subject 3 foundations of massage 1 - evolve · 2016-08-02 · subject 03 foundations of massage 1...

Subject 03 Foundations of Massage 1 v15.04

SUBJECT 3

Foundations of Massage 1

HLT50307 Diploma of Remedial Massage HLT40312 Certificate IV in Massage Therapy Practice

studymassage.com.au National Office: 98 York Street South Melbourne Victoria 3205

Subject 03 Foundations of Massage 1 © Evolve College Pty Ltd 2015

© Evolve College Pty Ltd, 2015 This document is copyright. No part of this document may in any form or by any means (electronic, mechanical, micro copying, photocopying, recording or otherwise) be reproduced, stored in a retrieval system or transmitted without permission.


Contents

Subject Details ..................................................................................... 4

General Information ................................................................................... 4

Suggested Lesson sequence ................................................................ 4

Suggested Equipment for Practical Component .......................... 4

Assessment.................................................................................................... 5

Final Subject Result ................................................................................. 5

Practical Assessment ............................................................................... 6

Massage and the Application of Professional Touch ...................... 8

Competencies .............................................................................................. 8

Objectives ...................................................................................................... 8

Key Terms ....................................................................................................... 8

Introduction .................................................................................................. 9

Professional Integrity ................................................................................. 9

Professional Touch.................................................................................... 10

Touch .......................................................................................................... 11

Professional Classifications of Touch .............................................. 14

Uniqueness of Touch ............................................................................ 16

Historical Perspectives .......................................................................... 17

Summary ...................................................................................................... 20

Preparation for Massage ............................................................... 21

Competencies ............................................................................................ 21

Objectives .................................................................................................... 21

Key Terms ..................................................................................................... 22

Introduction ................................................................................................ 22

Massage Therapist .................................................................................... 23

Massage Equipment ................................................................................. 25

Massage Environment .......................................................................... 30

Determining a new clients expectations ....................................... 32

Feedback ................................................................................................... 34

Gender Concerns .................................................................................... 35

Pre-massage Procedures ..................................................................... 35

Positioning & Draping the Client ...................................................... 36

Post-massage Procedures ................................................................... 37

Summary ...................................................................................................... 39


Subject Details

Welcome to training with Evolve College.

Evolve College aims to bring massage awareness, education and recognition to the community as a valued means of health care.

Massage is perhaps one of the most popular forms of complimentary health care. In recent times massage has become much more formalised and massage associations have been formed to promote the science of massage as well as to safeguard the interests of the public and the profession.

Evolve College is a Nationally Accredited course provider and as such is listed on the National Register of Providers. This is your assurance that the College is a nationally recognised educator offering approved courses and administration services.

General Information

Suggested Lesson sequence

In order to gain the most from each lesson it is suggested that you work through them in the order that they are presented.

Suggested Equipment for Practical Component

Equipment required for this subject includes:

Two large size towels (Beach Towel size) or two cotton sheets

Two smaller towels (Bath Towel size)

One pillow or footroll

Massage oil (cold pressed vegetable oil) - do not use baby oil

A massage table (you do not need to bring your massage table to class)

Isowipes, viraclean or any equivalent hospital grade disinfectant


Assessment

Depending on the subject, the type and number of assessments will vary, and may include theory assessments such as Multiple Choice, Short Answer, True/False questions; Matching Exercises; Assignments and Project Reports and practical assessments such as Role plays and Demonstrations.

Access your assessments via the Student Portal - Student Login on the bottom of the Homepage. Answers will only be accepted and recorded through the Student Portal.

Clinic Log Book

Your Clinic Log Book is used to record practical massage hours for this subject.

When can l start my Log Book?

Once you have practiced all the techniques in this subject and feel confident in applying these techniques within a massage treatment you are ready to complete the required Log Book entries.

Your treatments should be performed without referring to your manual and must relate to the subject being studied.

Refer below for details on your Log Book entries.

How to complete the Log Book:

ý Access the Student Portal via the Student Login (bottom of Homepage)

ý Log books will only be accepted and recorded through the Student Portal

STEP 1 Record your Log Book hours

Enter a minimum of 15 hours of massage treatments in your on-line Log Book

To successfully complete your Log Book entries, you must list details under Date, Gender, Description, Age and Duration

Add comments if required

STEP 2 Confirm completion of your Log Book

Record completion of this task by clicking on the final submission tab Submit Log Book

Final Subject Result

When you have completed all the required assessments for the subject you will receive a Satisfactory or Unsatisfactory result. For further details refer to your Student Portal and Student Handbook.


Practical Assessment

This subject requires you to undertake several practical assessments. These will be in the form of role plays and demonstrations including 1 Hour Full Body Relaxation Massage Treatments.

1 Hour Full Body Relaxation Massage Treatment

You will be required to demonstrate relaxation massage techniques from:

Introductory Massage



Further details on practical assessments are provided in the Massage Practice 1 Subject, Student Portal/Hub - Assessments, Student Handbook and at the end of this manual.


Massage and the Application of Professional Touch

Textbook Reference: FUNDAMENTALS of Therapeutic Massage, 5th

Ed. Chapter 1-Therapeutic Massage as a Profession

This section of Foundations of Massage 1 begins the study of massage by exploring concepts of professional touch. An understanding of the power of touch as a therapeutic tool and a means of communication is essential for the massage professional. Various factors influence the application of and receptivity to touch, as well as the therapeutic benefits of touch.

The section then continues with the historical perspectives of touch as the therapeutic modality of massage, highlighting the events that seem to have the greatest relevance to current trends in massage.

Competencies

After completing this section, you should be able to:

Describe professional touch

Identify personal interpretations of touch and their influence on professional interactions

Explain the rich heritage and history of therapeutic massage

Explain the influence of historical events on the current development of therapeutic massage

Objectives

Using the information presented in this section, you will be able to perform the following:

Professional Touch Distinguish between professional and non-professional forms of touch List factors that influence the communication of touch Identify factors that constitute appropriate and inappropriate touch in the professional

setting

Historical Perspectives Trace the general progression of massage from ancient times to today Relate historical information to current events

Key Terms

The following key terms are referred to in this section:

Culture Expressive touch Healing Mechanical touch Occupation


Patterns Profession Professional Professional touch Professionalism Service System Therapeutic applications Touch technique

Introduction

Professional massage is structured, therapeutic touch and the education process begins with many questions, such as: What is the significance of touch? What is professional touch? What motivates me to study therapeutic massage? What is therapeutic? How am I served by touching others? How do the connections with others, created through touch, influence the professional practice of therapeutic massage? When did touch become professional? Why did touch become professional? Do therapeutic forms of touch have to be provided by a professional? In what way is professional therapeutic touch different from casual touch, friendship touch, family touch, intimate touch, or erotic (sexual) touch? How do different individuals, social groups, or cultures view touch? In what way does the past affect the present and provide guidance for the future development of the profession of massage therapy?

These questions continue to arise and the answers are not necessarily always known.

As we seek to serve our clients, eventually we are faced with many such questions. Some of the questions mentioned previously are explored in this text, especially as they relate to the professional practice of therapeutic massage. Some are not explored directly; rather, both the questions and the answers evolve for s information base and experience increase and the journey through education continues.

Professional Integrity

Massage is a profession that requires the practitioner to hold a very high level of professional very sensitive context. For the client, receiving a massage it is a very personal experience, the situation of offering can been seen as a very vulnerable position. This position naturally creates hypersensitivity in your client s awareness of you as a practitioner; your every detail will be assessed and felt before the client is able to trust. This is where professional integrity plays a vital role. So, it is vitally important that you understand the level of responsibility this comes with. Professional Integrity and all that it is, needs to be studied very carefully and diligently, as it is one of the key building blocks in your development as a Massage Therapist. Please refer to the Professional Integrity course material in the Evolve Hub at Subject 8 - Massage Practice 1 and be sure to incorporate its practices into your profession and life.


Professional Touch

Professional touch is skilled touch delivered to achieve a specific outcome. The recipient reimburses the professional for services rendered.

. Discuss touch as a profession. Why would a person want to purchase massage? How does payment influence aspects of professional touch?

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Healing pertains to restoration of wellbeing. Therapeutic applications promote a healing environment.

- SHORT ANSWER QUESTIONS

1.

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2. What factors can influence an individu

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- REVIEW QUESTIONS

Write your personal definition for each of the following words.

1. Professional

Professional Integrity cannot be

compromised and in the case that it is, the

effects can be detrimental.


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2. Structured

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3. Therapeutic

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4. Touch

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. Discuss the difference between healing as a primary motivation for professional touch and providing professional services using touch.

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Touch

Touch is a very important part of communication. The intention behind our touch is what gives our touch the meaning we are communicating. How we touch can vary between personal, family and cultural contexts. In massage, our intention of touch should always remain the same equally to every client. However, how the touch is delivered can be changed appropriately to cater for different settings and scenarios. For example how you touch a family member may be different to how you touch a member of the general public, but in both cases the intention can be the same (respectful). In massage, your touch intention should always be the same; this is a way to communicate with your client the purpose of the treatment and should remain respectful at all times.

The intention behind our touch is what gives our touch the meaning

we are communicating.


. Discuss each of the following influences on the interpretation of touch:

Culture

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Gender

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Age

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Life events

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Spiritual beliefs

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Diversity

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ý We must be careful not to interpret cultural orientations to touch in generalities or imply that all people from a specific culture hold to similar customs. Similar difficulties occur when trying to stereotype by gender, age, life events, or spiritual beliefs. On any given day, or even at any given moment, need, desire, interpretation and appropriateness of touch given and received can change

- PROBLEM SOLVING EXERCISE

Look up the words truth and respect in the dictionary and then develop your personal definition of each. Consider the cartoon in Figure 1-1 as you develop your definitions. Write the definitions in the spaces below.

Truth

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Respect

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- PROFICIENCY EXERCISE

My Touch History - using the categories below, write a brief touch history of yourself; then, explain the ways your history may influence your delivery of professional touch.

Culture

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Subculture

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Genetic predisposition

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Gender

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Age

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Life events

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Spiritual path

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Ways my touch history may influence my delivery of professional touch

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Professional Classifications of Touch

Forms of Inappropriate Touch

Hostile or aggressive touch. This type of touch interaction occurs when a potential for conflict or a power struggle exists.

Erotic or sexual touch. The intention of this type of touch is sexual arousal and expression. Complex physiologic, mental, and spiritual aspects from both the client and the practitioner influence the ideas of erotic touch. Erotic feelings should never be acted on with clients.

ý Inherent in many forms of massage and bodywork is the pleasure of being touched, which should not be confused with erotic touch

. Discuss the forms of inappropriate and appropriate touch and the way in which the professional environment influences when touch is appropriate.

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Invasive Touch

insecure, anxious, fearful, threatened, connected emotionally, intimate, or aroused when touched in this area.

Some body areas are considered taboo or bodywork touch. Orifices including the anus, genitals, mouth, ears, and nose have the highest level of taboo in most societies. The ventral (flexor) or front of the body, including

the dorsal surfaces (extensors). The trunk of the

carry more emotional charge and therefore are more sensitive to interpretation of the appropriateness of touch.

. Discuss why the massage professional would need to understand areas.

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Forms of Appropriate Touch

Non-therapeutic forms of touch often encountered include the following:


Inadvertent touch

Socially stereotyped touch

Touch that communicates information

Therapeutic forms of touch is considered

Touch technique


3. What are the forms of inappropriate professional touch?

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4. What are the forms of appropriate professional touch?

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- ESSAY QUESTIONS

1.

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2. How would you describe your professional touch intention?

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Uniqueness of Touch

Subjective and Objective Quality of Touch

Subjective qualities refer to the aspects experienced and objective quality refers to the aspects that can be measured. A specific touch experience is difficult to replicate because it is extremely multifaceted. The experience of touching and being touched seems to extend beyond words and verbalization and beyond the skin, nervous system and endocrine system to the soul.

The desire for physical contact is an instinctive and physiologic need for well-being. The concrete experience of caring is most often conveyed through touch.

professional touch and our willingness as practitioners to be personally open enough to share the experience with the client and professional enough to respect the client and maintain the focus of the experience for the client.


In the space provided, answer the following questions.

1. What do I do when I am touch hungry?

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2. Who and what touches me in a safe, respectful and healing way?

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. Discuss the subjective and objective qualities of touch.

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Historical Perspectives

Massage History

Understanding professional structured therapeutic touch requires the exploration of historical influences and the evolution of massage from its ancient foundations to future projections.

Historical perspectives help a profession discover its strengths and weaknesses.

Although therapeutic massage is mentioned to have roots in Chinese folk medicine, it has much in common with other healing traditions as well. The endurance of massage over the centuries is remarkable. Current trends suggest that the use of massage and body-related therapies is increasing for relaxation and musculoskeletal problems. Research continues to validate the benefits of massage. After years of struggle for acceptance and validation, massage therapy moved into the mainstream in the mid-1990s. The future direction of massage therapy depends on a commitment to professional ideals. Along with the integrity and maintaining of quality amongst future and current massage therapists.

. Review the events from the following time line and compare historical events with current trends in therapeutic massage.

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Time Line Dates

2000 BC The art of massage is first mentioned in writing.

460-377 BC Hippocrates of Cos is the first in Greek medicine to specifically describe the medical benefits of anointing and massage.

25 BC -50 AD Aulus Cornelius Celsius, a native Roman physician, is credited with compiling De Medicina.

129-199 A Greek physician, Claudius Galenus, known as Galen, contributes written material on early manual medicine.

589-617 Duration of Sui dynasty during which knowledge of massage and its applications were already well established in medicine.


1478 De Medicina is published using the newly invented Gutenberg printing press.

1517-1590 Ambrose Paré uses massage techniques for joint stiffness and wound healing after surgery.

1776-1839 Per Henrik Ling is given credit for developing Swedish massage.

1837 M. LeRon brings the Movement Cure to Russia.

1839-1909 Dr. Johann Mezger of Holland is given credit for bringing massage to the scientific community.

1852-1943 John Harvey Kellogg, founder of the Battle Creek Sanitarium, writes dozens of articles and two textbooks on massage and hydrotherapy.

1856 Two brothers, Charles Fayette Taylor and George Henry Taylor, introduce the Swedish Movement to the United States.

1879 Douglas Graham writes a history of massage.

1880 Mary Putnam Jacobi and Victoria A. White, medical physicians and professors of medicine in New York City, research the benefits of massage and ice packs in the management of anemia.

1886 Charles K. Mills, a prominent neurologist and massage advocate in Philadelphia, criticizes the uneven quality of lay practitioners of massage.

1894 Massage scandals are uncovered by a commission of inquiry of the British Medical Association in the British Medical Journal.

1894 The Society of Trained Masseuses is created.

Early 1900s Randolph Stone, an American physician, creates polarity therapy.

1916 Dr. James B. Mennell divides the effects of massage into two categories: mechanical and reflex actions.

1918 Polio epidemic renews interest in massage.

1920 Chartered Society of Massage and Medical Gymnastics is created.

1920s Elizabeth Dicke develops connective tissue massage; Emil and Estrid Vodder develop lymph drainage or manual lymphatic drainage.

1932 Mary McMillan, a lay practitioner, publishes Massage and Therapeutic Exercise.

1934 Reich settles in the United States and is considered by many to be the founder of psychotherapeutic body techniques.

Early 1940s Licensing for physical therapy begins.

1943 The American Association of Masseurs and Masseuses is created.

Late 1940s James Cyriax publishes the first edition of

Early 1950s Textbook of Orthopedic Medicine.

1950s Francis Tappan and Gertrude Beard write important articles and books on massage techniques.

1956 Margaret Knott and Dorothy Voss publish Proprioceptive Neuromuscular Facilitation.


1960 President John F. Kennedy emphasizes importance of physical fitness, beginning interest in sports massage.

1960s The Humanist Movement begins.

1970s Acupressure receives attention.

Late 1980s Ronald Melzack publishes a theory of hyperstimulation analgesia in Clinics in Anesthesiology to explain endorphin release. This theory was the first in recent decades inspired by findings related to massage.

Late 1980s The organization Associated Bodywork and Massage Professionals is formed.

1990s David Palmer formalizes the concepts of on-site or chair massage.

1991 The Touch Research Institute is created; The National Institutes of Health establishes the Office of Alternative Medicine.

1992 National Certification Examination for Therapeutic Massage and Bodywork is first administered.

1993 The New England Journal of Medicine reports the use of alternative and complementary forms of health care.

1994 Alternative Medicine: Expanding Medical Horizons: A Report to the National Institutes of Health on Alternative Medical System and Practiced in the United States is published.

1995-present Research information about therapeutic massage continues to increase, promoting increased interest on the use of therapeutic massage.


5. Why was massage associated with folk medicine and connected with supernatural experiences during the Middle Ages in Europe?

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6. Why is credit given to Per Henrik Ling for the development of the Swedish movement cure and Swedish massage?

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7. In what way did problems with terminology interfere with the acceptance

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8. Who or what was one of the main contributors to the massage scandals in the late 1800s?

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9. What aspect of massage remained active outside the medical establishment from the 1940s to the present?

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10. What research has provided the current validation of massage?

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11. In what way has massage brought the best of the East and West together?

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. What do you see as the future and how well will you prepare yourself to respond to the changes?

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Summary

This section challenges the student to continue to ask questions about the importance and nature of touch in the professional massage setting.

Students should now be aware of the ways in which culture, gender, age, life events, spirituality and diversity all influence the experience of touching and being touched.

Inappropriate forms of touch were identified and appropriate forms of professional touch were explored. An understanding of the subjective experience of touch was addressed personally.

The history of massage from ancient times to the present was presented, as were projections for the future. A time line highlighted many key dates. The foundation has been laid for the study of therapeutic massage.


Preparation for Massage

Textbook Reference: FUNDAMENTALS of Therapeutic Massage, 5th

Ed. Chapter 9 - Preparation for Massage

This section, helps the therapeutic massage professional develop the important premassage procedures that support the therapeutic relationship and professional environment which will be further discussed in Healthcare Business 1. This section focuses on certain preparations that must be done before the massage begins, including room setup, types of supplies and equipment, centering to help focus on the client and the session, client positioning, draping procedures, history taking, assessment procedures and feedback.

Competencies

After completing this section, you should be able to:

Construct a massage setting in different types of environments

List the equipment, supplies and setup procedures required to prepare for a massage session

Explain massage procedures to a client

Understand how to drape and position a client

Objectives

Using the information presented in this section, you will be able to perform the following:

Equipment Care for and protect his or her hands, arms and general health Make informed decisions about the purchase of a massage table, chair, mat, body

supports, draping materials and lubricants Make the most effective use of massage equipment

The massage environment Design an efficient therapeutic massage environment Organize an office and massage room

Interview a new client to gain a better understa

of massage in general and of the outcome for a particular massage session This is also a great time to build rapport with your client; this connection will further develop the quality of your session.


Feedback Elicit feedback from the client Provide the client with appropriate feedback

Gender concerns

touch

Premassage procedures Set up an orientation process for a new client Self Connection - Develop a personal method of focus/centering to connect to

yourself

Positioning and draping the client Position and drape a client and perform a massage using the four basic positions Drape effectively with two basic styles Care for your client

Key Terms

The following key terms are referred to in this section:

Body supports Draping Draping material Feedback Focus/centering Lubricants Massage chair Massage mat Massage table Positioning

Introduction

The massage practitioner must make certain preparations before beginning the massage. The room must be set up and all necessary supplies must be gathered. The type of

The interview process provides a great opportunity

to build rapport with a new client.


Oil used and how it is dispensed, the temperature of the massage room and the warmth of derations. Client positioning and modest, appropriate

draping procedures also must be considered.

The practitioner then uses history taking and assessment procedures to identify client outcomes and to formulate the approach for the massage. The plan is discussed with the client and informed consent is obtained. All this is done before the massage begins.

This section is designed to help the student develop these important pre-massage procedures, which support the massage relationship and professional environment.

Massage Therapist

SELF-CARE:

As a massage therapist you and your body are your work tools. This makes self-care one of the most important things for your profession.

How often is it encouraged to truly be yourself?

Are we more likely to first ask ourselves conscious or not the following questions:

it comes laced with certain images of how this needs to look in terms of appearance and demeanour.

Instead of looking outside of ourselves for answers; look within.

To be aware of how we feel is an essential foundation to well-being. It then becomes easier to notice the impact of choices we make on our body. As we are allowing ourselves to feel

remembering that we actually feel everything all of the time, it is just that we shut it down and override it with ideals and beliefs (what we could refer to as mental energy like

Massage professionals benefit from developing a method, referred to as centering, to help them

focus on connecting to themselves and then the client and the session to come.


Caring for Self starts with feeling and listening to your body and responding to it in a caring way.

Making self-care a way of living answers the question echoed throughout time by many,

Conscious presence (mindfulness & care)

Conscious presence, which can be simply understood to be a state of mindfulness and care, is a very natural state of being and is the foundation to self-care.

Conscious presence provides a true reference point as it is about coming back to you.

The quality of this presence and connection gets stronger the more we practice it. As we build this presence we can make choices from our inner-knowing which naturally leads to greater health and well being. For we can only truly care for someone else when we have

take responsibility for ourselves.

. What changes can you make in your life that would assist you in increasing your level of conscious presence?

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essence and is the source of your true self, self-

empowerment and wisdom.


Massage Equipment

and body.

. Discuss the importance of body mechanics as referred to in FUNDAMENTALS Chapter 8.

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A massage table must be sturdy and properly assembled to ensure that it will not collapse when a client is lying on it. Two basic types of table are the portable table, which folds into a smaller unit and is easily moved from place to place and the stationary table, which remains in one location.

Special massage chairs are available for seated massage.

Body supports are used to bolster the body during the massage and to provide contour to the flat working surface.

. Discuss the pros and cons of the various forms of equipment.

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The purpose of using an opaque draping material is to provide the client with privacy and warmth. The most common coverings are large towels because they are large enough to cover the entire body and are easily used for most draping procedures.

Large towels are both warm and opaque. An alternative is to use sheets and towels in combination with a bath-size towel as a chest covering.

Standard bed linen and disposable linen are also used. However, the College recommends the use of large towels in combination with bath size towels.


. Evolve College recommends the use of towels as the form of draping material. Discuss the pros and cons of the various forms of draping available.

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Oils reduce friction on the skin during gliding-type massage strokes. Medicinal and cosmetic use of oils is beyond the scope of practice for therapeutic massage.

Very little oil needs to be used when giving a massage. More oil is required to work over body hair. In some cases, powder may be a better choice. Occasionally, the use of all lubricants is contraindicated, thus the massage professional must be able to do massage without using lubricants.

. How could you perform a massage without the use of oil? Discuss.

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Do not pour lubricant directly on the client. The lubricant is first warmed in the palms of

opposed to the entire body. Avoid using lubricant on the face and hair because it disturbs makeup and hairstyles.

ý Evolve College advocates the use of a small amount of oil for the face with the

permission.

. Discuss the pros and cons of the various forms of lubricants.

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In addition to a massage table, draping material, supports and lubricants, disposable tissues, a clock and music are desirable to have available.



1. Collect and discuss information from at least three manufacturers of massage tables and massage chairs. Compare the cost, quality and construction of the equipment.

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2. Research and discuss a variety of styles of body supports for clients with specific needs.

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3. Locate a source for foam (an upholstery or a mattress company is a good start). Discuss how many different body supports you can build from foam scraps.

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1. Obtain a set of sheets, some towels, and some disposable linen. Practice draping methods with them. Which type of material did you prefer to use?

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2. Have another student or a massage practitioner give you a massage using the different draping materials. Which type did you prefer to have used on you?

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1. Obtain the three basic types of lubricant: oil, cream, and powder. Give a massage with each type. Which do you prefer to use?

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2. Find a practice client with a hairy body and practice using the different types of lubricant. Which one was the easiest to use? Which one did the client prefer?

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3. Have someone give you a massage using all three types of lubricant on different parts of the body. While receiving the massage, compare and decide which type you preferred.

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4. Practice giving a massage with as little lubricant as possible.

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5. Assemble a music library consisting of different types of music. Mark each 15-minute segment to assist with timing of the massage.

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1. What factors must be considered before the massage actually begins?

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2. What is the most important piece of massage equipment?

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3. How do massage practitioners protect their hands?

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4. What types of massage equipment provide a surface that supports the client while the massage is given?

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5. What features should be considered when looking for a massage table?

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6. W

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7. What are body supports?

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8. What are drapes?

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9. What types of draping materials are available?

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10. What accommodation should be made for clients with sensitive skin?

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11. What sanitary measures must be taken with draping materials?

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12. What is the purpose of lubricants?

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13. What types of lubricants are used?

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14. What are some important things to remember about lubricants?

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Massage Environment

Clients will return for a massage because they appreciate the quality of the service and a professional personality environment.

General Conditions

General conditions for massage areas that need to be considered are the room temperature, fresh air supply, privacy and accessibility.

Many clients are also environmentally sensitive and react to scents, incense and flowers. The best recommendation is to avoid using these items because the fragrance lingers and can cause problems for a client.

ý The use of essential oils by a qualified Massage Therapist is recommended.

. Discuss the importance of the massage environment in terms of the previous criteria.

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The massage professional must attend to personal hygiene and prevent body odours because people are sensitive to these smells. Avoid heavy use of aftershave, perfume, scented cosmetic products, or hair spray. Clients will not usually comment on offensive breath or body odours; they just may not return for further sessions.

Hands should be heated with warm water, on a hot water bottle, or by rubbing them together before touching the client.

. What are some practical strategies you would undertake to ensure personal hygiene is satisfactory in your massage environment?

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A Typical Massage Room, Home Office or Clinical Setting

Various locations are used to provide massage. These areas include a private office, public setting, on-site residence and outdoors. A massage area separate from the business area in the massage setting should be designated.

. Discuss the pros and cons of the various massage settings.

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15. What are some general considerations for creating a professional massage environment?

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16. What are the main types of massage environments?

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17. What special considerations are important for the use of music?

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18. What considerations are important for lighting in the massage room?

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19. Why is a scentless environment so important?

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20. What other considerations are necessary to ensure the client

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- PROBLEM SOLVING EXERCISES

1. A client indicates on the client information form that he does not wish to have an oil-based lubricant used on his back, face, or chest. What are your options?

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2. s home to do a massage. When you arrive, you realize that there is no private location large enough to accommodate the massage table. What are some of your options?

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Determining a new clients expectations

The massage practitioner should carefully explain the limitations of massage to the client, put into perspective the expectations and help define the outcome for the massage. These aspects should be covered in the beginning as part of informed consent procedures before the massage begins.


ý Limitations of massage is also referred to in FUNDAMENTALS Chapter 2.

If the client has never had a massage, expectations will be determined by what has been heard, read, or observed. The massage practitioner should explain the different approaches that are used so the client is not on the table wondering why this massage is so different from what was expected.

Remembering from your Introductory Massage subject, there are different myths and truths about the Massage profession.

Take time to explain your type of massage to your client and let them know how you will go about treating the body. It is also good to express at this point that there should be no pain during the session and if there is pain to let you know.

For you to consider: Feeling pain in a session is not helpful to the client, this is a myth ( no pain, no gain here is no benefit, in fact, science proves, that pain is an indicator that you are harming. Many clients are not aware that this is a myth. So, even if the client feels like they need to have pain and are asking for you to

-educating them, that this is not the true way to treat their body.

The outcome for massage is what the client can anticipate in response to the benefits in the proposed massage plan.

. Explain a relaxation massage procedure in detail and in a manner that the client can understand.

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. Discuss the way to explain limits, expectations, and outcomes to a client.

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Take a moment to revisit the myths and truths about Massage

(the list is included below).



21. Why must the massage practitioner educate the client about appropriate expectations for the massage session?

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22. Why should the massage practitioner carefully explain all procedures to the client before the massage?

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Feedback

Feedback is a non-invasive and ongoing exchange of information between the client and the professional. Feedback is not social conversation; it is common for a client to talk during the massage and appropriate for a massage professional to listen to the client while remaining focused on the massage. Engaging in social conversation with clients,

. What are the components of feedback and what constitutes appropriate and inappropriate professional conversation?

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Compare the two dialogues presented in Chapter 9 and list three differences between them.

Example: In the first dialogues, the client did most of the talking.

Your Turn:

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2. ________________________________________________________________

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3. ________________________________________________________________

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Gender Concerns

Gender influences the professional interaction. Male and female professionals may

. Discuss potential gender issues. Refer to FUNDAMENTALS Chapter 1 for a review of interpretation of touch.

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Pre-massage Procedures

After the initial intake process, the new client is ready to enter the massage room. The new client should be given an orientation of the area.

Do not assume that a client remembers the instructions or has knowledge of what to do or what is expected. Explain all steps in detail.

. Create a checklist for an orientation process.

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While waiting for the client to prepare for the massage, the practitioner should also prepare. If a routine sequence for focusing is developed, the practitioner will become calm and centered much faster.

. Explain your own centering procedure.

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Positioning & Draping the Client

Draping has three purposes:

1. Respect (maintaining client privacy and sense of security)

2. Warmth

3. It also p

The client can be draped in many ways. The main principles during draping include the following:

All draping material must be freshly laundered using a bleach or other approved solution.

Only the area being massaged is undraped.

The goal is to be present in the moment

for the client and not focused on lists of

things that need to be done.


The genital area is never undraped. The breast area of women is not undraped during routine wellness massage. Specific medical massage under the supervision of a licensed medical professional may require special draping procedures for the female breast area. Males and females should be draped the same to avoid allegations of discrimination.

Draping methods should cover the client in all positions, including the seated position.

. Explain a better way of assisting a client off the massage table.

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23. What are the basic massage positions for a client and how are body supports used in these positions?

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24. What are the specific guidelines for draping?

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25. In what way is the drape a type of boundary?

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26. What are the two basic types of draping procedures?

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27. How is a chest towel used?

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28. How do you assist a client into a seated position?

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Post-massage Procedures

After the massage is complete, do not linger in conversation. The attitude in the business area is one of polite and courteous completion. After the client leaves, the practitioner must update all records, prepare the room for the next client and attend to personal hygiene and self-care.


. Discuss the post-massage procedures you will use in your clinic, including closure with the client at the end of the massage.

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1. Practice helping people off the massage table. Find 10 different body shapes and sizes to work with and note the difference in leverage needed for each client.

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2. Write down your departure routine and practice it. What will you do to end a massage session successfully with a client who does not want to leave? Have someone role play this situation and see how successful your procedure is.

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29. session?

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30. After the client leaves, the massage practitioner should attend to what activities?

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ý You may wish to refer to record keeping information from FUNDAMENTALS Chapter 4. This will be covered in Subject 7 - Healthcare Business 1.


Summary

The information discussed in this section is just as important as any other aspect of professional therapeutic massage. The different locations and environments for massage set the mood and reflect the personality of the massage practitioner.

Careful consideration of equipment (e.g., massage tables, body supports), supplies (e.g., oils, linens), music and other amenities results in a professional yet personalised approach.

Taking time to explain massage procedures to a client, taking a basic history and learning and understanding the expectations and outcome for each massage help create an

modest draping and positioning is very important.

A professional massage practice requires attention to professional skills that create confidence, respect and trust. These skills are important to the successful application of therapeutic massage.

subject 3 foundations of massage 1 - evolve · 2016-08-02 · subject 03 foundations of massage 1...

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