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1 Presented by Carole Osborne Author of

2 Side Lying Positioning Maximizing Session Outcomes, Client Comfort, & Therapist Efficiency

3 Content Benefits of side lying positioning How to stabilize, drape, and organize body usage for side lying work Sample of techniques for back, pelvic and pectoral girdles Opening new markets with pregnant, post-surgical, frail and elderly, athletic and emotional processing clients

4 Advantages of Side Lying Opens new markets with special populations Pregnant and postpartum women Overweight individuals Those with postural deviations The frail and/or elderly Post-surgical, oncology and other medical patients Athletes Those needing emotional security

5 Advantages of Side Lying Maximizes cardiac function & prevents supine hypotensive syndrome Prevents uncomfortable sinus congestion & breast compression Avoids pressure on anterior of body Pre- & Perinatal pg. 30 Fig. 2.4 Massage Therapy

6 Advantages of Side Lying Improves access to pectoral and pelvic girdle for therapist Accommodates special alignment needs 4 Facilitates sharing Psychologically comforts and soothes Pre- & Perinatal pg. 30 Fig. 2.4 Massage Therapy

7 Advantages of Side Lying Improved session effectiveness and comfort

8 Advantages of Side Lying Increased safety Decreased liability

9 Essentials of Side Lying Positioning Equipment needs and options Principles of alignment Steps for setup On, off and turning over Draping procedures Body mechanics tips

10 Principles of Side Lying Alignment Firm supports to create neutral position and prevent rolling onto abdomen Entire ceiling-side leg supported anterior of other leg with firm bolster and pillows Hip flexed at 55 to 80 degree angle to torso and knee flexed Horizontal line between hip, knee, and ankle Pre- & Perinatal pg. 51 Box 3.2 Massage Therapy

11 Principles of Side Lying Alignment Horizontal and slightly flexed spinal alignment Appropriate height head pillows to avoid cervical hyperextension or sidebending & acromioclavicular compression Possible additional supports: under top arm, lumbar spine, ribcage and/or greater trochanter Sidelying Positioning System or body Cushion highly recommended

12 Steps to Establishing Side lying Positioning 1. Foundation pillows or cushions on table 2. Client aligned on foundation or aligned at back of table 3. Belly support when required 4. Leg supports 5. Hip knee foot leveled 6. Neck alignment and support 7. Lumbar alignment 8. Hip comfort on table 9. Arm pillow Pre- & Perinatal pg. 54 Fig. 3.6 Massage Therapy

13 Summary of Why Side Lying Prenatally Safety (abdominal pressure and circulation) Encourages sharing and emotional support

14 Free Educational Videos Carole s videos at /videos.php Other side lying videos at ional-series.asp Advantages of Sidelying Tips for Sidelying Positioning Secure SL Draping SL Body Mechanics Massage of the Legs Side Lying Rhythmic Deep Tissue Side Lying Peripartum Pelvic Pain

15 References Archer, P. Therapeutic Massage in Athletics. Baltimore: Lippincott, Williams, and Wilkins, MacDonald G. Massage for the Hospital Patient and Medically Frail Client. Baltimore: Lippincott, Williams, and Wilkins, Osborne C. Pre- and Perinatal Massage Therapy, 2 nd Ed. Baltimore: Lippincott, Williams, and Wilkins, 2011 Osborne-Sheets C. Deep Tissue Sculpting. 2nd Ed. San Diego: Body Therapy Associates, Walton T. Medical Conditions and Massage Therapy. Baltimore: Lippincott, Williams, and Wilkins, Werner R. A Massage Therapist s Guide to Pathology. Baltimore: Lippincott, Williams, and Wilkins, Fifth edition, 2012.

16 Certification in Pre- and Perinatal Massage Therapy Four-day CE certification handson workshops available throughout the U.S Locations: Oregon, Louisiana, Georgia 2013 Locations: California, Chicago, New Jersey, Massachusetts, Seattle, Atlanta, Oregon, and others TBA For schedule of other courses, webinars, and more information: or Balboa Ave. Suite 310 San Diego, CA Facebook: Carole Osborne s Prenatal and Deep Tissue Massage Training

Pregnancy Massage 101: Musculoskeletal Adaptations II Extremities and Neck Focus

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