Clinical Massage 1

Describe a referral pattern

When or how pain radiates from a trigger point.

What are some descriptions a client could use to describe the referral pattern?

Radiating

Tingling

Numb

Dull

Achy

What is the intention behind clinical work?

To relieve a client’s symptoms and improve the patient’s tissue health and/or quality

What are the three physiological changes tissue will experience from clinical massage techniques?

Increased blood flow

Increased ROM

Increased lymph drainage

What is a latent trigger point?

It doesn’t fire on its own and can become an active trigger point

What is an active trigger point?

It fires on its own and has its own referral pattern

What are the Trigger Point Protocol Steps?

1. Press a trigger point

2. Reach 5.5/10 intensity

3. Ask for familiarity/new/traveling

4. Breathwork

What is the difference between a Trigger Point and a Tender Point?

Trigger Point: Has a referral pattern, usually in a distal direction

Tender Point: Does not have a referral pattern, but is tender when pressed

What is the purpose of CFF?

To spread out or separate the soft tissue fibers/adhesions from each other

What are the 5 CFF principals?

1. Location x 3

2. Consistent pressure

3. Therapist’s fingers and client’s skin move together as one unit across the tissue or structure

4. Direction

5. Sweep size of ½ to 1 inch

What are the 10 main muscles of the upper shoulder and back?

Trapezius, Rhomboids, Serratus Posterior Superior, Levator Scapula, Paraspinals, Subscapularis, Supraspinatus, Infraspinatus, Teres Minor, Deltoid

What are the main 5 posterior neck muscles?

Trapezius, Splenius Capitis, Posterior Cervical Muscles, Suboccipitals, Splenius Cervicis

Posterior Cervical Muscles

Semispinalis Capitis: vertical fiber direction

Semispinalis Cervicis: Vertical/oblique fiber direction

Multifidi: Oblique fiber direction

Suboccipital muscles

Rectus Capitis Posterior Major

Rectus Capitis Posterior Minor

Obliquus Capitis Superior

Obliquus Capitis Inferior

Paraspinals/Erector Spinae Medial to Lateral

Spinalis

Longissimus

Iliocostalis

Trapezius functions

Elevates shoulders

Rotates glenoid fossa upward

Draws clavicle backwards and upwards

Scapula adduction

Stabilizes scapula for glenoid fossa to rotate upward

The 4 trapezius sections

Cervical fibers

Upper fibers

Middle fibers

Lower fibers

Rhomboid sections

Rhomboid major and minor

Rhomboid functions

Adduction of scapula

Downward rotation of glenoid fossa

Assists with adduction and extension of arm by stabilizing scapula against rib cage

Serratus Posterior Superior function

Raises the ribs and helps the chest to expand

Levator scapula functions

Rotates glenoid fossa downward

Elevates scapula

Assists in rotation of the neck to the same side

BL neck extension

Paraspinals/Erector Spinae Superficial to Deep

Semispinalis

Multifidi

Rotatores

Paraspinal/Erector Spinae Muscles functions

Extend the spine

Assist with rotation of the spine

Stabilize the spine

Subscapularis functions

Medial rotation of arm at the shoulder

Adduction of the arm at the shoulder

Stabilizes the head of the humerus within the glenoid fossa

Supraspinatus function

Stabilizes the humerus head within the glenoid fossa

Abducts the arm

Infraspinatus function

Lateral rotation of the arm at the shoulder

Stabilizes the humeral head in the glenoid fossa during arm movement

Teres minor function

Lateral rotation of the arm at the shoulder

Stabilize the humeral head during movement

The deltoid has __ groups of muscle fibers. What are they?

3, anterior, medial, and posterior

Deltoid functions

Anterior: Flexion and abduction of the humerus

Medial: Abduction of the humerus

Posterior: Extension of humerus, assist abduction of arm at shoulder

What is the scientific name of “Frozen Shoulder,” and what does it mean?

Adhesive capsulitis

Loss of ROM in all directions of shoulder movement

What’s the difference between an AC joint impingement and separation

Impingement: Inflammation of bursa, swelling of tendons

Separation: Tearing of ligaments

Splenius Capitis functions and shape

Functions: Extension of head and neck, rotation of head and neck to same side

Shape: V

Splenius cervicis functions

Extension of head and neck

Rotation of head and neck to the same side

The 3 posterior cervical muscles

1. Semispinalis capitis

2. Semispinalis cervicis

3. Multifidi

Posterior cervical muscles functions

Semispinalis capitis and cervicis: Extension of the head

Multifidi: Extension, lateral flexion of the spine, rotation to opposite side

What are the differences between superficial and deep muscles?

Superficial: Have longer fibers, meant for bigger movements and stretching

Deep: Shorter fibers, focus on stability and movement

Suboccipital muscles lie between the ____ and ____

Occiput, C2

Which colors correspond with each muscle?

Orange: Rectus capitis posterior minor

Blue: Rectus Capitis Posterior Major

Green: Obliquus capitis superior

Red: Obliquus capitis inferior

Suboccipitals functions

Occiput to C1: Flexion-Extension/Rocking

Sidebending/Tilting

C1-C2: Provides head rotation

What is the scientific name of whiplash?

Cervical Acceleration/Deceleration (CAD)

What is the scientific term of military neck?

Cervical kyphosis

Clinical Massage 1 Protocol

1. Fascial lift

2. Relaxation techniques

3. Thumb glide with the fibers

4. Thumb glide across the fibers

5. Thumb over thumb

6. Press trigger points

7. Cross fiber friction