Class Handouts 1
Posterior Trepidations Torso Rock Torso Rock half-step Torso Rock both sides Torso Rock down body Torso Side Stretch Erector Rock Spinal Rock Lumbo Rock Cha Cha Leg Clay Snake Flop Leg Pound Leg Swing Leg Shake-a-leg Shake Ankle Shake Foot Pull both and shake Passive Joint Movement (PJM) Arm Bounce Wrist & Elbow Bounce Elbow & Shoulder Swing Arm Arm Circles The Shovel Anterior Flop Leg Roll Leg Bounce Pulling from Knee Rotate Hip Joint Rotate Ankle Rotate Toes Arm Rotate Shoulder Rotate Elbow Rotate Wrist Head Slowly Rotate Head 2
Posterior Leg X-Fiber: 1. Gluteus medius - inferior of the iliac crest and out to the greater trochanter 2. Gluteus maximus - along the edge of the sacrum 3. Piriformis - from sacrum (lateral) to the greater trochanter 4. Hamstrings - attachments at the ischial tuberosity down to attachments at the medial tibia and lateral fibula 5. Adductors - from origin at pubic ramus, continuing down medial femur to tibial attachment 6. Tensor fascia latae & iliotibial tract - (working from the opposite side of table) from origin at iliac crest (behind ASIS), down the outside of the leg past the knee through the fibularis muscles ending at the ankle 7. Gastrocnemius - separating and working individual heads starting at the medial and lateral epicondyles just above the knee and continuing to insertion at Achilles tendon 8. Achilles Tendons - working both sides 9. Plantar Foot - knuckle/ elbow X-Fiber foot Apply Oil 1. With one hand on top of the other, press down distally from ischial tuberosity. 2. With one thumb on top of the other, press down inferiorly from ischial tuberosity. 3. With alternating hands, effleurage up hamstrings 4. Gluteals: Palm Blade Thumb With forearm: Iron 3
5. With one hand on top of the other, effleurage deeply up the hamstrings. 6. Hamstrings: Iron Thumb 7. Deeply fan hamstring origins at ischial tuberosity 8. Palm knead toward the heart moving distally down hamstrings 9. Wring adductors 10. Petrissage adductors 11. With knee bent: Palm knead proximally along the iliotibial tract. 12. Palm the iliotibial tract (with knee bent or elbow on your hip) 13. Iliotibial tract: Iron 14. With one hand under the knee, make palm circles with other hand into popliteal crease. 15. Palm knead the fibularis muscles (peroneals) 16. With hands on calf, squeeze circle along fibularis muscles (peroneals) with thumbs and fingers using a lifting up motion. 17. Gastrocnemius: Palm Iron Sit on the table with their ankle resting on your shoulder: Thumb stroke medial and lateral heads Effleurage gastrocnemius down middle of gastrocnemius 4
Alternating hands, cross pull/wring gastrocnemius Clasping hands, squeeze circles down both sides of calf with heals of hands 18. Place foot back on table: Wring foot Pull and rotate the distal leg 19. Straddling your partner: Make small quick circles on the gluteals from the sacroiliac to the ischial tuberosity. Make slower, bigger circles on the gluteals from the iliac crest to the greater trochanter. 5
Anterior Leg Recipe X-Fiber 1. Quadriceps to insertion at Tibial Tuberosity 2. Adductors to Femur & Gracilis insertion at Tibia 3. Tensor Fasiae Latae 4. Iliotibial Tract 5. With foot flat of table, apply compression at Sartorius 6. With knee bent, X-Fiber the Iliacus 7. Tibialis Anterior & Fibularis muscles 8. Tendons at the Retinaculum of Ankle 9. Dorsal Foot Apply oil 10. With one hand on top of the other effleurage up thigh 11. Quadriceps: Palm Thumb Iron 12. Adductors w/ the leg bent out Thumb Wring, w/leg straight on table (you sitting on table) 13. IT Band w/ legs crossed at ankle Palm knead using both hands Palm 6
Iron 14. With foot flat on table Roll thigh between hands Interlock fingers and pull knee Clasp hands & squeeze palm circles up thigh Using hands, squeeze both sides of thigh stroking up quads (going up the leg) Jostle gastrocnemius 15. Tibialis Anterior & Fibularis (With leg back on table turn foot in medially) Palm 16. Gastrocnemius 17. With thumbs on top of foot stretch metatarsals 18. Pressing down with one hand and up with the other separate the metatarsals 19. With hands supporting legs at ankle Pull leg gently Rotate leg laterally Push leg into hip Rotate leg medially 20. Holding both knees rotate bent legs in large circle ( have client s feet in your abdomen) 7
Upper Back Recipe X-Fiber 1. Levator Scapula from the opposite side 2. Upper Trapezius and Supraspinatus from same side 3. Rhomboids 4. Subscapularis 5. Serratus Anterior 6. Lower Trapezius 7. Circles on Infraspinatus 8. Skin Roll back parallel to spine 9. Skin Roll back perpendicular to spine 10. Place one hand on hip, the other under the scapula, stretch side of body 11. With hands crossed, place one hand on sacrum, the other hand parallel to spine moving superiorly with each stretch 12. With hands crossed place one hand on iliac crest, the other hand on the opposite scapula for a diagonal stretch Apply Oil and Effleurage Back 13. With elbow supported on your hip, knuckle out the Supraspinatus and Upper Trapezius 14. Upper Trapezius: Palm, knuckle, trench 15. Supraspinatus: Palm, knuckle, trench 16. Rhomboids: Palm, knuckle, trench, thumb, iron 17. Infraspinatus: Palm, knuckle, trench, thumb, iron 18. up along the vertebral border of scapula and hook fingers around upper trapezius and pull down shoulder 8
Back Recipe 2 1. Skin roll parallel to spine 2. Skin roll perpendicular to spine 3. Place one hand on client s hip, another hand under their scapula to stretch the side 4. With your hands crossed, one hand above ilium the other hand moves up the back stretching every few inches as you work your way up the side of the spine X-Fiber 1. Levator scapula from opposite side 2. Supraspinatus & upper trapezius from same side, use elbow between supraspinatus & trapezius 3. Rhomboids 4. Infraspinatus starting at the root of the spine of the scapula compress small circles 5. Serratus anterior 6. Erector spinae superior to inferior 7. Quadratus lumborum Apply Oil 1. Erector Spinae: Palm, knuckle, trench, thumb, iron 2. Petrissage Teres Major, Teres Minor, Latissimus Dorsi attachments on axillary border 3. Hold arm perpendicular to torso: Palm, knuckle, trench, blade axillary area 4. Alternating hands, palm knead the Erectors away from the spine 5. From opposite side knuckle & trench Latissimus Dorsi 6. along 12 th rib and Iliac Crest from opposite side 7. Quadratus Lumborum: Palm, knuckle, trench, thumb, iron, continue over glutes Repeat on second side On the table: 8. Using fists stroke up Erectors to Neck and out Upper Trapezius 9. Using fingers press rub between each spinous process 9
10. Using fingers make small circles on either side of spine working your way up the back 11. Using fists make larger circles on either side of spine working your way up the back Abdomen 1. Gently rock the torso 2. Deep cross-pull of lattissimus dorsi 3. Alternately push with heel of hand and pull with fingers along rectus abdominis 4. Using fingers, make quick compressions in the direction of peristalsis 5. With gentle pressure, press into solar plexus with palm of hand 6. Using right hand first and following with left, stroke around abdomen in concentric circles 7. Use loose fist to make circles over navel 8. With fingers, stroke superiorly from pelvic bone 9. With fingers and thumb, grab and lift rectus abdominus 10. With one hand over the other, vibrate lightly over navel Neck 1. Cradle head in hand, unilateraly use knuckles to stroke Trap/ SCM from Mastoid Process to Acromion 2. X-Fiber Upper Trapezius attachments 3. With fingers, make circles over transverse process of each cervical vertebrae 4. With hands on both sides of head, alternately push transverse processes laterally with fingers 5. X-Fiber Levator Scapula at superior angle of Scapula 6. Using the flat of finger, X-Fiber Splenius Capitus, Trapezius, and Levator Scapula attachments on neck 7. Use fingers to X-Fiber Scalenes 8. Cervical rock, Head is cradled in hands begin with fingers at C7, press up with fingers, then rock head back to heel of hand, place fingers at C6, rock, C5 and so on 9. Cradling head in palm of hand, rotate the head while keeping the neck straight 10
Chest & Arms X-Fiber Chest: 1. Pectoralis Major: Working on opposite side of table, attachments along sternum and below clavicle 2. Pectoralis Minor: Come to same side, go underneath pectoralis major to access pectoralis minor at the coracoid process attachment to the bicipital groove and the greater and lesser tubercles 3. Intercostals X-Fiber Arms: 4. Head of humerus working greater, lesser tubercles & bicipital groove 5. Deltoids 6. Biceps and Triceps on olecranon process and head of radius 7. Extensors & Flexors attachments at medial & lateral epicondyles of humerus 8. Extensors & Flexors on forearm working proximally to wrist, palm and fingers 9. Tendons at the retinaculum of wrist 10. Hand including Flexor Pollicis. Repeat on other side Chest: Apply Oil 1. Begin with cross pull up back from sacrum (when hand is near scapula, place second hand at sternum below clavicle, palm out from sternum to shoulder while cross pulling back) 2. Palm Pectoralis Major from sternum to shoulder, then knuckle 3. Thumb from clavicle to axilla (arms framing the head) 4. Working on same side of table, petrassage Pectorals 11
5. Palm below clavicle again, then carry the stroke over the deltoids pulling hand over hand along upper traps & up strenocleidomastoid to mastoid process, Repeat on other side Arms: Apply Oil 6. Deltoids: Palm, knuckle, trench and thumb 7. Biceps Brachii: Palm, knuckle, trench and thumb 8. Triceps Brachii: Palm, knuckle, trench and thumb 9. Flexors and Extensors of the arm: Palm, knuckle, trench and thumb 10. With interlocked fingers thumb the palm. 11. Pull, squeeze and rotate each finger. Repeat on other side 12
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