Massage Therapy Review: Passing the NCETMB, NCETM, and MBLEx Chapter 4 Therapeutic Massage and Bodywork Assessment McGraw-Hill © 2011 by The McGraw-Hill.

Massage Therapy Review: Massage Therapy Review: Passing the NCETMB, NCETM, and MBLExPassing the NCETMB, NCETM, and MBLEx

Chapter 4Chapter 4

Therapeutic Massage and Bodywork AssessmentTherapeutic Massage and Bodywork Assessment

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Pre-class AssignmentPre-class Assignment

• Review Chapter Review Chapter 4 of your 4 of your Massage Therapy Massage Therapy Review Review bookbook

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Assessment MethodsAssessment Methods

• H.O.P.SH.O.P.S– History History – ObservationObservation– PalpationPalpation– Special TestSpecial Test

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Assessment Methods, Cont’dAssessment Methods, Cont’d

• Visual AssessmentsVisual Assessments– Gait or Walking PatternsGait or Walking Patterns

– PosturePosture

– Breathing PatternsBreathing Patterns

– Sympathetic or ParasympatheticSympathetic or Parasympathetic

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Normal Ranges of MotionNormal Ranges of Motion

• FootFoot– Dorsiflexion – 20-30 degreesDorsiflexion – 20-30 degrees– Plantarflexion – 30-50 degreesPlantarflexion – 30-50 degrees– Inversion – 50 degreesInversion – 50 degrees– Eversion – 25 degreesEversion – 25 degrees

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Normal Ranges of Motion, Cont’dNormal Ranges of Motion, Cont’d

• KneeKnee– Flexion – 160 degreesFlexion – 160 degrees– Extension – 180 degreesExtension – 180 degrees

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Normal Ranges of Motion, Cont’dNormal Ranges of Motion, Cont’d

• HipHip– Flexion Flexion

• 90 degrees if knee is extended90 degrees if knee is extended

• 120 degrees if knee is flexed120 degrees if knee is flexed

– Extension – 20 degreesExtension – 20 degrees– Internal Rotation – 30 degrees Internal Rotation – 30 degrees – External Rotation – 60 degreesExternal Rotation – 60 degrees– Adduction – 30 degreesAdduction – 30 degrees– Abduction – 45 degreesAbduction – 45 degrees

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Normal Ranges of Motion, Cont’dNormal Ranges of Motion, Cont’d

• TrunkTrunk– Flexion – 40-60 degreesFlexion – 40-60 degrees– Extension – 35 degreesExtension – 35 degrees– Lateral Flexion – 15-20 degreesLateral Flexion – 15-20 degrees– Rotation – 10-15 degreesRotation – 10-15 degrees

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Normal Ranges of Motion, Cont’dNormal Ranges of Motion, Cont’d

• NeckNeck– Flexion – 80 degreesFlexion – 80 degrees– Extension – 60-70 degreesExtension – 60-70 degrees– Lateral Flexion – 35-45 degreesLateral Flexion – 35-45 degrees– Rotation – 80 degreesRotation – 80 degrees

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Normal Ranges of Motion, Cont’dNormal Ranges of Motion, Cont’d

• ShoulderShoulder– Flexion – 180 degreesFlexion – 180 degrees– Extension – 45-50 degreesExtension – 45-50 degrees– Abduction – 180 degreesAbduction – 180 degrees– Adduction – 30-45 degreesAdduction – 30-45 degrees– Internal Rotation – 30-45 degreesInternal Rotation – 30-45 degrees– External Rotation – 80 degreesExternal Rotation – 80 degrees– Horizontal Abduction – 30 degreesHorizontal Abduction – 30 degrees– Horizontal Adduction – 140 degreesHorizontal Adduction – 140 degrees

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Endangerment SitesEndangerment Sites

• Anterior Triangle of the NeckAnterior Triangle of the Neck– Common carotid arteriesCommon carotid arteries

– Hyoid Hyoid

– Internal jugular veinInternal jugular vein

– Thyroid glandThyroid gland

– TracheaTrachea

– Vagus nerveVagus nerve

– Lymph nodesLymph nodes

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Endangerment Sites, Cont’dEndangerment Sites, Cont’d

• Posterior Triangle of the NeckPosterior Triangle of the Neck– Brachial plexusBrachial plexus

– External jugular veinExternal jugular vein

– Facial nerveFacial nerve

– Subclavian arterySubclavian artery

– Styloid processStyloid process

– Lymph nodesLymph nodes

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Endangerment Sites, Cont’dEndangerment Sites, Cont’d

• AxillaryAxillary– Axillary arteries and nervesAxillary arteries and nerves– Brachial arteries and plexusBrachial arteries and plexus– Median nervesMedian nerves– Musculotaneous nerveMusculotaneous nerve– Radial and ulnar nerveRadial and ulnar nerve– Axillary lymph nodesAxillary lymph nodes– Personal spacePersonal space

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Endangerment Sites, Cont’dEndangerment Sites, Cont’d

• Antecubital Area of ElbowAntecubital Area of Elbow– Brachial arterBrachial arter

– Cubital veinCubital vein

– Median nerveMedian nerve

– Radial/ulnar arteriesRadial/ulnar arteries

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Endangerment Sites, Cont’dEndangerment Sites, Cont’d

• Femoral TriangleFemoral Triangle– Femoral artery and nerveFemoral artery and nerve

– Great saphenous veinGreat saphenous vein

– Obturator nerveObturator nerve

– Inguinal lymph nodesInguinal lymph nodes

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Endangerment Sites, Cont’dEndangerment Sites, Cont’d

• Lower BackLower Back– Floating ribsFloating ribs

– KidneysKidneys

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Endangerment Sites, Cont’dEndangerment Sites, Cont’d

• Olecranon ProcessOlecranon Process– Ulnar nerveUlnar nerve

– Radial nerveRadial nerve

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Endangerment Sites, Cont’dEndangerment Sites, Cont’d

• Popliteal FossaPopliteal Fossa– Common peroneal nervesCommon peroneal nerves

– Popliteal arteriesPopliteal arteries

– Tibial nervesTibial nerves

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Postural AnalysisPostural Analysis• Client should be barefootClient should be barefoot• Begin at head and work to the feet or vice versaBegin at head and work to the feet or vice versa• Check Check

– FeetFeet– AchillesAchilles– GastrocnemiusGastrocnemius– Popliteal FoldPopliteal Fold– HeadHead– HipsHips– SpineSpine– ShouldersShoulders

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Understanding KinesiologyUnderstanding Kinesiology

• Somatic holding patternsSomatic holding patterns

• ErgonomicsErgonomics

• ProprioceptionProprioception

• GravityGravity

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Preventing Injuries to Ourselves as Preventing Injuries to Ourselves as Therapists and BodyworkersTherapists and Bodyworkers

• Table heightTable height

• Comfortable clothingComfortable clothing

• Warm-up and stretchWarm-up and stretch

• Variety of strokesVariety of strokes

• Pressure behind your strokesPressure behind your strokes

• Proper body mechanicsProper body mechanics

• BreatheBreathe

• Smooth movementsSmooth movements

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