Swedish/Core MBLEX

  1. Fully Body Contraindications
    *things that affect the entire system
    • Increase circulation and lymphatic flow, which harm the client because the condition is systemic (ex. flu, fever, cancer, drugs, contagious diseases) and spreads through the body
    • Risks the health of the client or therapist because the condition is contagious
  2. Partial Body Contraindications
    • A small area of the body is infected or injured. Eliminating massage on this part of the body, while still massaging other parts of the body.
    • Will not spread to the therapist or client, or will not further damage the area.
    • Note: partial areas that are contagious, like a rash, should be covered by the client prior to coming in for massage to avoid spreading disease to therapist
  3. Full & Partial Contraindications
    • Imply that a partial contraindication is affecting the the whole body and massage should not be performed
    • Ex. Impetigo
  4. Standard Approaches for some Special Populations
    • Age: under age 18 - consent, child is younger/smaller, the session is generally 20 to 30 min.; geriatric/elderly may need specific accommodations
    • Paraplegic or Quadriplegic: turning over may need assistance; lighter massage will be indicated over the areas that lack sensitivity - helps blood flow to tissues, muscle tone
    • Prenatal Massage: no stipulation on what trimester to do massage; make bolstering adjustments; sideline position
    • Contraindications for Prenatal Massage: Preeclampsia: (form of toxemia characterized by edema, protein in urine and hypertension), Varicose Veins, Modality specific contraindications (hydrotherapy) when integrating other modalities into the massage
    • Other Info for Prenatal Massage: Tapotement can cause cramping in 3rd trimester; Bolstering materials to support neck, abdomen and top of leg
  5. Side-Lying Position is used for a variety of clients. What are some conditions that side-lying supports
    • clients who have difficulty lying prone
    • low back, neck & shoulder pain
    • pregnancy
  6. Endagerment Sites
    *these areas contain nerves, blood vessels and organs that are not protected well enough to sustain deep manipulation or pressure
    • Anterior triangle of the neck
    • Posterior triangle of the neck
    • Sternal notch and anterior throat
    • Inferior to the ear
    • Axillary area
    • Medial brachium - upper humerus, between biceps/triceps
    • Medial epicondyle of the humerus - area involves the ulnar nerve
    • Femoral triangle
    • Popliteal fossa
    • Umbilicus area - includes upper abdomen
    • 12th rib - use caution near kidneys
    • Cubital area - crease of upper extremity, anterior elbow
  7. The overall MECHANICAL effect of massage
    *direct application to tissue
    • assists in heart by "pushing" blood back to the heart
    • assists the lymphatic system by pushing lymph back to the heart
    • creates a rise and fall in pressure, toning vessel walls
    • supports delivery and pick up of substances on its way from and to the heart by temporarily increasing blood flow to an area / *the more blood flow, the healthier things are
  8. The overall REFLEXIVE effect of massage
    • affects the nervous system because vaso-motor nerves respond to massage by relaxing or constricting vessels to direct the blood flow
    • indirectly affects organs via the nervous system
    • creates a temporary increase in blood in an area. This provides the opportunity for greater exchange of nutrients and waste products, which greatly supports tissue health and healing
  9. The overall EFFECTS of massage
    • Increase systems functioning
    • Increases ROM
    • Prevents disease and injury
    • Decreases feelings of anxiety and stress and their effects on the body
    • Increases feelings of well being
    • Increases body awareness
  10. A disruption in the body homeostasis and all attempts by the body to regain homeostasis
  11. Physiologic Stress vs. Psychologic Stress
    • Physiologic: stress introduces a stimulus, like cool temperature, and the body responds with a specific response: shivering.
    • Psychologic: stress is more dependent upon how a person perceives the stressor/situation and how well he/she can create a coping mechanism. It is much more general, instead of just producing one response, many systems become involved.
  12. What is another name for the basic massage movements in Swedish
    Classic strokes
  13. What two systems does massage directly have an affect on
    • circulatory
    • lymphatic
  14. Capillaries are comprised of an arteriole end, midsection and venous end. The arteriole end is were the blood passes on oxygen and nutrient rich molecules into the tissue. The venous end of the capillary absorbs metabolic waste, such as _____ _____ and ____ ____.
    carbon dioxide and uric acid.
  15. ...blood and lymph must rely on other factors as they move back through their respective vessels toward the heart. These three factors are:
    • skeletal muscle contractions
    • the presence of one-way valves in the veins
    • and respiratory movements
  16. What mechanically "pushes" the fluids through the veins and lymphatic vessels. Assisting the heart in its work, tones the vessel walls, and supports the functioning of the one-way valves.
    massage :)
  17. Where is tapping effective and what does it do
    • effective over the face and forehead to relieve tension and invigorate the client
    • tapping in a rhythmic motion sedates larger muscles
  18. Is hacking with the fibers stimulating or less stimulating?
    less stimulating
  19. Hacking across fibers is very ______ and should never be done over a ______ or ______ area as painful cramping may result
    very stimulating and should never be done over a fatigued or hypertonic area....
  20. Where is cupping often performed and what can it help with in this area. What should you prepare your client for with cupping.
    • Can be performed any area, but is often performed over the thoracic area to break up congestion and help move it out of the lungs.
    • Cough is therapeutic, prepare your client for the reaction.
  21. What stroke can startle your client who is deeply relaxed and is also a very stimulating stroke
  22. What tapotement has the deepest effect on the tissue; and should never be performed over fatigued or hypertonic muscles as painful cramping may result.
  23. What is the right of refusal for a therapist
    • The therapist has the right to refuse treatment "if a just and reasonable cause exists."
    • A therapist's refusal must be accompanied with an explanation of why he/she would ultimately compromise the client's care or health by working on the client. This explanation of right of refusal is called disclosure.
  24. What are the therapeutic purposes of massage
    • promoting circulation of the blood and lymph
    • relaxation of muscles
    • relief of pain
    • restoration of metabolic balance
    • and other benefits both physical and mental
  25. Father of Swedish Massage
    "[name] did the Swedish thing"
    Per Henrik Ling
  26. History of Massage:
    What special procedure did the Chinese use?
    What did they also use? ____ and ____
    • special procedure: "amma"
    • acupressure and acupuncture
  27. History of Massage:
    Who did the Chinese influence around 1800 B.C.?
  28. History of Massage:
    What played a big role in Hindu tradition
    • kneading
    • tapotement
    • friction
  29. History of Massage:
    Who embraced massage as part of their physical fitness regimen
  30. Who combined exercise and massage to discover gymnastics
    Aesculpadius, the "god of medicine"
  31. Who is quoted saying, "Hard rubbing bind, much rubbing causes parts to waste, and moderate rubbing makes them grow."
  32. The Romans receive their massage influence from who
  33. Who  proved that massage helped fight disease and sore muscles
    • Tiberius
    • Claudius Galen
    • Plato
  34. Who brought massage to the scientific community by developing the French terminology of effleurage, petrissage and tapotement.
    Dr. Johann Mezger
  35. What year did massage end up in the U.S. and who is credited for the American introduction
    • 1856
    • two brothers, Charles F. and George H. Taylor
  36. What is Professional Touch
    means that ethical and legal conduct is maintained when interacting with a client: the therapist works within the client's boundaries, asks the client for feedback on touch, works within client's comfort/pain zone, provides draping, etc.
  37. What is Therapeutic Touch
    means that the therapist's touch used in a session causes no harm to the client. It feels good and transfers a non-sexual, nurturing quality to the client that expresses caring, safety and trust.
  38. Qualities of Therapeutic Touch
    • Welcome touch
    • Good touch
    • Non-sexual in nature
    • Caring promotes safety
    • Trust
    • Rhythm/slow
    • Being aware/intentional
    • Entering & exiting with consciousness (intent)
    • Causes no harm
    • Gentle
    • Soothing
  39. Qualities of Therapeutic Relationship
    Empathetic Relationship
    • Beingness
    • Honesty, Awareness, Compassion
    • Being in relationship
    • Genuine presence
    • Committed listening
    • Understanding
    • Caring
    • Giving
    • Service
    • Trust
    • Comfort
    • Clear person to person communication and feedback
  40. Qualities of Therapeutic Relationship
    Professional Relationship
    • Clear expectations and boundaries
    • Clear policies and procedures
    • Being a therapeutic model; practice what you preach
    • Standards of Practice, Ethical Codes of Conduct, State Laws, etc.
    • Dual relationships
    • Client coaching and education
    • Follow-up
  41. Qualities of Therapeutic Relationship
    Holding the Client in High Regard
    • Respect
    • Honor
    • Non-judgement
    • Non-prejudice
    • Appreciation
    • Acknowledgement
  42. Qualities of Therapeutic Relationship
    Client-Centered Approach
    • Hospitality
    • Ability to see the client's structural balance
    • Ability to see the client functionally
    • Listen artfully
    • Creating a purposeful protocol
    • Acknowledgement of change
    • Allowing for the existential experience
  43. The tripod
    3 fundamental principles: if one is not balanced, we are not effective
    • honesty
    • compassion
    • awareness
  44. Basic Strokes of Swedish Massage
    • Effleurage: Aura/Ethereal, Feathering, Superficial, Deep
    • Petrissage: Skin rolling, 2-finger, 1-handed, 2-handed, opposing, fulling
    • Friction: Gliding: Palmar, Ulnar, Wringing, Chucking, Rolling / Non-Gliding: Cross fiber, Longitudinal, Circular, Compression
    • Vibration: Vertical, Horizontal, Jostling, Shaking
    • Tapotement: Tapping, Hacking, Cupping, Slapping, Beating
  45. Common Contraindications
    • Undiagnosed Illness
    • Contagious Pathological Conditions
    • Under the influence of Alcohol or Recreational Drugs
    • Inflammation
    • Disease of Circulatory System
    • Disease of Lymphatic System
    • Compromised Immune System
    • Disorders or Disease affecting Nervous System
    • Fever
    • Afflictions of Skin
    • Loss of Intergrity
    • Medications *6 to 8 hrs after last dose
Card Set
Swedish/Core MBLEX
Massage Core, MBLEX