massage therapy is a philosophical approach to therapy that is based on science, structure, and soft-tissue functions. ¡ A variety of techniques are used for the client’s benefit. ¡ Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -7 Introduction (cont. ) Muscles perform roles in the functional unit. ¡ Agonists, antagonists, synergists, stabilizers, and neutralizers make up the functional unit. ¡ Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -8 Treatment Protocol A treatment protocol is a synopsis of an overall approach to a massage session. ¡ It must be based on a medical history, interview and SOAP notes, structure of the client, observation skills, palpation, and a dimensional approach to treatment. ¡ Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -9 Treatment Protocol (cont. ) Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -10 Technique Goals and the Mystery of Deep-Tissue Therapy Technique goals are the outcomes expected from choosing techniques for a particular purpose. ¡ Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -11 Technique Goals and the Mystery of Deep-Tissue Therapy (cont. ) Deep-tissue therapy is a series of specific techniques designed to unwind the soft tissue in a particular pattern or sequence with an end result that includes meeting specific goals. ¡ Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -12 Technique Goals and the Mystery of Deep-Tissue Therapy (cont. ) Deep-Tissue Techniques ¡ Jostling ¡ Compression ¡ Stripping Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -13 Technique Goals and the Mystery of Deep-Tissue Therapy (cont. ) Deep-Tissue Techniques ¡ Deep transverse friction or cross-fiber friction ¡ Myofascial stretches ¡ Elliptical movement Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -14 Technique Goals and the Mystery of Deep-Tissue Therapy (cont. ) Deep-Tissue Techniques ¡ Trigger points: latent, active, satellite ¡ Ischemic compression, trigger point release, pincer palpation Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -15 Technique Goals and the Mystery of Deep-Tissue Therapy (cont. ) Deep-Tissue Techniques ¡ Parallel thumbs Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -16 Sequence is a specific series of techniques chosen to accomplish a particular goal in a session. ¡ Always use treatment protocols to determine the sequence of a therapeutic session. ¡ Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -17 Body Mechanics ¡ Good body mechanics utilize ergonomically safe methods and practices to execute techniques that can prevent therapist injury, support self-care, provide balanced energy, and promote a long career in manual therapies. Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -18 Body Mechanics (cont. ) ¡ Keep your back straight Use momentum of movement to assist action ¡ Maintain balance ¡ Bend your knees ¡ Stay over your hands as much as possible ¡ Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -19 Body Mechanics (cont. ) ¡ Relax your thumbs, hands, and arms between techniques ¡ Place your feet in the direction you are headed ¡ Sink into the soft-tissue structures ¡ Never sacrifice yourself to a technique or to the client’s structure Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -20 Body Mechanics (cont. ) Breathe ¡ Center yourself often ¡ Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -21 Dimensional Massage Therapy for the Shoulder Girdle Muscles Start with the supine position. ¡ Slide the shoulders superiorly to passively shorten the upper and middle trapezius. ¡ Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Effleurage around the shoulders Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -22

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Petrissage of the trapezius Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -23

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Closed-palm shaping Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -24

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Alternating-hands neck stretch Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -25

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Cup stripping the upper trapezius Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -26

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Edging the upper trapezius Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -27

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Neck stretch to side Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -28

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Comb the trapezius Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -29

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Hands under back Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -30

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Head rock Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -31

5 -32 Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Myofascial warm-up half-moon Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Myofascial warm-up technique Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -33

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Myofascial pull on the upper trapezius Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -34

5 -35 Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Myofascial stretch on the middle trapezius Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Movement 1 Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -36

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Movement 2 Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -37

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Movement 3 Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -38

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Movement 4 Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -39

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Elliptical movement of the scapula Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -40

5 -41 Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Jostling the middle trapezius Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Compression of the rhomboids Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -42

5 -43 Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Alternating petrissage and compression Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Claw strip the rhomboids Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -44

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Deep transverse friction Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -45

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Straddle and strip Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -46

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Strip the levator Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -47

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Anchor and stretch Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -48

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - DTF rhomboid insertion Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -49

Dimensional Massage Therapy for the Shoulder Girdle Muscles (cont. ) Prone - Parallel thumbs Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved 5 -50

5 -51 Chapter Summary ¡ This chapter introduces the philosophy of dimensional massage, defines treatment protocol, sequence, and specific techniques for deep-tissue therapy. Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -52 Chapter Summary (cont. ) ¡ Dimensional massage techniques for the shoulder girdle region are described and depicted in full-color photographs. ¡ The supine and prone positions are utilized to assist the unwinding of the softtissue of the shoulder girdle structures. Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -53 Chapter Review ¡ The Chapter Review is divided into true and false, short answers, and multiple choice questions. ¡The questions are designed for the students to test their knowledge. Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -54 Explore and Practice Activities in this section are for practice and demonstration. ¡ Every opportunity should be utilized to locate muscular attachments on as many different bodies as possible to support kinesthetic learning. ¡ Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved

5 -55 Explore and Practice Use the muscle cards and book in technique classes, for log hours, or for case studies for reference purposes. ¡ Mc. Graw-Hill © 2011 by The Mc. Graw-Hill Companies, Inc. All rights reserved