1. Massage Therapy Review: Passing the NCETMB, NCETM, and MBLEx
Chapter 4
Therapeutic Massage and Bodywork Assessment
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2. Pre-class Assignment
Review Chapter 4 of your Massage Therapy Review book
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3. © 2011 by The McGraw-Hill Companies, Inc. All rights reserved
Assessment Methods
H.O.P.S
History
Observation
Palpation
Special Test
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4. Assessment Methods, Cont’d
Visual Assessments
Gait or Walking Patterns
Posture
Breathing Patterns
Sympathetic or Parasympathetic
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5. Normal Ranges of Motion
Foot
Dorsiflexion – degrees
Plantarflexion – degrees
Inversion – 50 degrees
Eversion – 25 degrees
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6. Normal Ranges of Motion, Cont’d
Knee
Flexion – 160 degrees
Extension – 180 degrees
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7. 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
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8. Normal Ranges of Motion, Cont’d
Trunk
Flexion – degrees
Extension – 35 degrees
Lateral Flexion – degrees
Rotation – degrees
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9. Normal Ranges of Motion, Cont’d
Neck
Flexion – 80 degrees
Extension – degrees
Lateral Flexion – degrees
Rotation – 80 degrees
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10. Normal Ranges of Motion, Cont’d
Shoulder
Flexion – 180 degrees
Extension – degrees
Abduction – 180 degrees
Adduction – degrees
Internal Rotation – degrees
External Rotation – 80 degrees
Horizontal Abduction – 30 degrees
Horizontal Adduction – 140 degrees
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11. © 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
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12. Endangerment Sites, Cont’d
Posterior Triangle of the Neck
Brachial plexus
External jugular vein
Facial nerve
Subclavian artery
Styloid process
Lymph nodes
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13. 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
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14. Endangerment Sites, Cont’d
Antecubital Area of Elbow
Brachial arter
Cubital vein
Median nerve
Radial/ulnar arteries
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15. Endangerment Sites, Cont’d
Femoral Triangle
Femoral artery and nerve
Great saphenous vein
Obturator nerve
Inguinal lymph nodes
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16. Endangerment Sites, Cont’d
Lower Back
Floating ribs
Kidneys
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17. Endangerment Sites, Cont’d
Olecranon Process
Ulnar nerve
Radial nerve
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18. Endangerment Sites, Cont’d
Popliteal Fossa
Common peroneal nerves
Popliteal arteries
Tibial nerves
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19. © 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
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20. Understanding Kinesiology
Somatic holding patterns
Ergonomics
Proprioception
Gravity
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21. 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
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