Massage Therapy Review: Passing the NCETMB, NCETM, and MBLEx Chapter 4 Therapeutic Massage and Bodywork Assessment © 2011 by The McGraw-Hill Companies, Inc. All rights reserved McGraw-Hill

Pre-class Assignment Review Chapter 4 of your Massage Therapy Review book © 2011 by The McGraw-Hill Companies, Inc. All rights reserved McGraw-Hill

© 2011 by The McGraw-Hill Companies, Inc. All rights reserved Assessment Methods H.O.P.S History Observation Palpation Special Test McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

Assessment Methods, Cont’d Visual Assessments Gait or Walking Patterns Posture Breathing Patterns Sympathetic or Parasympathetic McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

Normal Ranges of Motion Foot Dorsiflexion – 20-30 degrees Plantarflexion – 30-50 degrees Inversion – 50 degrees Eversion – 25 degrees McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

Normal Ranges of Motion, Cont’d Knee Flexion – 160 degrees Extension – 180 degrees McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

Normal Ranges of Motion, Cont’d Hip Flexion 90 degrees if knee is extended 120 degrees if knee is flexed Extension – 20 degrees Internal Rotation – 30 degrees External Rotation – 60 degrees Adduction – 30 degrees Abduction – 45 degrees McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

Normal Ranges of Motion, Cont’d Trunk Flexion – 40-60 degrees Extension – 35 degrees Lateral Flexion – 15-20 degrees Rotation – 10-15 degrees McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

Normal Ranges of Motion, Cont’d Neck Flexion – 80 degrees Extension – 60-70 degrees Lateral Flexion – 35-45 degrees Rotation – 80 degrees McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

Normal Ranges of Motion, Cont’d Shoulder Flexion – 180 degrees Extension – 45-50 degrees Abduction – 180 degrees Adduction – 30-45 degrees Internal Rotation – 30-45 degrees External Rotation – 80 degrees Horizontal Abduction – 30 degrees Horizontal Adduction – 140 degrees McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

© 2011 by The McGraw-Hill Companies, Inc. All rights reserved Endangerment Sites Anterior Triangle of the Neck Common carotid arteries Hyoid Internal jugular vein Thyroid gland Trachea Vagus nerve Lymph nodes McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

Endangerment Sites, Cont’d Posterior Triangle of the Neck Brachial plexus External jugular vein Facial nerve Subclavian artery Styloid process Lymph nodes McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

Endangerment Sites, Cont’d Axillary Axillary arteries and nerves Brachial arteries and plexus Median nerves Musculotaneous nerve Radial and ulnar nerve Axillary lymph nodes Personal space McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

Endangerment Sites, Cont’d Antecubital Area of Elbow Brachial arter Cubital vein Median nerve Radial/ulnar arteries McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

Endangerment Sites, Cont’d Femoral Triangle Femoral artery and nerve Great saphenous vein Obturator nerve Inguinal lymph nodes McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

Endangerment Sites, Cont’d Lower Back Floating ribs Kidneys McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

Endangerment Sites, Cont’d Olecranon Process Ulnar nerve Radial nerve McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

Endangerment Sites, Cont’d Popliteal Fossa Common peroneal nerves Popliteal arteries Tibial nerves McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

© 2011 by The McGraw-Hill Companies, Inc. All rights reserved Postural Analysis Client should be barefoot Begin at head and work to the feet or vice versa Check Feet Achilles Gastrocnemius Popliteal Fold Head Hips Spine Shoulders McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

Understanding Kinesiology Somatic holding patterns Ergonomics Proprioception Gravity McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved

Preventing Injuries to Ourselves as Therapists and Bodyworkers Table height Comfortable clothing Warm-up and stretch Variety of strokes Pressure behind your strokes Proper body mechanics Breathe Smooth movements McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved