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Massage and Movement
Incorporating Movement into Massage
Part Two: Side-lying and
Supine
With Lee Stang, LMT
NCBTMB #450217-06
1850 West Street
Southington, CT 06489
860.747.6388
www.bridgestohealthseminars.com
[email protected]
1
A bit of a Review
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.
Remember when asking for movement:
§
Be concise in how you ask for movement;
§
Demonstrate or guide them through the movement first
§
Use passive movement to demonstrate the action you want;
§
Make sure the client is doing the action you are looking for;;
§
Do not hesitate to ‘play’ with movement and create!
2
Working in Side-lying
1. Upper Trap: Lengthening
§ Client position: side-lying with shoulder elevated
§ Therapist position: head of table slightly behind client
§ Hand position: fingers/thumb resting on upper lateral edge of trapezius
§ Movement: depression of the shoulder while stripping muscle
2. Latisimus Dorsi: Lengthening
§ Client position: side-lying
§ Therapist position: head of table slightly behind client, supporting clients arm at
45º flexion.
§ Hand position: resting heel of hand on latisimus in axillary region
§ Movement: flexion of the shoulder while stripping muscle toward hip
3.
4.
Serratus Anterior: Ribs
§ Client position: side-lying arm flexed 90º at the shoulder and protraction of
scapula
§ Therapist position: posterior side of client at shoulder level facing hips
§ Hand position: resting on ribcage at lateral scapula border
§ Movement: retraction of scapula while stripping muscle along ribcage toward
opposite hip.
Serratus Anterior: Under Scapula
§ Client position: side-lying arm flexed at the shoulder and retraction of scapula
§ Therapist position: anterior side of client at shoulder level
§ Hand position: superior hand holding clients arm, inferior hand with fingers
placed on ribcage under latisimus dorsi
§ Movement: protraction of the scapula
3
5. Erectors: Lengthening
§ Client position: side-lying; bottom leg bent; top leg straight;
§ Therapist position: behind client at waist/shoulder level, facing feet;
§ Hand position: fingers resting on erector group around T10-12 in direction of
sacrum
§ Movement: hip flexion
6. Quadrates Lumborum: Lengthening
§ Client position: side-lying; bottom leg bent; top leg straight; body in a diagonal
position on table
§ Therapist position: behind client at hip level
§ Hand position:1) supporting leg at the knee; 2) sink into QL pinning muscle
toward head
§ Movement: leg slightly extended off table and adduct leg
7. TFL: Pin and Move
§ Client position: side-lying; bottom leg bent; top leg straight with knee flexed;
body in a diagonal position on table
§ Therapist position: behind client at hip level
§ Hand position: forearm resting on TFL
§ Movement: abduction at the hip
§ Variation: 1)support knee while resting clients foot on therapists’ hip; 2) rest
forearm/elbow on TFL
§ Movement: passive abduction/adduction of hip
4
When adding movement to your work:
§
Decide if you want active or passive
movement;
§
Ask for movement first to see where
restrictions are;
§
Begin with passive movement;
§
Ask for one movement at a time; Be
concise about the movement you want;
§
Guide them through the movement if necessary;
§
Educate client on quality of movement; slow, slow, slow;
§
Engage the tissue at various times throughout the movement to determine
which is most effective;
Working anterior body:
1.
Pec Major: Conductor
§ Client position: supine with arm abducted
§ Therapist position: side of table about waist level facing head
§ Hand position: grasp pec major muscle fingers on top, thumb underneath
§ Movement: client moves arm through range of motion at the shoulder while
therapist holds muscle
2.
Pec Major: Lengthening
§ Client position: supine arm flexed
§ Therapist position: side of table about waist level facing head
§ Hand position: holding arm at elbow; fingers, knuckles, fist at sternal
attachment of pec major
§ Movement: flexion or horizontal abduction while stripping muscle
5
3.
Pec Major: Sternum
§ Client position: supine
§ Therapist position: opposite side of table from muscle
§ Hand position: superior hand – fingers resting on opposite sternal attachments;
inferior hand supporting client arm just above elbow
§ Movement: horizontal adduction as stretch sternal attachments of pec
4.
Pec Minor: Lengthening
§ Client position: supine arm at side
§ Therapist position: head of table
§ Hand position: grasp arm at forearm; fingers on coracoid process
§ Movement: flexion at the shoulder while stripping muscle
5.
Pec Minor: pin and stretch
§ Client position: supine arm at side
§ Therapist position: head of table
§ Hand position: grasp arm at forearm with one hand, fingers on coracoid process
of other hand pinning attachment of pec minor at coracoid process
§ Movement: flexion at the shoulder while pinning muscle
6
6.
Biceps: lengthening
§ Client position: Supine with arm resting on table, elbow flexed
§ Therapist position: same side of table as muscle worked
§ Hand position: fingers, fist, elbow placed at distal bicep just above the elbow
§ Movement: extension at the elbow while stripping muscle, lengthening fibers
7.
Biceps: broadening
§ Client position: Supine with arm slightly abducted but resting on table
§ Therapist position: same side of table as muscle worked
§ Hand position: fingers, fist, elbow placed at distal bicep just above the elbow
§ Movement: flexion at the elbow while crossing the fibers of the muscle,
broadening the fibers
8. Wrist Flexors: broadening
§ Client position: Supine with arm supinated on table, support at the wrist
§ Therapist position: same side of table as muscle worked
§ Hand position: fingers, fist, elbow placed at proximal wrist flexor group
Movement: flexion at the wrist while crossing the fibers of the muscle,
broadening the fibers
9. Wrist Flexors: lengthening
§ Client position: Supine with arm supinated on table, supported at the wrist
§ Therapist position: same side of table as muscle worked
§ Hand position: fingers, fist, elbow placed at distal wrist flexor group
§ Movement: extension at the wrist while stripping fibers of the muscle,
lengthening the fibers
10. Wrist Extensor: broadening
§ Client position: Supine with arm pronated on table, supported at the wrist
§ Therapist position: same side of table as muscle worked
§ Hand position: fingers, fist, elbow placed at proximal wrist extensor group
§ Movement: extension at the wrist while crossing the fibers of the muscle,
broadening the fibers
11. Wrist Extensor: lengthening
§ Client position: Supine with arm pronated on table, supported at the wrist
§ Therapist position: same side of table as muscle worked
§ Hand position: fingers, fist, elbow placed at distal wrist flexor group
§ Movement: flexion at the wrist while stripping fibers of the muscle, lengthening
the fibers.
7
12. Psoas Release:
§ Client position: supine with knee and hip flexed
§ Therapist position: side of table, hip level
§ Hand position: one hand resting on iliacus just inside iliac crest; one hand on
knee
§ Movement: flexion and extension at the hip while sinking into the iliopsoas
§ Variation: Therapist position: side of table with foot on table and client knee
supported on therapist knee
o Hand position: one hand sinking into iliopsoas; one hand on ankle
o Movement: sink into psoas as us client ankle to create a “pump handle”
like movement.
13. Quad Tendon: Lengthening
§ Client position: supine
§ Therapist position: side of table, waist level, facing feet
§ Hand position: grasp leg under knee; soft fist compressing quad tendon
§ Movement: flexion at the hip as compress tendon
14.
§
§
§
§
Quads: Lengthening
Client position: supine, leg off table with knee extended
Therapist position: side of table, knee level, facing head
Hand position: fingers, fist, forearm on thigh just above knee
Movement: flexion at the knee while stripping muscle
§
§
§
§
Quads: Broadening
Client position: supine, leg off table with knee flexed
Therapist position: side of table, knee level, facing head
Hand position: either side of the quad just above knee
Movement: extension at the knee while broadening muscle
15.
8
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