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Massage & Aromatherapy for children with special needs Paula Brown - MIFPA Frederick Leboyer, author of Loving Hands “Touching is the first communication a baby receives. The first language of its development is through the skin.” Why is Massage Good for Children? Loving touch is vital to all babies and children. As well as being an important 'bonding tool', massage is one way of expressing loving touch; Massage stimulates all the body systems It develops self esteem Promotes relaxation and induces feelings of calm. Bonding and Communication Bonding and communication enhanced . The child is engaged by his parents touch, eye contact, speech, body movement and facial expression. The child responds with similar signals which stimulates further response from his parent. Over time, this reciprocal interaction deepens and strengthens bonding. Sometimes parents of children with disabilities or special needs can feel out of touch with their child if they have difficulty responding to their cues due to impairments affecting sight, hearing, touch, verbal communication, body movement and disorders affecting behaviour. Benefits of Massage Stimulates circulation and increases the flow of oxygen around the body Stimulates digestion and elimination of waste thus helping with colic or constipation. It may also help premature babies absorb food and gain weight more easily Stimulates the flow of lymph and elimination of toxins which will aid the immune system and help resistance to infections Encourages muscle co-ordination Stimulates the central nervous system which is important for both neurological and motor development Benefits of Massage Improves skin condition Can aid recovery from childhood ailments such as asthma, catarrh, sleep problems, eczema Stimulates release of endorphins (happy hormones) that induce feelings of well-being Stimulates awareness Reduces anxiety Benefits of massage Rose recounts her work with a teenager born with gastroschisis (a congenital abnormality in the abdominal wall) whose repeated hospital stays since birth were often punctuated by sleepless days and nights. Sleep finally came, the parents reported, after Rose had administered a basic Swedish massage to the girl’s neck, back, feet, and legs. Another of Rose’s patients, an eighteen-month-old with a life- threatening disease, was reported by the staff to be irritable and uncomfortable. Most of the child’s body was inaccessible because of medical interventions, but Rose was able to apply comfort holds to the feet, resulting in the child calming down. Issues for children with special needs Each condition is different & will need adaptations e.g gastronomy, cerebral palsy Many children have sensory issues – strong strokes so as not to over stimulate Children with learning disabilities (LD)or autism can be either hypersensitive or hyposensitive to stimuli. Pressing, stroking, squeezing and tapping can help to balance & calm children so they can function in school & at home Conditions such as LD & autism have comorbidities such as pain & compromised immune system – massage helps. Adapting positions Comfort holds A comfort hold is simply encompassing a specific area of the body and holding. The hold does not involve pressure, but is firm, directed, and intentional. The holds are useful for calming children An example is to hold the forehead with one hand and C–7 with the other. The palm encompasses the greatest area; fingers are closed but soft. Comfort holds The solar plexus area of the hands or feet is also an excellent location for a comfort hold. These holds calm the central nervous system, which is demonstrated by the patient’s breathing What to massage with Grapeseed Oil – The colour of this one is almost colourless or pale green which contains vitamins, minerals & protein and is very light & easily absorbed on you skin; Hazelnut Oil - This colour is yellow. It is very rich in vitamins & fatty acids. This is good for restructuring this skin and get the oil into the bloodstream, plus it leaves a soft silky feeling; Rosehip Seed Oil – This oil is colourless. It contains a high levels of linoleic & Fatty acids, which is particularly important for tissue regeneration; Wheatgerm Oil – This is a yellow to orange colour. It is rich in vitamins, phosphorous, zinc, iron sulphur & essential fatty acids. It is great for nervous systems, skin irritation, scar tissue and stretched skin; What to massage with Apricot Kernel Oil – This is a very pale yellow & contains minerals &vitamins, it has a light soothing feel and is easily absorbed with nutrition for the skin; Avocado Oil – This is a dark green colour & contains vitamins & proteins, lecithin & essential fatty acids, which is very good for dry skin, skin irritations; Camellia Oil – This is a clear color and contains oleic acid which is an essential fatty acid, that works as a lubrication oil that leaves skin soft & silky; Evening Primrose Oil - This is a pale yellow and contains a high level of gamma linoleic acid, vitamins & minerals which is excellent for treating psoriasis & eczema and increases blood flow to the surface of the skin; Sweet almond - High in Vitamins A, B1, B2, B6 and Vitamin E. It is odourless and comes from pressed almonds & is a great moisturiser. If you do not want to use an oil it is possible to use an aqueous cream as a massage lubricant Aromatherapy Aromatherapy is the controlled use of essential oils by different methods to enhance the well-being of the mind, body and spirit. It uses pure essences from plants, which may have a preventative effect, helping to care for common ailments while working alongside medical treatment in the healing process. Essential oils are highly fragrant, volatile and are extracted from flowers, leaves, twigs, bark, roots and fruits of many common plants. The essential oils have many different properties and as research has shown, can be stimulating, anti-infectious, anti-inflammatory, relaxing, calming, soothing and uplifting. Aromatherapy, therefore, has the ability to affect the emotions, promote bodily well-being and balance psychologically. Aromatherapy is beneficial to most people in most circumstances. Essential oils must be diluted and used with care and can be effective for a wide client group. Aromatherapy Is aromatherapy safe for children with special needs? Yes but as with everything take sensible precautions Flammable Not to be ingested Low dilution Keep out of the reach of children Use bottles with droppers Do not use un-diluted on the skin – (exception tea tree & lavender after patch testing) Aromatherapy When is the best time to massage? No fixed rules Cue child in – familiar signals/light/sound/touch When you have time When not to massage? When your child is unwell (depends on illness) When you’re rushed/stressed (but it can help too!) Over broken skin or bruises Can be really beneficial if there are lots of medical interventions – different type of touch/pleasurable Can involve other members of the family/trusted friends to give a mum or dad a break too Hand massage Apply oil over hands and wrists Use ‘spreading’ movements over the back of the hand Small circular movements over wrists. Pull down with thumbs between the bones on the back of the hand Massage knuckles Squeeze each finger top/bottom & then side to side Pull very gently and squeeze off at fingertip. Turn hand over and knead palm. Pressure on fingers, squeezing each section of the finger gently from palm to tip. Small circle over inside of wrist. With your palm massage your partners palm Turn arm over, and suse spreading movement over the whole hand. Squeeze clients hand between your own gently, and slide off to finish. Repeat on other hand