CMT1 Final Review

• Therapist has an open sore or cut
• Ct has a rash, cut, abrasion, infection that would allow the transmission of fluids

• Wear gloves
• Clean with 10% bleach solution
• Surround spill then mop up working inward to avoid splashes
• Soak mop in bleach afterwards

• Roll them away
• Double bag them separate from other linens
• Mark bag "contaminated with body fluids"
• Launder at high temperature
• Wash table with strong disinfectant

• Place right arm across your torso and with the left hand grasp the right elbow from underneath. Apply a gentle pull to the right elbow.
• You should feel a stretch in the back of the right shoulder

• Place your right palm on a door frame with your shoulder abducted to 90 degrees. With bent knee, lung forward with your right leg. Lean your torso into the lunge without moving your right arm.
• You should feel the stretch across your right pectoral region

With elbow extended, bring your right arm out in front of you (shoulder flext to 90 degrees) with palms facing the floor (forearm pronation). With the left hand, grasp the back (dorsal) of your right wrist. Apply a gengle pull downward on the right wrist. You should feel a stretch of the forearm extensors and possibly right elbow.

Facing a wall, place left palm against the wall at shoulder level. Fully flex your right knee, grabbing the dorsal side of your right foot with your right hand. Pull your right heel toward your butt, applying a gentle stretch to the right quad group.

• They warm-up and warm-down the therapist's muscles, helping to prevent the build-up of toxins and break hypertonic holding patterns.
• They don't replace regular massage as part of a self-care plan.

• Entering the ct's personal boundary
• Prevents activation of sympathetic nervous system

45-60 degrees

120-130

• keeping neck in line with spine
• keeping shoulders relaxed and down

• Fever of 101.5 or higher
• First or worst headache
• Unstable hypertension

• Acute flare-up of RA or other inflammatory conditions
• DVT
• Local contagious skin conditions

• Accustom the ct to the therapist's touch
• Promote relaxation
• Used as a transition and closure

• Decreases sympathetic nervous system
• Reflexive effect on circulation
• If vigorous, can stimulate nerve endings

• Open wounds
• Contagious skin conditions
• Gross edema
• Severe varicose veins
• Hyperesthesia
• Very hairy

• Prepare the tissue for deeper techniques- warming the tissue
• Provide continuity between techniques
• Mobilize waste products for increased absorption after more specific work
• Pain relief and to promote relaxation

• Increase in blood and lymph flow- mechanical effect of deeper pressure is used and reflexive effect if less pressure
• Improves mobility of superficial soft tissue, increason ROM
• Decreases sympathetic nervous system firing and in turn reduces pain and hypertonicity

• Distal to injury site
• Chronic edema in the lower limb if related to a heart condition
• Contagious skin condition
• Varicose veins
• Edema in the limbs caused by a thrombus

• Deeper warming of the tissue
• Resolve chronic edema

• Increase local circulation, promoting increased nutrition and removal of waste products
• Breaks up adhesions with the tissue, improving ROM
• Reduces muscle hypertonicity
• Relieves pain

• Acute muscle tears (hear pop or snap)
• Acutely inflamed joints
• Contagious skin conditions
• Varicose veins
• Severely atrophied muscles

On extremities, work on proximal limb first

Work around the problem area first

Treat the antagonist

PSIS

Lateral border of the sacrum

ASIS

Ipsilateral clavicle and GH jt

Bilateral clavicles

Base of the manubrium

Grasp muscle belly and sweep back and forth

Grasp distal limb and swing back and forth

Create a rtythmic wave in the ct's body or limb

• Improves joint action
• Decreases tone in surrounding muscles

Rocking, shaking and tractioning

• Acute injury
• Unhealed fractures
• Ruptured ligaments
• RA
• Peripheral nerve lesions
• Hypermobile joints

Xiphoid process and ASIS

clockwise

Stress hormone that can be reduced by massage