85a Orthopedic Massage: Introduction - Neck Pain!
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1 85a Orthopedic Massage: Introduction - Neck Pain!
2 85a Orthopedic Massage: Introduction - Neck Pain " Class Outline! 5 minutes!!attendance, Breath of Arrival, and Reminders! 10 minutes!lecture:! 25 minutes!lecture:! 15 minutes!active study skills:! 60 minutes!total!
3 85a Orthopedic Massage: Introduction - Neck Pain " Class Outline!! Assignments:! 85a Orthopedic Massage: Outside Massages (2 due at the start of class) NOW!!!!! Written Exam:! 89a Practice MBLEx (100 questions in 120 minutes)!! Quizzes:! 87a Kinesiology Quiz (semispinalis, splenius capitis, and splenius cervicis)! 90a Kinesiology Quiz (erectors, multifidi, rotatores, quadratus lumborum, levator scapula, trapezius, splenius capitis, splenius cervicis, and semispinalis capitis)!! Spot Checks:! 87b Orthopedic Massage: Touch Assessment! Preparation for upcoming classes:!! 86a MBLEx Prep!! 86b Orthopedic Massage: Technique Review and Practice - Neck Pain!
4 Classroom Rules! Punctuality - everybody s time is precious!! Be ready to learn at the start of class; we ll have you out of here on time!! Tardiness: arriving late, returning late after breaks, leaving during class, leaving early! The following are not allowed:!! Bare feet!! Side talking!! Lying down!! Inappropriate clothing!! Food or drink except water!! Phones that are visible in the classroom, bathrooms, or internship! You will receive one verbal warning, then you ll have to leave the room.!
5 Transversospinalis Group" Trail Guide, Page 200! Transversospinalis group:! Multifidi! Rotatores! Semispinalis capitis! These 3 muscles are deep to the erectors.! New to us, the semispinalis capitis muscle can be seen as the twin speed bumps on the posterior neck.! Posterior View!
6 A! O! I! Posterolateral View!
7 A! O! I! Posterior View!
8 A! O! I! Posterior View! Posterior View!
9
10 A! O! I! Posterior View!
11 A! O! I! Posterior View!
12 A! O! I! Posterior View!
13 A! C1/Axis C2/Atlas O! I! C3 C4 C5 C6 C7 T1 T2 T3 T4 Posterior View!
14 A! O! I! Posterior View!
15
16 A! O! I! Posterior View!
17 A! O! I! Posterior View!
18 A! O! I! Posterior View!
19 A! O! I! Posterior View!
20 A! O! I! Posterior View!
21 85a Orthopedic Massage: Introduction - Neck Pain " Packet J - 109!
22 Neuromuscular neck pain Neuromuscular neck pain Hypertonicity either throughout an entire neck muscle or in localized areas of a neck muscle.! Anterior View!
23 Etiology Keeping the head in an upright position places postural strain on cervical muscles and other soft-tissues.! Once the head moves forward of the center of gravity, there is a significant increase in muscle activity to hold the head upright.! This can lead to muscular dysfunction in the form of trigger points or hyper- tonicity in an entire muscle.!
24 Etiology A pain-spasm-pain cycle can result from even slight muscular dysfunction.! Sudden loading of hypertonic cervical muscles can produce symptoms in other areas such as the temporomandibular joint.!
25 Etiology Because many cervical muscles maintain constant isometric contractions during the day just to keep the head erect, patterns of dysfunction are facilitated by the very act of attempting to hold the head upright.! These patterns of dysfunction can have a tendency to recur any time the individual is exposed to physical, psychological, or chemical stressors.!
26 Traditional Treatments Immobilization using a cervical collar! Variable effectiveness: only used if the pain is severe and joint hypermobility is a serious concern.! Rest! Variable effectiveness: continue normal daily functions, but avoid any painful activities.!
27 Traditional Treatments Instruction in body mechanics, stretching, and strength training! Effective: if done properly and regularly! Anti-inflammatory medications! Variable effectiveness: reduces pain if there is inflammation!
28 Considerations and Cautions " for Neuromuscular Neck Pain Neuromuscular pain is established by constant reinforcement. Early in your treatment, encourage the client to change these movement patterns to complement the myofascial manipulation.!
29 Considerations and Cautions " for Neuromuscular Neck Pain Stretching and flexibility enhancement are essential to treating neuromuscular pain. Stretching is most effective after soft-tissue manipulation has enhanced tissue pliability.!
30 Considerations and Cautions " for Neuromuscular Neck Pain This treatment can dramatically alter muscular proprioception resulting in spasms in an easily overloaded muscle. Have the client move slowly and carefully when first getting up from the massage table and for a short time afterward.!
31 Considerations and Cautions " for Neuromuscular Neck Pain Clients with sensitivity during head and neck movement may brace with protective muscle guarding. Be aware of these guarding possibilities, and make sure that your treatment encourages relaxation.!
32 85a Orthopedic Massage: Introduction - Neck Pain!
85b Orthopedic Massage:! Technique Demo and Practice - Neck Pain"
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85b Orthopedic Massage:! Technique Demo and Practice - Neck Pain
85b Orthopedic Massage:! Technique Demo and Practice - Neck Pain 85b Orthopedic Massage:! Technique Demo and Practice - Neck Pain! Class Outline 5 minutes Attendance, Breath of Arrival, and Reminders 10
86b Orthopedic Massage:! Technique Review and Practice - Neck Pain
86b Orthopedic Massage:! Technique Review and Practice - Neck Pain 86b Orthopedic Massage:! Technique Review and Practice - Neck Pain! Class Outline 5 minutes Attendance, Breath of Arrival, and Reminders
72a Orthopedic Massage: Introduction!
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73b Orthopedic Massage: Technique Demo and Practice! Piriformis and Sacroiliac!
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54b Deep Tissue: Technique Demo and Practice - Posterior Lower Body!
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26a A&P: Muscular System -! Fiber Types, Actions, and Contractions
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79a Orthopedic Massage: Introduction! Rotator Cuff and Carpal Tunnel!
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