The Massage Routine. Start with your client lying face down - Prone Position. Clean YOUR HANDS and CLIENTS FEET using antibacterial wipes
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1 The Massage Routine Start with your client lying face down - Prone Position Clean YOUR HANDS and CLIENTS FEET using antibacterial wipes!!!! GROUNDING FOR 3 BREATHS TUNE YOUR BREATHING WITH THE CLIENTS!!! LEG (only up to back of knee) Gastrocnemius, Soleus 1. Effleurage 3 2. Caterpillar - gentle pick and push along 3 3. Petrissage - Thumb circles 3 strips 5. Kneading 6. Petrissage - around Achilles tendon 7. Stretch - gentle stretch to calf muscles 8. Calf Shake - to loosen and relax the muscle THIGH Semitendinosus, Semimembranosus, Biceps Femoris 1. Effleurage Caterpillar 3. Petrissage: Thumb circles x 3 strips 5. Heel of Hand - work on iliotibial tract (ITT) WHOLE LOWER EXTREMITY 1. Hacking - up to knee and then thigh 2. Pounding - up to knee and then thigh 3. Effleurage - whole lower extremity London School of Massage 2014 All Rights Reserved: Anatomy, Physiology Pathology & Massage 204
2 BACK Erector Spinae, Trapezius, Latissimus Dorsi, Rhomboids, Levator Scapulae, Teres Major & Minor 1. Effleurage - double palm for efficiency go right round shoulders and come back down again. 2. Petrissage - using Thumbs Circles (+ body weight) travel up towards head, either side of spine. 3. Wringing - primarily to the lower back 4. Kneading - use this technique on the opposite sides of the low back 5. Wax on Wax off - move to other side of body 6. Kneading - use this technique on the opposite sides of the low back 7. Vibration - use full contact of palm and gently apply a movement up whole back 8. Hacking - only on sides of low back - not on thorax or bony parts 9. Cupping - all over back SHOULDERS Deltoid, Upper Trapezius, Supraspinatus, Levator Scapula, Rhomboids, Teres Major& Minor 1. Effleurage - around the shoulders & deltoid muscles 2. Petrissage - upper fibres of trapezius 3. Lift scapula - work on medial scapula border muscles with thumb, reinforced with other hand 4. Wax on Wax off - move to other side of body 5. Lift scapula - work on medial scapula border muscles with thumb, reinforced with other hand 6. Fists - from top of table, on upper fibres of trapezius from base of neck to shoulders. NECK Cervical Erector Spinae, Splenius Capitis, Upper Trapezius 1. Caterpillar - single hand 2. Petrissage - work gently into the occipital muscles London School of Massage 2014 All Rights Reserved: Anatomy, Physiology Pathology & Massage 205
3 3. Effleurage whole back to end section Clean your hands with antibacterial wipes and make sure they are dry SCALP - no oil 1. Combing - comb the hair with fingers 2. Shampoo - work into scalp as if shampooing hair 3. Scalp Flicks - pluck the scalp gently using all fingers quickly 4. Hair Grabs - grab hair in hand and gently move the scalp 5. Rain Drops lightly tap the fingers over the head / (face) Ask client to turn over onto their back - Supine Position Scalp Fascia Clean your hands with antibacterial wipes and make sure they are dry FACE - Use small amount of oil Begin to use oil 1. Effleurage - double thumb/palm for head 3 2. Petrissage Use gentle circular motion to the temples 3 Eyebrows 3 Circle to zygoma drain sinuses Temporalis, Masseter, Obicularis Oculi & Oris 3. Press - apply pressure to middle of the forehead ( Third Eye position) 4. Gentle Mandible Presses 5. Effleurage under chin and front of neck let client know before hand 6. End with holding thumbs at third eye position NECK Sternocleidomastoid, Suboccipital Muscles, Cervical Erector Spinae 1. Effleurage - both shoulders simultaneously under neck 3 2. Train - from top of table work into the cervical muscles rhythmically 3. Petrissage occipital muscles (small muscles at base of head) 4. Effleurage turn head to side and use hand to massage side of neck. Repeat to other side x 3 on each side London School of Massage 2014 All Rights Reserved: Anatomy, Physiology Pathology & Massage 206
4 5. Neck Stretch - stretch the lateral neck muscles; hold for 3 seconds each time 3 on each side HAND 1. Effleurage ( Palms ) - work on clients palm with your own 2. Petrissage - work into the inter-metacarpal spaces, both on the dorsal and palmer surfaces 3. Wrist Passive Rotations - gently rotate the hand at the wrist joint clockwise and then anticlockwise. 4. Finger Pulls - gently pull and stretch the fingers FOREARM Extensors & Flexors, Supinator, Pronator Teres 1. Effleurage - up to elbow single hand movement 2. Caterpillars - work towards the elbow single hand movement 3. Petrissage single hand movement (supinate & pronate the forearm) ARM Deltoid, Biceps, Triceps, Brachialis, Coracobrachialis 1. Effleurage - work towards the shoulder single hand movement 2. Caterpillars - work towards the shoulder single hand movement 3. Petrissage - work on the anterior and lateral aspects of the arm single hand movement STOMACH Rectus Abdominus, External + Internal Obliques 1. Effleurage - work gently in a clockwise direction 2. Effleurage - this time use spiral motions in a clockwise direction 3. Kneading to sides of the stomach 4. Ribs - work into lower Intercostals with open fingers London School of Massage 2014 All Rights Reserved: Anatomy, Physiology Pathology & Massage 207
5 Oil the Whole Lower Extremity THIGH Quadriceps & Adductor Muscles 1. Effleurage using double palm 2. Caterpillar - gentle pick and push along 3 3. Petrissage - Thumb Circles 3 KNEE Synovial Joint 1. Effleurage - work around patella. Do not press onto it directly! 2. Petrissage - work around patella LEG Tibialis Anterior, Peroneus Longus & Brevis, Medial Calf Muscles 1. Effleurage - lateral and medial aspects of the leg 2. Petrissage - work on anterior-lateral side of the leg (working on Tibialis Anterior, Peroneus Longus & Brevis muscles) 5. Ankle Passive Rotations - gently rotate the foot at the ankle joint clockwise and then anticlockwise. Cover the Thigh & Leg leaving the foot exposed FOOT **** Let the client know you are about to work on the feet **** 1. Introduction - gentle foot pulls. Some people are very sensitive in this area. 2. Effleurage - sole of foot with heel of the hand 3. Petrissage - sole: 4. Toe Tugs - gently pull the toes individually 5. Foot Pulls End COVER THE CLIENT WITH TOWELS & END BY GROUNDING 3 BREATHS OFFER WATER ONCE CLIENT IS SITTING London School of Massage 2014 All Rights Reserved: Anatomy, Physiology Pathology & Massage 208
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