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What are the Endangerment Sites for massage of the posterior legs?
- Inguinal Triangle—
- Popliteal Fossa—
- Sciatic Notch—
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Describe the Inguinal Triangle massage therapy Endangerment Site.
- Also called the femoral triangle.
- Triangle formed by the inguinal ligament, adductor longs muscle, and sartorius muscle.
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What concerning structures lie deep to the Inguinal Triangle Endangerment Site?
- Nerves-femoral nerve
- Blood Vessels-femoral artery, femoral vein, external iliac artery, great saphenous vein
- Lymphatic Vessels-inguinal lymph nodes
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Describe the Popliteal Fossa massage therapy Endangerment Site.
Space on the posterior aspect of the knee bordered by the distal hamstrings superiorly and the heads of the gastrocnemius inferiorly.
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What concerning structures lie deep to the Popliteal Fossa Endangerment Site?
- Nerves-tibial nerve, common peroneal nerve
- Blood Vessels-popliteal artery, popliteal vein
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Describe the Sciatic Notch massage therapy Endangerment Site.
Indentation in the pelvis bone located deep to the gluteus Maximus muscle.
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What concerning structures lie deep to the Sciatic Notch Endangerment Site?
Nerves-sciatic nerve
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What are the Caution Sites for massage of the posterior leg?
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What are the massage concerns associated with the ankle?
- No direct pressure to the achilles tendon
- No reflex or stub stimulation during pregnancy
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What are the massage concerns associated with the knee?
No lateral pressure to knees
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What steps are taken to prepare a client for posterior leg massage?
- Place bolster under ankles
- Drape for foot, leg, thigh, and gluteal massage
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What are the first three steps of the Posterior Leg portion of Swedish Massage?
- STEP 1-Effleurage up leg, thigh, and over gluteal muscles (light to heavy) 10x
- STEP 2-Knead plantar foot muscles w/knuckles
- STEP 3-Petrissage gastrocnemius & soleus muscles
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What three steps follow gastrocnemius/soleus petrissage and complete the Posterior Leg portion of Swedish Massage?
- STEP 4-Petrissage hamstrings
- STEP 5-Petrissage gluteal muscles (knead, splay and thumb rolling)
- STEP 6-Effleurage up leg, thigh, and over gluteal muscles (heavy to light) 10x
- Re-Drape Leg
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