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What are the massage therapy Endangerment Sites for the Chest?
Anterior Throat & Sternal Notch
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What concerning structures lie deep to the Anterior Throat& Sternal Notch?
- Nerves-Vagus nerve, Nerves of the tyroid
- Blood Vessels-Blood vessels to the thyroid
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What are the principle steps for the Chest portion of Swedish Massage?
- Effleurage/drain pectorals
- Stretch trapezius
- Petrissage trapezius
- Drain ribs
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What are the first three steps of the Chest portion of Swedish Massage?
- Discretely fold drape down to expose upper chest
- STEP 1-Apply oil & effleurage pectorals from side-to-side to subclavian valves 15x
- STEP 2-Stretch trapezius muscle (avoid pressure to spine)
- STEP 3-Petrissage trapezius muscle
- Apply breast drape/drape abdominals & apply oil
- STEP 4-Drain ribs (each side separately)
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What are the massage therapy Endangerment Sites for the Abdomen?
Umbilicus & Upper Abdomen
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What concerning structures lie deep to the Umbilicus & Upper Abdomen?
- Liver & gallbladder (medial to lateral right side)
- Spleen (Left side)
- Abdominal aorta
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What are the principle steps in the Abdominal section of Swedish Massage?
- Circular effleurage 5x
- Knead
- Colon vibration trace
- Stretch
- Scissor petrissage laterally
- Circular effleurage 5x
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What are the first three steps of the Abdominal section of Swedish Massage?
- STEP1-Circular effleurage abdomen 5x (until warmed)
- STEP 2-Knead abdomen in a clockwise, circular motion (avoid bladder)
- STEP 3-Trace colon in a clockwise, circular manner (reduce pressure over bladder)
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What final steps follow the colon vibration trace in the Abdominal section of Swedish Massage?
- STEP 4- Stretch rectus & transverse abdominis down lines alba to umbilicus, then out & back in
- STEP 5-Scissor petrissage the lateral abdomen on both sides
- STEP 6-Circular effleurage abdomen 5x
- Re-drape abdomen & chest being careful with breast drape
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What are the massage therapy Endangerment Sites for the Face, Scalp & Neck?
- Anterior Triangle of Neck
- Anterior Throat & Sternal Notch
- Posterior Triangle of Neck
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Describe the Anterior Triangle of the Neck Endangerment Site.
- Region bordered by the sternocleidomastoid (SCM).
- Includes the SCM muscle, mandible & trachea.
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What concerning structures lie deep to the Anterior Triangle of the Neck?
- Nerves—Vagus nerve (deep to SCM)
- Blood Vessels—Carotid artery, Jugular vein
- Lymphatic Vessels—Cervical lymph nodes
- Other—Submandibular gland
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Describe the Anterior Throat & Sternal Notch Endangerment Site.
Anterior throat and sternal notch region.
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What concerning structures lie deep to the Anterior Throat & Sternal Notch Endangerment Site?
- Nerves-Vagus nerve
- Blood Vessels-Blood vessels to the thyroid gland
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Describe the Posterior Triangle of Neck Endangerment Site.
Region of posterolateral neck bordered by SCM anteriorly, the trapezius muscle posteriorly, and the clavicle inferiorly.
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What concerning structures lie deep to the Posterior Triangle of Neck Endangerment Site?
- Nerves-Brachial plexus, Facial nerve
- Blood Vessels-Brachiocephalic artery, Brachiocephalic vein, Subclavian artery, Subclavian vein, External Carotid artery
- Bones-Styloid process of temporal bone
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What are the Exercise Caution Sites for the Face, Scalp & Neck?
Eyes-Avoid direct pressure on the eyes
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What are the principle steps for Swedish Massage of the Face & Scalp?
- Stimulate scalp
- Forehead/Eyebrows
- TMJ
- Cheekbones/TMJ/SCM
- Occiput stretch
- Palms over eyes
- Roll over to prone position
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What are the first three steps for Swedish Massage of the Face & Scalp?
- STEP 1-Supporting head, stimulate entire scalp w/fingertips
- STEP 2-Circle thumb petrissage forehead & down over temples
- STEP 3-Draw thumbs, stretching down over eyebrows
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What three optional or D/C steps follow the eyebrow facial eyebrow stretch?
- STEP 4-Circle petrissage over TMJ
- STEP 5-Drain along cheekbones, down into TMJ, then down SCM
- STEP 6-Drain down under chin to SCM
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What are the last 3-4 steps following either the eyebrow stretch or the chin to SCM drain?
- STEP 7-Turn & support head, then LIGHTLY effleurage down SCM into subclavian valves.
- STEP 8-Perform occiput neck stretch
- STEP 9-Gently rest palms over eyes
- Remove neck roll & ask ct. to roll away from you to prone position w/headrest
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