Additional Information
Book Details
Abstract
For success in practice, Mosby's Fundamentals of Therapeutic Massage, 5th Edition provides you with a solid foundation in the fundamentals of massage therapy. Expert author Sandy Fritz shares her wealth of clinical expertise, keeping a consistent focus on clinical reasoning with an increased emphasis on competency-based outcomes. In addition to teaching you how to skillfully apply massage techniques, this text also covers important practice management topics such as ethics, legal issues, sanitation, hygiene, business practices, and professional development. Two DVDs bound in the book provide over three hours of video on techniques, body mechanics, case studies, and more, plus anatomy and physiology animations. Log in to the companion Evolve website for interactive games and learning exercises.
- Hundreds of full-color photos and illustrations visually clarify key concepts and demonstrate proper technique, draping procedures, body mechanics, and more.
- A combined workbook/textbook format encourages critical thinking with activities, short essays, fill-in-the-blank questions, labeling exercises, and more to help you review concepts from the book.
- General Protocol sections in the book, on the Evolve website, and on the companion DVD provide a guide for assessment and massage application, intervention and positioning recommendations, and a modifiable, step-by-step sequence to help you learn to develop care plans for specific clients.
- Electronic documentation coverage prepares you for today's increasingly digital workplace with examples from electronic record-keeping and office management software programs.
- Comprehensive coverage of content covered on the National Certification Exam (NCE), the National Certification Exam for Therapeutic Massage and Bodywork (NCETMB), and the Massage and Bodywork Licensing Examination (MBLEx) ensures you are ready to pass certification and licensure exams.
- Updated insurance reimbursement section features discussions of insurance procedures, appropriate charting, necessary paperwork, and how to manage reimbursement.
- Expanded massage therapy career content discusses the many career tracks available to massage therapists.
- Detailed Body Mechanics chapter addresses the use of proper body mechanics for a long and successful career and the most effective treatment.
- Practical Case Studies chapter offers case studies that help you understand how to apply key concepts to real-world clinical practice.
- Completely updated content keeps you current with the latest information needed to pass your exams and succeed in practice.
- NEW! Foot in the Door feature throughout the text outlines the professional traits valued by prospective employers.
- Available as a Pageburst digital textbook with additional interactive learning tools and electronic assets. Sold separately.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | cover | ||
| Evolve page | ifc_1 | ||
| Mosby's Fundamentals of Therapeutic Massage, 5/e | i | ||
| Copyright page | iv | ||
| Contents in Brief | v | ||
| Reviewers | vi | ||
| Foreword | vii | ||
| Preface | viii | ||
| Who Will Benefit from this Book? | viii | ||
| Why Is this Book Important to the Profession of Massage Therapy? | viii | ||
| Organization | ix | ||
| An Adaptable Design | ix | ||
| Fritz Gives You the Fundamentals, and More! | xi | ||
| Note to Students | xv | ||
| Acknowledgments | xvi | ||
| Detailed Contents | xvii | ||
| 1 Therapeutic Massage as a Profession | 1 | ||
| Chapter Outline | 1 | ||
| Chapter Objectives | 1 | ||
| Key Terms | 1 | ||
| Professional Touch | 3 | ||
| Touch | 3 | ||
| Science of Touch | 3 | ||
| The Experience of Touch | 4 | ||
| Touch as Communication | 4 | ||
| Cultural Influences | 4 | ||
| Gender Issues | 5 | ||
| Influence of Age on Touch | 5 | ||
| Influence of Life Events and the Interpretation of Touch | 5 | ||
| Spiritual Touch | 5 | ||
| Diversity and Touch | 5 | ||
| Professional Classifications of Touch | 5 | ||
| Model 1: Physical and Psychological Perspectives on Professional Touch | 6 | ||
| Forms of Inappropriate Touch | 6 | ||
| Hostile or Aggressive Touch | 6 | ||
| Erotic (Sexual) Touch | 7 | ||
| Invasive Touch | 7 | ||
| Forms of Appropriate Touch | 7 | ||
| Touch Technique | 7 | ||
| Model 2: Cultural Perspectives on Professional Touch | 8 | ||
| Chakra System | 8 | ||
| Inspiration | 9 | ||
| Intention | 9 | ||
| Intuition | 9 | ||
| Touch Intention During Massage | 9 | ||
| Dual Roles | 9 | ||
| Uniqueness of Touch | 10 | ||
| Subjective and Objective Qualities of Touch | 10 | ||
| Historical Perspectives | 11 | ||
| History of Massage | 11 | ||
| Ancient Times | 14 | ||
| The Middle Ages | 14 | ||
| Nineteenth Century | 15 | ||
| Per Henrik Ling | 15 | ||
| Modern Revival of Massage | 15 | ||
| Massage in the United States | 16 | ||
| Massage Scandals of the Late 1800s | 16 | ||
| Massage as Health Care | 17 | ||
| Historical Influence of Women | 17 | ||
| Twentieth Century | 17 | ||
| 1900 to 1960 | 18 | ||
| 1960 to the Present: the Most Recent Revival of Massage | 19 | ||
| Recent Events and Current Professional Trends | 19 | ||
| Recent Trends: 1990 to 2012 | 19 | ||
| Massage Therapy Body of Knowledge and Unifying the Profession | 20 | ||
| Certification and Licensure | 21 | ||
| Future of Massage | 21 | ||
| Summary | 22 | ||
| References | 23 | ||
| Workbook Section | 24 | ||
| Short Answer | 24 | ||
| Review Questions | 24 | ||
| Essay Questions | 24 | ||
| Matching | 24 | ||
| Time Line | 25 | ||
| Assess Your Competencies | 25 | ||
| Professional Application | 25 | ||
| 2 Ethics, Professionalism, and Legal Issues | 26 | ||
| Chapter Outline | 26 | ||
| Chapter Objectives | 26 | ||
| Key Terms | 26 | ||
| Professionalism and Therapeutic Massage | 28 | ||
| Professionalism | 29 | ||
| Specialized Body of Knowledge | 29 | ||
| Extensive Training | 29 | ||
| Entry-Level Practice | 30 | ||
| Spa Setting | 30 | ||
| Massage Franchise/National Massage Chains | 30 | ||
| Independent Massage Practice | 30 | ||
| Sports and Fitness Setting | 31 | ||
| Clinical/Medical/Rehabilitation Setting | 31 | ||
| Educational Trends | 31 | ||
| Orientation to Service | 32 | ||
| Commonly Accepted Code of Ethics | 32 | ||
| Legal Recognition Through Certification or Licensure by a Professional Organization | 32 | ||
| Membership in a Professional Association | 32 | ||
| The Definition of Therapeutic Massage | 32 | ||
| Defining Massage | 33 | ||
| Scope of Practice | 35 | ||
| Unique Scope of Practice Parameters for Therapeutic Massage | 36 | ||
| Wellness and Personal Services | 36 | ||
| Health Care and Sports Massage Services | 40 | ||
| Limits of Practice | 41 | ||
| Effective or Good Ability to Adapt | 42 | ||
| Ineffective or Moderate and Strained Ability to Adapt | 42 | ||
| Poor Ability or Inability to Adapt | 43 | ||
| Body/Mind/Spirit Connection | 43 | ||
| Determining the Limits of Practice | 44 | ||
| Evidence-Based Practice | 44 | ||
| Evidence in Evidence-Based Practice | 44 | ||
| Evidence-Informed Practice | 45 | ||
| Standard of Care | 45 | ||
| Ethics and Standards of Practice | 45 | ||
| Ethics | 45 | ||
| Ethical Principles | 46 | ||
| Standards of Practice | 46 | ||
| Code of Ethics and Standards of Practice for Therapeutic Massage | 46 | ||
| Informed Consent | 46 | ||
| Intake Procedures | 47 | ||
| Needs Assessment and the Initial Care/Treatment Plan | 47 | ||
| Confidentiality | 49 | ||
| Health Insurance Portability and Accountability Act of 1996 (HIPAA) | 51 | ||
| Chain of Trust | 51 | ||
| Data Storage | 51 | ||
| Protected Health Information | 51 | ||
| Training in HIPAA Requirements | 52 | ||
| Professional Boundaries | 52 | ||
| Needs and Wants | 52 | ||
| Boundaries | 53 | ||
| Right of Refusal | 54 | ||
| The Therapeutic Relationship | 54 | ||
| Transference | 55 | ||
| Countertransference | 55 | ||
| Managing Transference and Countertransference | 56 | ||
| Dual or Multiple Roles | 57 | ||
| Massage Therapy and Intimacy | 57 | ||
| Touch Intimacy | 58 | ||
| Sexual Misconduct and Sexual Harassment | 58 | ||
| Maintaining the Professional Environment | 58 | ||
| Managing Intimacy Issues | 59 | ||
| Ethical Decision Making | 62 | ||
| Problem-Solving Approach to Ethical Decision Making | 63 | ||
| Communication Skills | 63 | ||
| Preferred Communication Patterns | 66 | ||
| Listening | 66 | ||
| Delivering Information with I-Messages | 66 | ||
| Conflict and Conflict Resolution | 67 | ||
| Types of Conflict | 68 | ||
| Relationship Conflicts | 68 | ||
| Data Conflicts | 68 | ||
| Interest Conflicts | 68 | ||
| Value Conflicts | 69 | ||
| Ways of Dealing with Conflict | 69 | ||
| Denial or Withdrawal | 69 | ||
| Suppression or Smoothing Over | 69 | ||
| Power or Dominance | 69 | ||
| Compromise or Negotiation | 69 | ||
| Integration or Collaboration | 69 | ||
| Conflict Climate: Defensive or Supportive | 69 | ||
| Communicating When Dilemmas Arise | 70 | ||
| Barriers to Effective Communication | 71 | ||
| Time | 71 | ||
| Old Patterns | 71 | ||
| Avoidance | 71 | ||
| Credentials and Licensing | 71 | ||
| Credentials | 71 | ||
| Laws and Legislation | 72 | ||
| State and Local Regulation | 72 | ||
| Reciprocity | 74 | ||
| Dealing With Suspected Unethical or Illegal Behavior | 74 | ||
| Self-Reflection | 74 | ||
| Mentoring and Peer Support | 75 | ||
| Talking with Those Involved | 75 | ||
| Formal Reporting | 75 | ||
| Summary | 75 | ||
| References | 75 | ||
| Workbook Section | 76 | ||
| Short Answer | 76 | ||
| Matching | 76 | ||
| Standards of Practice | 77 | ||
| Determining Licensing Needs | 78 | ||
| Assess Your Competencies | 78 | ||
| Problem-Solving Scenarios | 78 | ||
| 3 Business Considerations for a Career in Therapeutic Massage | 79 | ||
| Chapter Outline | 79 | ||
| Chapter Objectives | 79 | ||
| Key Terms | 79 | ||
| Motivation | 80 | ||
| Seeking Help | 81 | ||
| Burnout | 81 | ||
| The Résumé | 81 | ||
| Cover Letters | 82 | ||
| Developing a Résumé | 82 | ||
| The Interview | 83 | ||
| Preparing for the Interview | 83 | ||
| Communication | 83 | ||
| Dressing for Success | 83 | ||
| Interview Questions | 84 | ||
| Closing the Interview | 84 | ||
| Self-Employment or Employment by Others | 85 | ||
| True Earnings and Real Time | 86 | ||
| Advantages and Disadvantages of Self-Employment | 86 | ||
| Advantages and Disadvantages of Employment by Others | 86 | ||
| Client Retention | 87 | ||
| Reality Check | 87 | ||
| Reimbursement | 87 | ||
| Setting Fees | 87 | ||
| Fee Discounts | 88 | ||
| Reviewing Fees | 88 | ||
| Comparing Self-Employment and Employee Incomes | 89 | ||
| Business Costs | 89 | ||
| On-Site Massage | 89 | ||
| Hourly Wage Employment Versus Salaried Employment | 89 | ||
| Insurance or Third-Party Reimbursement | 89 | ||
| The Business/Career Plan | 92 | ||
| Career Mission Statement | 92 | ||
| Goal-Setting Plan | 92 | ||
| Business Plan | 93 | ||
| The Business Structure | 94 | ||
| Business Name | 95 | ||
| Start-Up Costs | 95 | ||
| Self-Employment Status | 95 | ||
| Facility Rental | 96 | ||
| The Target Market | 97 | ||
| Marketing | 97 | ||
| Brochure | 98 | ||
| Media | 99 | ||
| Creating a Website | 99 | ||
| Management | 100 | ||
| Obtaining Licenses | 100 | ||
| Choosing a Business Location | 101 | ||
| Determining the Legal Structure of the Business | 101 | ||
| Registering the Name of the Business | 101 | ||
| Registering for Tax Purposes | 101 | ||
| Arranging for Insurance | 101 | ||
| Opening Business Banking Accounts | 102 | ||
| Setting Up Investments | 102 | ||
| Keeping Records | 102 | ||
| Developing a Client-Practitioner Agreement and Policy Statement | 102 | ||
| Hallmarks of A Successful Employee | 103 | ||
| Summary | 103 | ||
| Workbook Section | 106 | ||
| Short Answer | 106 | ||
| Client-Practitioner Agreement and Policy Statement | 106 | ||
| Problem-Solving Scenarios | 107 | ||
| Assess Your Competencies | 107 | ||
| Professional Applications | 107 | ||
| Research for Further Study | 108 | ||
| 4 Massage and Medical Terminology for Professional Record Keeping | 109 | ||
| Chapter Outline | 109 | ||
| Chapter Objectives | 109 | ||
| Key Terms | 109 | ||
| Massage Therapy Terminology | 110 | ||
| Medical Terminology | 112 | ||
| Fundamental Word Elements | 113 | ||
| Prefixes | 113 | ||
| Root Words | 113 | ||
| Suffixes | 113 | ||
| Combining Word Elements | 113 | ||
| Abbreviations | 114 | ||
| Terms Related to Diagnosis and Diseases | 115 | ||
| Terminology of Location and Position | 115 | ||
| Directional Terms | 115 | ||
| Positional Terms | 116 | ||
| Body Structure and Bones, Joints, and Muscles | 116 | ||
| Tissues | 116 | ||
| Organs and Systems | 116 | ||
| Body Cavities | 116 | ||
| Posterior Regions of the Trunk | 117 | ||
| Skeletal System | 117 | ||
| Bone | 117 | ||
| Cartilage | 117 | ||
| Ligaments | 117 | ||
| Articular System | 118 | ||
| Joints | 118 | ||
| Types of Movement Permitted by Diarthrodial Joints | 118 | ||
| Bursae | 120 | ||
| Muscular System | 120 | ||
| Skeletal Muscle | 120 | ||
| Body Systems: Nervous, Cardiovascular, Lymphatic, and Immune Systems | 124 | ||
| Nervous System | 125 | ||
| Central Nervous System | 125 | ||
| Peripheral Nervous System | 125 | ||
| Spinal Nerves | 125 | ||
| Autonomic Nervous System | 125 | ||
| Proprioception | 125 | ||
| Reflex | 125 | ||
| Function of the Nervous System | 125 | ||
| Terms Related to Nerves | 126 | ||
| Cardiovascular System | 126 | ||
| Lymphatic System | 126 | ||
| Immune System | 128 | ||
| Body Systems: Respiratory, Digestive, Endocrine, and Integumentary Systems | 128 | ||
| Respiratory System | 129 | ||
| Digestive System | 129 | ||
| Endocrine System | 129 | ||
| Integumentary System | 130 | ||
| Skin | 131 | ||
| Sebaceous Glands | 131 | ||
| Sweat Glands | 131 | ||
| Terminology as a Continuing Study | 131 | ||
| Record Keeping | 132 | ||
| Problem-Oriented Medical Record | 132 | ||
| Subjective Data | 133 | ||
| Objective Data | 133 | ||
| Assessment/Analysis | 133 | ||
| Plan | 133 | ||
| Progress/Session Notes | 133 | ||
| Confidentiality of Medical Records | 133 | ||
| Documentation in the Massage Therapy Practice | 134 | ||
| Clinical Reasoning and Charting | 134 | ||
| Goals and Problems | 134 | ||
| Quantifiable and Qualifiable Goals | 135 | ||
| Intake Procedures | 135 | ||
| Database | 135 | ||
| History | 136 | ||
| Physical Assessment | 136 | ||
| Analysis of Data | 136 | ||
| Identification of Problems and Goals | 136 | ||
| Care or Treatment Plan | 136 | ||
| SOAP Notes | 138 | ||
| Computer-Based Patient Record and Electronic Health Record | 142 | ||
| Summary | 143 | ||
| Reference | 143 | ||
| Workbook Section | 144 | ||
| Short Answer | 144 | ||
| Matching I | 144 | ||
| Matching II | 144 | ||
| Matching III | 145 | ||
| Assess Your Competencies | 145 | ||
| Problem-Solving Scenarios | 145 | ||
| Research for Further Study | 146 | ||
| Record-Keeping Exercise | 146 | ||
| 5 Research Literacy and Evidence-Based Practice | 147 | ||
| Chapter Outline | 147 | ||
| Chapter Objectives | 147 | ||
| Key Terms | 147 | ||
| Research Literacy | 150 | ||
| Valid Research | 151 | ||
| Systematic Review and Meta-Analysis | 151 | ||
| Current Research | 153 | ||
| Research Findings | 154 | ||
| General Massage Benefits and Safety | 154 | ||
| Key Points | 155 | ||
| Mechanical Effects Related to Massage Benefit | 155 | ||
| The Tensegrity Principle | 156 | ||
| Myofascial System | 156 | ||
| Mechanical Stimulation and Interfascial Water | 157 | ||
| Key Points | 159 | ||
| Fluid Movement—Blood and Lymph | 159 | ||
| Circulation | 159 | ||
| Exercise and Lactic Acid | 159 | ||
| 6 Indications and Contraindications for Therapeutic Massage | 200 | ||
| Chapter Outline | 200 | ||
| Chapter Objectives | 200 | ||
| Key Terms | 200 | ||
| Indications for Massage | 200 | ||
| Approaches to Care | 201 | ||
| Therapeutic Change | 201 | ||
| Condition Management | 201 | ||
| Palliative Care | 202 | ||
| Determining the Type and Timing of an Approach | 202 | ||
| Pathology | 207 | ||
| Disease | 208 | ||
| Functioning Limits | 208 | ||
| Development of Pathologic Conditions | 208 | ||
| Illness | 209 | ||
| Injury | 209 | ||
| Risk Factors | 209 | ||
| Genetic Factors | 210 | ||
| Age | 210 | ||
| Lifestyle | 210 | ||
| Environmental Factors | 210 | ||
| Pre-existing Conditions | 210 | ||
| Stress | 210 | ||
| General Adaptation Syndrome | 210 | ||
| Pathologic Conditions and Indications for Massage | 210 | ||
| Inflammatory Response | 211 | ||
| Tissue Repair | 211 | ||
| Inflammatory Disease | 211 | ||
| Indications for Massage | 211 | ||
| Therapeutic Inflammation | 212 | ||
| Pain | 212 | ||
| Pain Sensations | 212 | ||
| Acute Pain | 213 | ||
| Chronic Pain | 213 | ||
| Intractable Pain | 214 | ||
| Phantom Pain | 214 | ||
| Referred Pain | 214 | ||
| Evaluation of Pain | 214 | ||
| Location of Pain | 215 | ||
| Types of Pain | 215 | ||
| Pain Assessment | 216 | ||
| Indications for Massage | 216 | ||
| Impingement Syndromes | 216 | ||
| Cervical Plexus | 216 | ||
| Brachial Plexus | 217 | ||
| Lumbar Plexus | 217 | ||
| Sacral Plexus | 217 | ||
| Indications for Massage | 217 | ||
| Psychological Dysfunctions | 217 | ||
| Indications for Massage | 220 | ||
| Contraindications to Massage Therapy | 220 | ||
| Cautions | 221 | ||
| Medications | 221 | ||
| Tumors and Cancer | 222 | ||
| Endangerment Sites | 222 | ||
| Referral | 222 | ||
| Summary | 226 | ||
| References | 226 | ||
| Workbook Section | 227 | ||
| Short Answer | 227 | ||
| Matching I | 228 | ||
| Matching II | 229 | ||
| Labeling I | 229 | ||
| Labeling II | 229 | ||
| Risk Factors | 230 | ||
| Assess Your Competencies | 230 | ||
| Problem-Solving Exercise | 231 | ||
| 7 Hygiene, Sanitation, and Safety | 232 | ||
| Chapter Outline | 232 | ||
| Chapter Objectives | 232 | ||
| Key Terms | 232 | ||
| Personal Health, Hygiene, and Appearance | 233 | ||
| Smoking | 233 | ||
| Alcohol and Drugs | 233 | ||
| Hygiene | 233 | ||
| Sanitation | 234 | ||
| Pathogenic Organisms | 234 | ||
| Viruses | 234 | ||
| Bacteria | 235 | ||
| Fungi | 235 | ||
| Protozoa and Pathogenic Animals | 235 | ||
| Disease Prevention and Control | 235 | ||
| Aseptic Technique | 235 | ||
| Hand Washing | 235 | ||
| Suggested Sanitation Requirements | 236 | ||
| Indications for the Use of Standard Precautions by the Massage Professional | 236 | ||
| Required Use of Standard Precautions | 236 | ||
| Possible Exposure to Contaminants and Body Fluids | 237 | ||
| Approved Cleaning Solutions | 238 | ||
| Cleanup Procedures Using Standard Precautions | 239 | ||
| Preventing the Transmission of Hiv Infection, Hepatitis, Tuberculosis, and Other Contagious Conditions | 240 | ||
| HIV and AIDS | 240 | ||
| Mechanics of Transmission | 240 | ||
| HIV Survival Outside the Host | 241 | ||
| Hepatitis | 241 | ||
| Tuberculosis | 241 | ||
| Severe Acute Respiratory Syndrome | 241 | ||
| Methicillin-Resistant Staphylococcus aureus | 242 | ||
| Premise and Fire Safety | 242 | ||
| Summary | 243 | ||
| References | 243 | ||
| Workbook Section | 244 | ||
| Short Answer | 244 | ||
| Matching I | 244 | ||
| Matching II | 245 | ||
| Assess Your Competencies | 245 | ||
| Professional Activity | 245 | ||
| Professional Application | 245 | ||
| Completing an Accident Report | 245 | ||
| 8 Body Mechanics | 247 | ||
| Chapter Outline | 247 | ||
| Chapter Objectives | 247 | ||
| Key Terms | 247 | ||
| Research: Efficacy of Body Mechanics In Massage Therapists | 248 | ||
| Research Outcomes | 248 | ||
| Ergonomics and Biomechanics | 250 | ||
| Applying Ergonomics | 250 | ||
| Massage Area | 250 | ||
| Massage Equipment | 251 | ||
| Massage Table | 251 | ||
| Biomechanics: Center of Gravity and Leaning | 253 | ||
| Friction and Traction: The Importance of the Feet | 257 | ||
| Basic Concepts of Body Mechanics | 259 | ||
| Pressure, Drag, and Duration | 260 | ||
| Pressure | 264 | ||
| Counterpressure | 266 | ||
| Drag | 267 | ||
| Duration | 267 | ||
| Speed | 267 | ||
| Client Rhythm | 267 | ||
| Gender Differences | 267 | ||
| Center of Gravity | 267 | ||
| Pelvis and Knee | 267 | ||
| Ankles | 267 | ||
| Spine | 268 | ||
| Physical Strength | 268 | ||
| Key Points | 269 | ||
| Self-Care And The Effects Of Improper Body Mechanics | 270 | ||
| Neck and Shoulder | 270 | ||
| Forearm, Wrist, and Hand | 270 | ||
| Low Back | 270 | ||
| Knee | 273 | ||
| Ankle and Foot | 273 | ||
| Summary | 277 | ||
| References | 277 | ||
| Workbook Section | 279 | ||
| Short Answer | 279 | ||
| Assess Your Competencies | 280 | ||
| Problem-Solving Scenarios | 280 | ||
| 9 Preparation for Massage: | 281 | ||
| Chapter Outline | 281 | ||
| Chapter Objectives | 281 | ||
| Key Terms | 281 | ||
| Equipment | 281 | ||
| Care of the Massage Practitioner’s Hands and Body | 281 | ||
| Massage Table | 282 | ||
| Portable Tables | 282 | ||
| Stationary Tables | 282 | ||
| Lift Tables | 282 | ||
| Massage Chair | 283 | ||
| Massage Mat | 283 | ||
| Body Supports | 284 | ||
| Draping Materials | 284 | ||
| Draping Material Recommendations | 284 | ||
| Lubricants | 286 | ||
| Scented Lubricants | 286 | ||
| Types of Lubricants | 286 | ||
| Using Massage Lubricants | 287 | ||
| Additional Equipment | 287 | ||
| Music | 287 | ||
| Massage Environment | 287 | ||
| General Conditions | 288 | ||
| Room Temperature | 288 | ||
| Fresh Air and Ventilation | 288 | ||
| Privacy | 288 | ||
| Accessibility | 288 | ||
| Lighting | 288 | ||
| Scents, Incense, Flowers, and Plants | 288 | ||
| Hygiene, Chemicals, Perfume, and Warm Hands | 288 | ||
| Typical Massage Room, Home Office, or Clinical Setting | 288 | ||
| Business and Massage Areas | 288 | ||
| Room Size | 289 | ||
| Office at the Practitioner’s Home | 289 | ||
| Public Environment: Event Sports Massage, Demonstration Massage, On-Site or Corporate Massage | 289 | ||
| Client’s Residence (On-Site Massage) | 290 | ||
| Outdoors | 290 | ||
| Determining A New Client’s Expectations | 290 | ||
| Gender and Age Concerns | 292 | ||
| Feedback | 292 | ||
| Client Feedback | 292 | ||
| Practitioner Feedback | 293 | ||
| Client Conversation | 293 | ||
| Premassage And Postmassage Procedures | 294 | ||
| Premassage Procedures | 294 | ||
| Orientation Process | 294 | ||
| Focus/Centering | 295 | ||
| Postmassage Procedures | 295 | ||
| Helping the Client Off the Massage Table | 295 | ||
| Closing the Session | 295 | ||
| Making the Next Appointment and Collecting the Fee | 295 | ||
| Saying Good-Bye | 295 | ||
| After the Client Has Left | 296 | ||
| Positioning And Draping The Client | 296 | ||
| Positioning | 296 | ||
| Draping | 297 | ||
| Principles of Draping | 298 | ||
| Flat Draping Methods | 298 | ||
| Contoured Draping | 298 | ||
| Alternative to Draping | 298 | ||
| Suggested Draping Procedures | 298 | ||
| Summary | 298 | ||
| Workbook Section | 303 | ||
| Short Answer | 303 | ||
| Problem-Solving Scenarios | 304 | ||
| Assess Your Competencies | 304 | ||
| Professional Application | 304 | ||
| Research for Further Study | 304 | ||
| 10 Massage Manipulations and Techniques | 305 | ||
| Chapter Outline | 305 | ||
| Chapter Objectives | 305 | ||
| Key Terms | 305 | ||
| Quality of Touch | 306 | ||
| Variations in Touch | 307 | ||
| Establishing and Adjusting Physical Contact | 308 | ||
| Positioning the Client | 309 | ||
| Types Of Mechanical Force And Massage Manipulations | 309 | ||
| Types of Force | 309 | ||
| Compression | 309 | ||
| Tension | 310 | ||
| Bending | 310 | ||
| Shear | 310 | ||
| Torsion | 310 | ||
| Massage Manipulations and Techniques (Mode of Application) | 310 | ||
| Resting Position (Holding) | 311 | ||
| Applying the Holding Technique | 312 | ||
| Gliding/Stroking (Effleurage) | 313 | ||
| Applying Gliding Strokes | 313 | ||
| Kneading (Pétrissage) | 314 | ||
| Skin Rolling | 315 | ||
| Applying Kneading | 315 | ||
| Compression | 316 | ||
| Applying Compression | 317 | ||
| Oscillation | 318 | ||
| Vibration | 318 | ||
| Applying Vibration | 318 | ||
| Shaking | 319 | ||
| Applying Shaking | 319 | ||
| Rocking | 319 | ||
| Applying Rocking | 319 | ||
| Percussion (Tapotement) | 321 | ||
| Applying Percussion | 321 | ||
| Friction | 323 | ||
| Applying Friction | 323 | ||
| Massage Techniques Using Joint Movement | 325 | ||
| Physiologic Influences | 326 | ||
| Joint Movement and Range of Motion | 327 | ||
| How Joints Work | 327 | ||
| Comparing a Joint to a Door Hinge | 327 | ||
| Limitations on the Ability to Move a Joint | 327 | ||
| Joint End-Feel | 328 | ||
| Effects of Joint Movement Methods | 328 | ||
| Types of Joint Movement Methods | 328 | ||
| Caution in Working with Joints | 332 | ||
| Relationship of Joint Movement to Lengthening and Stretching Methods | 332 | ||
| Active Joint Movement | 332 | ||
| Active Assisted Joint Movement | 332 | ||
| Active Resistive Joint Movement | 332 | ||
| Passive Joint Movement | 335 | ||
| Suggested Sequence for Joint Movement Methods | 335 | ||
| Muscle Energy Methods | 335 | ||
| Muscle Energy Techniques | 336 | ||
| Types of Muscle Contractions | 336 | ||
| Strength of Contraction | 336 | ||
| Neurophysiologic Principles | 338 | ||
| Postisometric Relaxation | 338 | ||
| Reciprocal Inhibition | 339 | ||
| Combined Methods: Contract-Relax-Antagonist-Contract | 339 | ||
| Pulsed Muscle Energy Procedures | 341 | ||
| Direct Applications | 342 | ||
| Direct Manipulation of the Golgi Tendon Organs to Initiate the PIR Response | 342 | ||
| Positional Release/Strain-Counterstrain | 342 | ||
| Integrated Approach | 343 | ||
| Option A | 343 | ||
| Option B | 343 | ||
| Making It Simple | 344 | ||
| Stretching | 345 | ||
| Applying Stretching | 346 | ||
| Alternate Procedures for Longitudinal Stretching | 349 | ||
| Use of Cold Applications and Stretching | 349 | ||
| Use of Percussion with Stretching | 349 | ||
| Stretching Deep Fascial Planes | 350 | ||
| Sequence And Flow: The Basic Full-Body Massage | 350 | ||
| Basic Full-Body Massage | 351 | ||
| General Massage Suggestions | 351 | ||
| Body Hair | 351 | ||
| Skin Problems | 351 | ||
| Avoidance of Tickling | 352 | ||
| Considerations and Suggestions for Massage Applications by Body Region | 352 | ||
| Head and Face Massage | 352 | ||
| 11 Assessment Procedures for Developing a Care/Treatment Plan | 382 | ||
| Chapter Outline | 382 | ||
| Chapter Objectives | 382 | ||
| Key Terms | 382 | ||
| Assessment | 383 | ||
| Components of the Assessment | 383 | ||
| Compensation Patterns | 384 | ||
| Resourceful Compensation | 384 | ||
| Dysfunction as a Solution | 385 | ||
| Establishing Rapport | 386 | ||
| How to Observe | 386 | ||
| Gestures | 386 | ||
| Interviewing and Listening: Subjective Aspect of Assessment | 387 | ||
| Physical Assessment: Objective Aspect of Assessment | 390 | ||
| Biomechanics and Kinesiology | 390 | ||
| Outcome Documentation Instruments | 390 | ||
| Subjective Measurements | 391 | ||
| Pain Evaluation | 391 | ||
| Objective Measurements | 392 | ||
| Physical Evaluation | 392 | ||
| Standardized Palpation of Tenderness | 392 | ||
| Physical Capacity (Impairment) Assessment | 392 | ||
| Muscle Testing Assessment | 392 | ||
| Posture Assessment: Standing Position | 392 | ||
| Mechanical Balance | 393 | ||
| Postural Assessment: Procedure for the Standing Position | 395 | ||
| Intervention Guidelines | 395 | ||
| Gait Assessment | 396 | ||
| Factors Affecting Gait | 396 | ||
| Procedure for Gait Assessment | 396 | ||
| Common Findings from Gait Assessment | 397 | ||
| Intervention Guidelines | 398 | ||
| Key Points | 398 | ||
| Assessment of Joint Range of Motion | 398 | ||
| Measuring Joint Range of Motion | 399 | ||
| Overpressure and End-Feel | 399 | ||
| Assessment of Range of Motion | 400 | ||
| Intervention Guidelines | 401 | ||
| Basic Orthopedic Tests | 401 | ||
| Sequence for Joint Assessment | 401 | ||
| History | 401 | ||
| Observation | 401 | ||
| Palpation | 403 | ||
| Range of Motion | 403 | ||
| Manual Muscle Testing | 403 | ||
| Specific Orthopedic Tests | 404 | ||
| Intervention Guidelines | 404 | ||
| Assessment by Palpation | 404 | ||
| Mechanisms of Palpation | 405 | ||
| How to Palpate | 405 | ||
| Near-Touch Palpation | 405 | ||
| Intervention Guidelines | 405 | ||
| Palpation of the Skin | 406 | ||
| Intervention Guidelines | 406 | ||
| Hair and Nails | 407 | ||
| Palpation of the Superficial Connective Tissue | 407 | ||
| 12 Complementary Bodywork Systems | 453 | ||
| Chapter Outline | 453 | ||
| Chapter Objectives | 453 | ||
| Key Terms | 453 | ||
| Complementary Bodywork Systems | 454 | ||
| Basis of Bodywork | 455 | ||
| Body, Mind, and Spirit | 455 | ||
| Therapeutic Massage, Relaxing Massage, Medical Massage, and All the Rest | 455 | ||
| Hydrotherapy | 456 | ||
| History of Hydrotherapy | 456 | ||
| Hydrotherapy Uses and Indications | 456 | ||
| Key Points | 457 | ||
| Effects of Hydrotherapy | 457 | ||
| Visceral Reflex | 457 | ||
| Cutaneous and Somatic Effects | 457 | ||
| Mechanical Effects | 457 | ||
| Physiologic Effects | 459 | ||
| Circulation Enhancement | 459 | ||
| Revulsive Effect | 459 | ||
| Derivative Effect | 459 | ||
| Collateral Circulation Effect | 459 | ||
| Effects of Cold Applications | 459 | ||
| Effects of Hot Applications | 459 | ||
| Hydrotherapy Supplies | 460 | ||
| Hydrotherapy Treatments and Common Techniques | 460 | ||
| Hydrotherapy Baths | 460 | ||
| Hot Full Immersion Bath | 460 | ||
| Indications for a Hot Full Immersion Bath | 460 | ||
| Neutral Full Immersion Bath | 460 | ||
| Indications for a Neutral Full Immersion Bath | 460 | ||
| Variations of Full Immersion Baths | 460 | ||
| Whirlpool. | 460 | ||
| Mud Bath. | 460 | ||
| Herbal Bath. | 460 | ||
| Cold Foot Bath. | 461 | ||
| Indications for a Cold Foot Bath | 461 | ||
| Rising Temperature or Warm Foot Bath | 461 | ||
| Indications for a Rising Temperature or Warm Foot Bath | 461 | ||
| Cold Arm Bath | 461 | ||
| Indications for a Cold Arm Bath | 461 | ||
| Rising Temperature and Warm Arm Bath | 461 | ||
| Indications for a Rising Temperature or Warm Arm Bath | 461 | ||
| Sitz Bath | 461 | ||
| Variations of Sitz Baths | 461 | ||
| Indications for a Sitz Bath | 462 | ||
| Saunas and Steam Baths | 462 | ||
| Indications for Saunas and Steam Baths | 462 | ||
| Douches | 462 | ||
| Douche Variations | 462 | ||
| Knee Douche | 462 | ||
| Indications for a Knee Douche | 462 | ||
| Thigh Douche | 463 | ||
| Lower Trunk Douche | 463 | ||
| Indications for a Thigh and Lower Trunk Douche | 463 | ||
| Arm Douche | 463 | ||
| Indications for an Arm Douche | 463 | ||
| Upper Trunk, Back, and Neck Douche | 463 | ||
| Indications for an Upper Trunk, Back, and Neck Douche | 463 | ||
| Face Douche | 463 | ||
| Indications for a Face Douche | 463 | ||
| Compresses and Packs | 463 | ||
| Cold Compresses | 464 | ||
| Cold Packs | 464 | ||
| Indications for a Cold Compress or Pack | 464 | ||
| Hot Compresses | 464 | ||
| Warm Packs | 464 | ||
| Indications for Hot Compresses or Packs | 464 | ||
| Wet Sheet Pack | 464 | ||
| Integrating Hydrotherapy into Therapeutic Massage | 466 | ||
| PRICE First Aid | 466 | ||
| Hot and Cold Stones | 468 | ||
| Types of Stones Commonly Used for Massage | 468 | ||
| Healing Properties of Minerals | 468 | ||
| Use of Stones During Massage | 468 | ||
| Gliding Tool | 468 | ||
| Pressure Point Tool | 469 | ||
| Compression Tool | 469 | ||
| Thermotherapy Tool | 469 | ||
| Proper Body Mechanics While Using Stones | 469 | ||
| Justifying the Use of Stones with Massage | 469 | ||
| Selecting Stones | 469 | ||
| Procedure for Using Stones During Massage (Figure 12-6) | 469 | ||
| Aromatherapy | 471 | ||
| Essential Oils | 472 | ||
| Fragrance Oils | 472 | ||
| Carrier Oils | 472 | ||
| Benefits of Aromatherapy | 473 | ||
| Safety Guidelines for the Use of Essential Oils | 474 | ||
| Aromatherapy Applications | 474 | ||
| Choosing Essential Oils to Complement Massage | 475 | ||
| Lymph, Blood, and Circulation Enhancement | 475 | ||
| Lymphatic Drainage | 477 | ||
| Lymphatic System | 477 | ||
| Edema | 479 | ||
| Indications for Lymphatic Drainage Massage | 480 | ||
| Contraindications and Cautions for Lymphatic Drainage Massage | 480 | ||
| Principles of Lymphatic Drainage Massage | 480 | ||
| Application of Lymphatic Drainage Massage | 481 | ||
| Procedure for Lymphatic Drainage Targeted Massage | 481 | ||
| Fluid Movement Protocol | 482 | ||
| Circulatory Massage | 482 | ||
| Circulatory System | 482 | ||
| Massage Methods for the Circulatory System | 482 | ||
| Fluid Movement protocol: Lymphatic Drainage and Venous Return | 483 | ||
| Fluid Movement Protocol: ARTERIAL CIRCULATION | 485 | ||
| Fluid movement protocol: Integrated Sequence | 486 | ||
| Connective Tissue Approaches | 487 | ||
| Review of Fascia Research | 487 | ||
| Connective Tissue Dysfunctions | 488 | ||
| Treatment of Dysfunctions | 488 | ||
| Controlled Injury Healing | 488 | ||
| Deep Transverse Frictioning | 488 | ||
| Methods of Deep Transverse Frictioning | 489 | ||
| Myofascial Approaches | 490 | ||
| Nature of the Fascia | 490 | ||
| Location of the Fascia | 491 | ||
| Myofascial Dysfunction | 491 | ||
| Myofascial Massage Methods | 491 | ||
| Tissue Movement Methods Specific for the Superficial Fascia | 492 | ||
| Fascial Restriction Method | 492 | ||
| Connective Tissue Protocol | 493 | ||
| Trigger Point Treatment Approaches | 495 | ||
| Definition of a Trigger Point | 495 | ||
| Perpetuating Factors | 496 | ||
| Assessment for Trigger Points | 496 | ||
| Methods of Treating Trigger Points | 497 | ||
| Deciding Which Trigger Points to Treat | 499 | ||
| Neuromuscular Therapy | 500 | ||
| Asian Bodywork Methods | 500 | ||
| Acupuncture | 500 | ||
| Meridians in Chinese Bodywork Systems | 502 | ||
| Yin and Yang | 502 | ||
| The 12 Main Meridians | 503 | ||
| The Five Elements | 504 | ||
| Principles of Traditional Chinese Medicine | 506 | ||
| Health Preservation and Exercise | 508 | ||
| Methods of Treating Acupuncture Points | 508 | ||
| Shiatsu | 509 | ||
| Thai Massage | 513 | ||
| Ayurveda | 513 | ||
| Color and Chakra Therapy | 514 | ||
| Polarity Therapy | 515 | ||
| Principles and Applications of Polarity Therapy | 516 | ||
| The Five Major Body Currents | 516 | ||
| Reflexes | 517 | ||
| Positive and Negative Contacts | 517 | ||
| Applying a Polarity Method | 517 | ||
| Reflexology | 519 | ||
| Physiologic Reflexes of the Foot | 519 | ||
| Reflex Phenomena | 520 | ||
| Massage for the Foot | 520 | ||
| Foot Massage/REFLEXOLOGY PROTOCOL | 520 | ||
| Summary | 522 | ||
| References | 522 | ||
| Bibliography | 523 | ||
| Additional Resource | 523 | ||
| Workbook Section | 524 | ||
| Short Answer | 524 | ||
| Matching I | 524 | ||
| Matching II | 525 | ||
| Labeling | 526 | ||
| Additional Exercise | 526 | ||
| Problem-Solving Scenarios | 526 | ||
| Assess Your Competencies | 526 | ||
| Professional Applications | 526 | ||
| 13 Massage Career Tracks and Practice Settings | 527 | ||
| Chapter Outline | 527 | ||
| Chapter Objectives | 527 | ||
| Key Terms | 527 | ||
| Therapeutic Massage in the Wellness/Spa Environment | 528 | ||
| The History of the Spa | 529 | ||
| Brand Image | 529 | ||
| The Spa Signature | 530 | ||
| Spa Trends | 530 | ||
| Challenges of a Brand Image | 530 | ||
| Types of Spas | 530 | ||
| The Medical Spa | 530 | ||
| Integrative Health and Wellness Centers | 531 | ||
| Spa Safety | 531 | ||
| Health Regulations and the Spa | 532 | ||
| Credentialing in the Spa Industry | 532 | ||
| Spa Etiquette | 532 | ||
| Massage Therapy in the Spa | 533 | ||
| The Massage Practitioner’s Responsibilities in the Spa or Franchise Environment | 533 | ||
| Pay Scales for Massage Therapists in the Spa Environment | 534 | ||
| The Spa Language | 534 | ||
| Products | 535 | ||
| Spa Treatments | 535 | ||
| Cosmetic Treatments | 535 | ||
| The Facial | 535 | ||
| Peels | 536 | ||
| Pedicures and Manicures | 537 | ||
| Waxing and Hair Removal Services | 537 | ||
| Application of Permanent Makeup | 537 | ||
| Tanning Services | 537 | ||
| Hair Styling | 537 | ||
| Body Treatments | 537 | ||
| Massage Treatments | 537 | ||
| Hydrotherapy Treatments | 538 | ||
| Bath Treatments | 538 | ||
| Bath Additives | 538 | ||
| Cleaning the Tub and Room | 538 | ||
| Other Hydrotherapy Treatments | 538 | ||
| Vichy Shower | 538 | ||
| Scrubs, Friction Rubs, and Ablutions | 538 | ||
| Wraps | 538 | ||
| Steam Inhalation | 539 | ||
| Aromatherapy | 539 | ||
| Massage Therapy Franchises | 539 | ||
| Cross-Training Recommendations | 539 | ||
| A Day at the Spa | 539 | ||
| Therapeutic Massage in the Health Care Environment | 542 | ||
| Clinical/Medical Massage | 542 | ||
| Becoming Part of the Health Care Team | 542 | ||
| Professionalism | 543 | ||
| Responsibilities of the Massage Therapist | 543 | ||
| Communication Among the Health Care Team | 544 | ||
| Pay Scales for Therapeutic Massage in the Health Care Environment | 544 | ||
| Best Practice | 545 | ||
| Key Points | 545 | ||
| Integrating Massage into the Health Care Setting | 545 | ||
| Key Points | 546 | ||
| The Health Insurance Portability and Accountability Act of 1996 | 546 | ||
| Health Insurance | 546 | ||
| Health Care Reform and the Health Insurance Industry | 547 | ||
| Health Insurance Reimbursement | 547 | ||
| Record Keeping | 547 | ||
| Confidentiality | 547 | ||
| Computer-Based Patient Record and the Electronic Health Record | 548 | ||
| Basic Pharmacology for the Massage Therapist | 548 | ||
| Pharmacodynamics | 548 | ||
| Drug Interactions | 550 | ||
| Using a Drug Reference | 550 | ||
| The Evolution of Health Care | 551 | ||
| Integrative Medicine | 551 | ||
| History of Conventional and Alternative Medicine | 551 | ||
| Beneficial and Safe Complementary Practice | 552 | ||
| Cross-Training Recommendations | 553 | ||
| Therapeutic Massage in the Sports and Fitness Environment | 553 | ||
| Employment and Pay Scales | 554 | ||
| Remedial, Rehabilitative, Medical, and Orthopedic Massage in the Sports and Fitness Environment | 554 | ||
| Common Goals and Outcomes for Massage in Sports and Fitness | 554 | ||
| The Sporting Event as a Practice Option | 555 | ||
| Pre-event (Warm-Up) Massage | 556 | ||
| Intercompetition Massage | 556 | ||
| Recovery/Post-event Massage | 556 | ||
| Promotional (Event) Massage | 556 | ||
| The Sports Massage Team | 557 | ||
| Cross-Training Recommendations | 557 | ||
| Summary | 557 | ||
| References | 557 | ||
| Resources | 557 | ||
| Workbook Section | 558 | ||
| Short Answer | 558 | ||
| Problem-Solving Scenarios | 558 | ||
| Assess Your Competencies | 559 | ||
| Professional Application | 559 | ||
| 14 Adaptive Massage | 560 | ||
| Chapter Outline | 560 | ||
| Chapter Objectives | 560 | ||
| Key Terms | 560 | ||
| Animal Massage | 561 | ||
| Body of Knowledge for Animal Massage | 563 | ||
| Communication | 564 | ||
| Massage Benefits for Animals | 564 | ||
| Animals That Benefit from Massage | 564 | ||
| Human Benefit | 565 | ||
| Providing Massage for Animals | 565 | ||
| History and Assessment | 565 | ||
| Massage Application | 565 | ||
| Special Considerations for Horses | 566 | ||
| Pain Management | 566 | ||
| Pain Behavior in Dogs, Cats, and Horses | 567 | ||
| Dogs | 567 | ||
| Cats | 567 | ||
| Horses | 567 | ||
| Pain Medication for Animals | 567 | ||
| Opioid Agonists | 567 | ||
| 15 Wellness Education | 608 | ||
| Chapter Outline | 608 | ||
| Chapter Objectives | 608 | ||
| Key Terms | 608 | ||
| Challenges to Wellness | 609 | ||
| Stress | 609 | ||
| Stress Management | 610 | ||
| Life Demands | 610 | ||
| Loss and Grief | 610 | ||
| Intuition: Recognizing When Wellness Is Off Balance | 610 | ||
| Seeking Help | 611 | ||
| Professional Help | 611 | ||
| Supportive Relationships | 611 | ||
| The Body: Nutrition | 611 | ||
| The Main Food Groups | 611 | ||
| Proteins | 611 | ||
| Carbohydrates | 612 | ||
| Fats | 612 | ||
| Vitamins | 612 | ||
| Minerals | 612 | ||
| Planning a Healthy Diet | 612 | ||
| Hydration | 612 | ||
| Fruits and Vegetables | 612 | ||
| Red Meat | 612 | ||
| Poultry and Fish | 613 | ||
| Nuts and Healthy Fats | 613 | ||
| Controlling Inflammation Through Diet | 614 | ||
| Nutritional Supplements | 614 | ||
| Key Points | 614 | ||
| The Body: Physical Fitness | 614 | ||
| Deconditioning | 615 | ||
| Aerobic Exercise Training | 615 | ||
| Adaptation | 615 | ||
| Energy Expenditure | 615 | ||
| Conditioning | 615 | ||
| Intensity | 615 | ||
| Duration | 616 | ||
| Frequency | 616 | ||
| Maintaining Fitness | 616 | ||
| The Exercise Program | 616 | ||
| The Warm-Up | 616 | ||
| Aerobic Exercise | 616 | ||
| Continuous Training | 616 | ||
| Interval Training | 617 | ||
| Circuit Training | 617 | ||
| Circuit-Interval Training | 617 | ||
| The Cool-Down | 617 | ||
| Physiologic Changes That Occur with Exercise | 617 | ||
| Cardiovascular Changes | 617 | ||
| Respiratory Changes | 617 | ||
| Metabolic Changes | 617 | ||
| Other System Changes | 617 | ||
| Flexibility | 617 | ||
| Stretching | 618 | ||
| The Body: Relaxation | 618 | ||
| Mindfulness | 619 | ||
| Breathing | 619 | ||
| Phases of Breathing | 620 | ||
| Massage to Support Breathing Function | 620 | ||
| Sleep | 620 | ||
| The Mind | 624 | ||
| Emotions | 624 | ||
| Feelings | 624 | ||
| Behavior | 625 | ||
| Addictive Behavior | 625 | ||
| Self-Concept | 625 | ||
| Coping | 625 | ||
| Commitment | 626 | ||
| Control | 626 | ||
| Challenge | 626 | ||
| The Spirit | 626 | ||
| Faith | 626 | ||
| Hope | 626 | ||
| Love | 627 | ||
| Summary | 627 | ||
| References | 628 | ||
| Workbook Section | 629 | ||
| Short Answer | 629 | ||
| Assess Your Competencies | 629 | ||
| 16 Case Studies | 630 | ||
| Chapter Outline | 630 | ||
| Chapter Objectives | 630 | ||
| Case 1 Generalized Stress and Anxiety with Breathing Pattern Disorder Symptoms | 631 | ||
| Assessment | 632 | ||
| Observation | 632 | ||
| Interview and Goals | 632 | ||
| Physical Assessment | 632 | ||
| Posture | 632 | ||
| Gait | 632 | ||
| Range of Motion | 632 | ||
| Palpation | 632 | ||
| Muscle Testing | 633 | ||
| Strength | 633 | ||
| Neurologic Balance | 633 | ||
| Gait | 633 | ||
| Interpretation and Treatment Plan Development | 633 | ||
| Clinical Reasoning | 633 | ||
| What Are the Facts? | 633 | ||
| What Are the Possibilities in Both Function and Dysfunction and the Massage Intervention Options? | 633 | ||
| Possibilities | 634 | ||
| What Are the Logical Outcomes of Each Possible Intervention? | 634 | ||
| What Is the Impact on the People Involved for Each Possible Intervention? | 634 | ||
| Decision Making and Treatment Plan Development | 634 | ||
| Quantifiable Goals | 634 | ||
| Qualifiable Goals | 634 | ||
| Treatment Regimen | 634 | ||
| Therapeutic Change | 634 | ||
| Case 2 Muscle Tension Headache | 635 | ||
| Assessment | 635 | ||
| Observation | 635 | ||
| Interview and Goals | 635 | ||
| Physical Assessment | 635 | ||
| Posture | 635 | ||
| Gait | 635 | ||
| Range of Motion | 635 | ||
| Palpation | 635 | ||
| Muscle Testing | 636 | ||
| Strength | 636 | ||
| Neurologic Balance | 636 | ||
| Gait | 636 | ||
| Interpretation and Treatment Plan Development | 636 | ||
| Clinical Reasoning | 636 | ||
| What Are the Facts? | 636 | ||
| What Are the Possibilities in Both Function and Dysfunction and the Massage Intervention Options? | 636 | ||
| Possibilities | 636 | ||
| What Are the Logical Outcomes of Each Possible Intervention? | 636 | ||
| What Is the Impact on the People Involved for Each Possible Intervention? | 637 | ||
| Decision Making and Treatment Plan Development | 637 | ||
| Quantifiable Goals | 637 | ||
| Qualifiable Goal | 637 | ||
| Treatment Regimen | 637 | ||
| Therapeutic Change/Condition Management | 637 | ||
| Case 3 Generalized Pain Syndrome: Subclinical Fibromyalgia | 637 | ||
| Assessment | 637 | ||
| Observation | 637 | ||
| Interview and Goals | 638 | ||
| Physical Assessment | 638 | ||
| Posture | 638 | ||
| Gait | 638 | ||
| Range of Motion | 638 | ||
| Palpation | 638 | ||
| Muscle Testing | 638 | ||
| Strength | 638 | ||
| Neurologic Balance and Gait | 638 | ||
| Interpretation and Treatment Plan Development | 638 | ||
| Clinical Reasoning | 638 | ||
| What Are the Facts? | 638 | ||
| What Are the Possibilities in Both Function and Dysfunction and the Massage Intervention Options? | 639 | ||
| Possibilities | 639 | ||
| What Are the Logical Outcomes of Each Possible Intervention? | 639 | ||
| What Is the Impact on the People Involved for Each Possible Intervention? | 639 | ||
| Decision Making and Treatment Plan Development | 639 | ||
| Quantifiable Goals | 639 | ||
| Qualifiable Goal | 639 | ||
| Treatment Regimen | 639 | ||
| Case 4 Neck and Shoulder Pain with Limited Range of Motion | 640 | ||
| Assessment | 640 | ||
| Observation | 640 | ||
| Interview and Goals | 641 | ||
| Physical Assessment | 641 | ||
| Posture | 641 | ||
| Appendix A Indications and Contraindications to Massage | 680 | ||
| The Ontario Model | 680 | ||
| General | 680 | ||
| Local (Regional): Avoid or Modify Massage in the Indicated Area | 680 | ||
| General | 681 | ||
| Local (Regional) | 681 | ||
| Other Important Considerations | 681 | ||
| The Oregon Model: Indications and Contraindications by Body System | 681 | ||
| The Integumentary System | 681 | ||
| Specific Disease Processes and Bacterial Conditions | 682 | ||
| Acne | 682 | ||
| Carbuncle | 682 | ||
| Cellulitis | 682 | ||
| Folliculitis | 682 | ||
| Furuncle (Boil) | 682 | ||
| Impetigo | 682 | ||
| Syphilis | 682 | ||
| Viral Conditions | 682 | ||
| Bell’s Palsy | 682 | ||
| Herpes Simplex | 682 | ||
| Herpes Zoster (Shingles) | 682 | ||
| Warts | 682 | ||
| Fungal Conditions | 682 | ||
| Ringworm, Athlete’s Foot, Fungal Infection of the Nails | 682 | ||
| Allergic Reactions | 682 | ||
| Atopic Dermatitis (Eczema) | 682 | ||
| Contact Dermatitis | 682 | ||
| Urticaria (Hives) | 683 | ||
| Benign Conditions | 683 | ||
| Mole | 683 | ||
| Psoriasis | 683 | ||
| Scleroderma | 683 | ||
| Malignant Conditions | 683 | ||
| Skin Cancer | 683 | ||
| The Skeletal System, Muscular System, and Articulations | 683 | ||
| Specific Disease Processes | 683 | ||
| Atonicity (Flaccidity) | 683 | ||
| Contracture | 683 | ||
| Convulsion | 683 | ||
| Fibrillation | 683 | ||
| Hypertonicity | 683 | ||
| Spasms (Cramp) | 683 | ||
| Tic | 683 | ||
| Soft Tissue Injuries | 683 | ||
| Dislocation | 683 | ||
| Sprains | 684 | ||
| Strains | 684 | ||
| Subluxation | 684 | ||
| Infectious Processes | 684 | ||
| Osteomyelitis | 684 | ||
| Inflammatory Processes | 684 | ||
| Ankylosing Spondylitis | 684 | ||
| Bursitis | 684 | ||
| Fibromyalgia | 684 | ||
| Gouty Arthritis | 684 | ||
| Lupus Erythematosus | 684 | ||
| Osgood-Schlatter Disease | 684 | ||
| Rheumatoid Arthritis | 684 | ||
| Tendinitis | 684 | ||
| Tenosynovitis | 684 | ||
| Compression Processes | 684 | ||
| Carpal Tunnel Syndrome | 684 | ||
| Degenerative Processes | 685 | ||
| Muscular Dystrophy | 685 | ||
| Osteoarthritis | 685 | ||
| Osteoporosis | 685 | ||
| Abnormal Spinal Curve | 685 | ||
| Kyphosis | 685 | ||
| Lordosis | 685 | ||
| Scoliosis | 685 | ||
| Disordered Muscular Processes | 685 | ||
| Low Back Pain | 685 | ||
| Spasmodic Torticollis | 685 | ||
| Temporomandibular Joint (TMJ) Dysfunction | 685 | ||
| Neurologic Conditions | 685 | ||
| Specific Disease Processes | 685 | ||
| Dyskinesia | 685 | ||
| Dystonia | 685 | ||
| Insomnia | 685 | ||
| Peripheral Neuropathy | 685 | ||
| Tinnitus | 686 | ||
| Vertigo | 686 | ||
| Vascular Processes | 686 | ||
| Cerebrovascular Accident (CVA) | 686 | ||
| Headache | 686 | ||
| Head Injury | 686 | ||
| Transient Ischemic Attack (TIA) | 686 | ||
| Infectious Processes | 686 | ||
| Conjunctivitis | 686 | ||
| Parkinson’s Disease | 686 | ||
| Poliomyelitis | 686 | ||
| Postpolio Syndrome | 686 | ||
| Neuromuscular Processes | 686 | ||
| Multiple Sclerosis | 686 | ||
| Spinal Cord Injury | 686 | ||
| Trigeminal Neuralgia (Tic Douloureux) | 686 | ||
| Miscellaneous Disorders | 687 | ||
| Seizure Disorders | 687 | ||
| Sleep Apnea | 687 | ||
| Thoracic Outlet Syndrome | 687 | ||
| Endocrine System | 687 | ||
| Specific Disease Processes | 687 | ||
| Diabetes Mellitus | 687 | ||
| Hyperglycemia | 687 | ||
| Hypoglycemia | 687 | ||
| Hyperthyroidism | 687 | ||
| Hypothyroidism | 687 | ||
| Neuropathy | 687 | ||
| Cardiovascular System | 687 | ||
| Physiologic Processes | 688 | ||
| Anemia | 688 | ||
| Aneurysm | 688 | ||
| Angina Pectoris | 688 | ||
| Arteriosclerosis and Atherosclerosis | 688 | ||
| Congestive Heart Failure | 688 | ||
| Deep Vein Thrombosis | 688 | ||
| Hemophilia | 688 | ||
| Myocardial Infarction (MI) | 688 | ||
| Mononucleosis | 688 | ||
| Phlebitis | 688 | ||
| Raynaud’s Syndrome | 688 | ||
| Syncope | 688 | ||
| Varicose Veins | 688 | ||
| Lymphatic and Immune Systems | 689 | ||
| Specific Disease Processes | 689 | ||
| Allergy | 689 | ||
| Autoimmune Disease | 689 | ||
| Chronic Fatigue Syndrome | 689 | ||
| Human Immunodeficiency Virus (HIV) Infection | 689 | ||
| Lymphedema | 689 | ||
| The Respiratory System | 689 | ||
| Specific Infectious Disease Processes | 689 | ||
| Asthma | 689 | ||
| Tuberculosis | 689 | ||
| Upper Respiratory Infection (Bronchitis, Common Cold, Sinusitis, Pneumonia) | 689 | ||
| The Gastrointestinal System | 689 | ||
| Specific Disease Processes | 690 | ||
| Constipation | 690 | ||
| Diarrhea | 690 | ||
| Flatulence | 690 | ||
| Halitosis | 690 | ||
| Inflammatory Processes | 690 | ||
| Appendicitis | 690 | ||
| Cholelithiasis and Cholecystitis | 690 | ||
| Cirrhosis of the Liver | 690 | ||
| Colitis | 690 | ||
| Crohn’s Disease (Regional Enteritis) | 690 | ||
| Diverticulosis | 690 | ||
| Duodenal Ulcer | 690 | ||
| Hepatitis | 690 | ||
| Gastritis | 691 | ||
| Hernia | 691 | ||
| Pancreatitis | 691 | ||
| Stress Ulcer | 691 | ||
| Ulcer | 691 | ||
| The Metabolic System | 691 | ||
| Specific Disease Processes | 691 | ||
| Cystic Fibrosis | 691 | ||
| Malnutrition | 691 | ||
| Obesity | 691 | ||
| The Genitourinary System | 691 | ||
| Specific Disease Processes | 692 | ||
| Breast Cancer | 692 | ||
| Dysmenorrhea | 692 | ||
| Pelvic Inflammatory Disease | 692 | ||
| Premenstrual Syndrome (PMS) | 692 | ||
| Testicular Cancer | 692 | ||
| Toxic Shock Syndrome | 692 | ||
| Urinary Tract Infection | 692 | ||
| Sexually Transmitted Diseases | 692 | ||
| Genital Herpes | 692 | ||
| Gonorrhea | 692 | ||
| Human Immunodeficiency Virus (HIV) Infection | 692 | ||
| Syphilis | 692 | ||
| Psychiatric Disorders | 692 | ||
| Specific Disease Processes | 693 | ||
| Anxiety, Depression (Bipolar or Manic/Depressive Disorders) | 693 | ||
| Appendix B Skin Pathology: Common Skin Disorders | 694 | ||
| Appendix C Basic Pharmacology for the Massage Therapist | 696 | ||
| Overview | 696 | ||
| Information to Help Clarify Medication Actions | 696 | ||
| Common Medications and Possible Implications for Massage | 696 | ||
| Cardiovascular Medications | 696 | ||
| Vasodilators (Including Antianginal Drugs) | 696 | ||
| Beta Blockers | 696 | ||
| Calcium Channel Blockers | 697 | ||
| Antiarrhythmics | 697 | ||
| Antihypertensives and Diuretics | 697 | ||
| Cardiac Glycosides (Digitalis Glycosides) | 697 | ||
| Anticoagulants and Medications That Inhibit Platelets | 697 | ||
| Antihyperlipidemics | 698 | ||
| Gastrointestinal Medications | 698 | ||
| Anticholinergics | 698 | ||
| Antiulcer Medications | 698 | ||
| Hormones | 698 | ||
| Antidiabetic Medications | 698 | ||
| Sex Hormones | 698 | ||
| Steroids | 699 | ||
| Thyroid Medications | 699 | ||
| Antiinfective Medications | 699 | ||
| Antibiotics | 699 | ||
| Antivirals | 699 | ||
| Antifungals | 699 | ||
| Pediculicides and Scabicides | 699 | ||
| Antineoplastic Medications | 699 | ||
| Central Nervous System Medications | 699 | ||
| Antianxiety Drugs/Sedatives | 699 | ||
| Antipsychotics | 700 | ||
| Antidepressants | 700 | ||
| Amphetamines and Related Stimulants | 700 | ||
| Anticonvulsants | 700 | ||
| Antiparkinsonism Agents | 700 | ||
| Analgesics | 701 | ||
| Antiinflammatory Medications | 701 | ||
| Respiratory Medications | 701 | ||
| Antitussives | 701 | ||
| Expectorants | 701 | ||
| Decongestants | 701 | ||
| Bronchodilators | 701 | ||
| Antihistamines | 702 | ||
| Vitamins and Minerals | 702 | ||
| Dietary Supplements and Herbs | 702 | ||
| Bibliography | 702 | ||
| Glossary | 703 | ||
| Index | 715 | ||
| A | 715 | ||
| B | 715 | ||
| C | 716 | ||
| D | 717 | ||
| E | 718 | ||
| F | 718 | ||
| G | 719 | ||
| H | 719 | ||
| I | 720 | ||
| J | 720 | ||
| K | 720 | ||
| L | 720 | ||
| M | 721 | ||
| N | 722 | ||
| O | 722 | ||
| P | 722 | ||
| Q | 724 | ||
| R | 724 | ||
| S | 724 | ||
| T | 725 | ||
| U | 726 | ||
| V | 726 | ||
| W | 726 | ||
| X | 727 | ||
| Y | 727 | ||
| Z | 727 | ||
| Inside back cover | ibc1 |