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Massage and Movement
Incorporating Movement into Massage
Part One: Theory and
Technique in Prone
With Lee Stang, LMT
NCBTMB #450217-06
1850 West Street
Southington, CT 06489
860.747.6388
www.bridgestohealthseminars.com
[email protected]
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Benefits of incorporating movement into your work:
Benefits
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Improves ROM
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Separates muscle fibers
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Elongates muscle fibers
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Increases circulation
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Breaks up scar tissue and adhesions
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Improves client awareness of how their body moves
The type of movement is:
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Passive or active
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Concentric or eccentric contraction
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Concentric when broadening fibers
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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.
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Working the Posterior Body:
1. Levator: lengthening
§ Client position: prone
§ 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
§ Client position: prone
§ 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
§ Client position: prone
§ 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
§ Client position: prone 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
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Infraspinatus: lengthening
§ Client position: prone 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
Infraspinatus: broadening
Client position: prone 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
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Triceps: lengthening
§ Client position: prone 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
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Triceps: broadening
§ Client position: prone 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
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9.
Lumbar erectors: lengthening
§ Client position: prone
§ 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
§ Client position: prone
§ 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
§ Client position: prone 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
§ Client position: prone 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
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13. Joint capsule release
§ Client position: prone; 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)
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Hamstrings: Lengthening
Client position: prone 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
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Hamstrings: Broadening
Client position: prone 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
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16. Gastroc/Soleus Broadening
§ Client position: prone
§ 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
§ Client position: prone 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
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