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Irene’s Myomassology Institute ANTERIOR LEG MASSAGE 1 Session 11 A. Definition/Description Systematic and scientific use of pressure, movement and reflex points to affect the musculoskeletal, circulatory, nervous and lymphatic system B. Effects of techniques a. Movement to stretch soft tissue to maintain and/or increase ROM and mobility b. Reflex of spine to tibia depressions, knee reflexes to neck/head c. Light pressure to change pressure in vessels and move fluid/waste from interstitial space into vessels d. Pressure over tendons activates golgi tendon organs (GTO) to release muscle hypertonicity (tension, tightness, spasm) e. Pressure over muscle bellies to activate faster nerve fibers (gate theory) f. Resistance to relax muscle (stimulate relaxation response by isometric contraction) g. Vibration to help mobilize talocrural joint C. Clinical considerations a. Muscle tension b. Sciatic pain c. Edema d. Joint stiffness or tightness D. Contraindications a. Deep vein thrombosis – use caution with any pressure moves, note edema(pitted) b. Do not vibrate ankle area during pregnancy c. Do not massage during cases of acute muscle injury d. Use caution when stretching leg (session14, step5) on hip replacement E. Protocol a. Stretch, do not bounce b. Gracilis Release i. Cross body technique ii. Support flexed leg with bolster iii. Passive movement only ( will not work if client helps) iv. Gently move client’s thigh into your loose fist (do not push fist into the muscle) v. Complete when gracilis tension is released 1|Page Irene’s Myomassology Institute ANTERIOR LEG MASSAGE 1 Session 11 c. Lymphatic drain i. Begin work proximal and move to distal Begin at medial aspect of limb Stroke toward the body (centripetal direction) ii. Stroking to increase lymph flow iii. Complete : Lessening of edema More Information about the Lymphatic system will be given in Physiology and Pathology d. Posterior Leg Stretch i. Work within client’s ROM, knee should stay soft, but not bent (indication of tight hamstrings) ii. Press down on client’s foot when moving into end ROM, and when giving resistance iii. Allow client to relax before repeating movement iv. Breathe v. Complete: when no further ROM is achieved e. Pressure points i. Apply pressure gradually ii. Hold for 6-10 seconds iii. Release pressure gradually iv. Complete: when tension releases 2|Page