The Scalp and Face Protocol. Julie Goodwin, BA, LMT

Transcription

1 The Scalp and Face Protocol Julie Goodwin, BA, LMT

2 The Scalp and Face Protocol Julie Goodwin, BA, LMT Julie Goodwin

3 Agenda Pertinent Anatomy and Physiology Treatment Planning Strokes, Techniques Demonstration, Partnered Practice Julie Goodwin

4 Anatomy and Physiology of the Skull and Face Julie Goodwin

5 Bones of the Skull and Face Parietal Frontal Temporal Sphenoid Occipital Nasal Zygomatic Julie Goodwin

6 Sutures of the Skull Parietal Coronal Squamosal Lamboidal Julie Goodwin

7 Facial Muscles Julie Goodwin

8 Circular Facial Muscles Orbicularis oculi Orbicularis oris Modioli Julie Goodwin

9 Muscles that Move the Brow Frontalis Corrugator supercilii Julie Goodwin

10 Muscles that Move the Nose Procerus Nasalis Julie Goodwin

11 Muscles that Elevate the Mouth Levator labii superioris alaeque nasi Levator labii superioris Levator anguli oris Julie Goodwin

12 Muscles that Elevate the Mouth Zygomaticus minor Zygomaticus major Julie Goodwin

13 Muscles that Move the Mouth Laterally Risorius Buccinator Julie Goodwin

14 Muscles that Depress the Mouth Depressor anguli oris Depressor labii inferioris Julie Goodwin

15 Muscles that Depress the Mouth Mentalis Platysma

16 Muscles that Move the Mandible Temporalis Masseter Julie Goodwin

17 Muscles that Move the Ears Auriculares Anterior Superior Posterior Julie Goodwin

18 Blood Supply Julie Goodwin

19 Capillaries Julie Goodwin

20 Nerve Supply Julie Goodwin

21 Salivary Glands Julie Goodwin

22 Lymph Nodes Julie Goodwin

23 Sinuses Julie Goodwin

24 Treatment Planning

25 The Client Experience Specific, detailed treatment Sutures joints of the skull Landmarks of the skull Muscles of facial expression, mastication Ears, stabilizing structures Non-demanding touch experience No disrobing, repositioning No manipulation of extremities No or minimal lubrication Julie Goodwin

26 Effects Stimulates local circulation Appropriate when stimulating systemic circulation is contraindicated Gently mobilizes joints Relaxes muscles Reduces swelling Lubricates skin When small amount of oil used Julie Goodwin

27 Strokes Joint mobilizations Sutures of the skull Compressions Using fingertips Petrissage circles Using finger pads Julie Goodwin

28 Tissue pinches Strokes Pinch, lift tissue, using thumb, index finger Vibration Using fingertips Support head with mother hand Percussion Using tip of second ginger Direct downward to create resonance Julie Goodwin

29 Techniques Strokes are precise, localized Skin not stretched, pulled Pace is brisk, rhythmic Each structure fully supported When lubricant used: Unscented food-grade oil; apply minimally to your hands For facial hair, adjust stroke direction, to avoid excess friction Julie Goodwin

30 Sit comfortably Techniques Feet rest easily on floor Forearms at 90 degrees Maintain stacked posture Avoid slumping, bowing head Keep hands relaxed Periodically assess pressure, hand tension Julie Goodwin

31 Indications TMJD Chronic sinusitis Eye strain Following dental procedures Before public speaking, photo shoot When full body work contraindicated Julie Goodwin

32 Aging skin (65+) Cautions Dentures, dental plates, orthodontia Recent cosmetic procedure, dental surgery During chemotherapy Family or personal history of skin cancer Plus the following conditions Julie Goodwin

33 Cautions Bell s palsy Trigeminal neuralgia Julie Goodwin

34 Local Contraindications Rash, non-intact skin, inflammation Undiagnosed lesion or growth Site of recent lesion removal; unhealed scar Elevated mole, piercings, studs Around eye, when contacts left in Recent eye surgery Plus, the following conditions: Julie Goodwin

35 Local Contraindications Skin tags Julie Goodwin

36 Local Contraindications Seborrheic keratosis Actinic keratosis Julie Goodwin

37 Local Contraindications Rosacea Basal cell carcinoma Julie Goodwin

38 Absolute Contraindications Cold sore Stye Conjunctivitis Julie Goodwin

39 Absolute Contraindications Cystic acne Impetigo Cellulitis Julie Goodwin

40 Absolute Contraindications Squamous cell carcinoma Melanoma Julie Goodwin

41 Endangerment Sites Within eye orbit Anterior to ear Parotid glands Julie Goodwin

42 Demonstration

43 Before You Begin Ask client to remove eyeglasses, earrings Examine skin for areas of caution, local contraindication Move hair, collar away from face; assess need for cervical support Optional: small amount of oil in hands, following suture work Julie Goodwin

44 Opening Mobilize sutures of the skull Coronal squamosal Lamboidal parietal Fingertip petrissage circles Rotate head, as needed Ease pressure at coronal-parietal articulation Julie Goodwin

45 Forehead Muscles: Unilateral Frontalis Fingertip petrissage circles Work in successive rows, from inner brow to hairline Corrugator supercilii Fingertip compressions, petrissage circles Vibrations, percussion Julie Goodwin

46 Around the Eye: Unilateral Orbicularis oculi Fingertip compressions Petrissage circles Superior segment only: Pinches Vibration Julie Goodwin

47 Bilateral Eyes Place drop of oil in palm (optional) Rub hands together briskly, generating heat Place palms over both eyes, to transfer heat

48 Midline Facial Muscles Procerus Pinch/lift gently away from nasal bone Hold, 5 seconds Nasalis Fingertip petrissage circles over nasal bone segment only Julie Goodwin

49 Sinuses Frontal, maxillary Percussion: alternating, gentle, unilateral pressure, using second finger Keep wrists loose! Downward direction of stroke creates resonance in sinus chambers Julie Goodwin

50 Muscles Superior to the Mouth: Unilateral Levator labii superioris alaeque nasi Levator labii superioris Levator anguli oris Zygomaticus minor Zygomaticus major Fingertip petrissage circles Work toward orbicularis oris Julie Goodwin

51 Muscles Lateral to the Mouth: Unilateral Risorius, buccinator: Fingertip compressions Anchor thumb or index finger in modiolus Direct strokes toward orbicularis oris Julie Goodwin

52 The Mouth Orbicularis oris Pinch, lift tissue Back-and-forth From side-to-side

53 Muscles Inferior to the Mouth: Unilateral Depressor anguli oris Depressor labii inferioris Mentalis Fingertip petrissage circles, pinches Anchor thumb or index finger in modiolus Direct strokes toward orbicularis oris Julie Goodwin

54 Mastication Muscles: Unilateral Masseter (Turn head to each side) Fingertip compressions, petrissage circles Vibrations Percussion, from origin to insertion Temporalis, temporoparietalis Fingertip petrissage circles Julie Goodwin

55 Muscles around the Ears: Bilateral Auriculares: gently, firmly move entire ear Toward ceiling Stretches posterior auricular Toward client s feet Stretches superior auricular Toward floor Stretches anterior auricular Julie Goodwin

56 Closing Thoroughly massage ears, scalp Sweep gently up face several times with both hands, from beneath chin to hairline Gently grasp hank of hair with both hands: lean backwards to create gentle pull Julie Goodwin 2014