Chapter 1- Body Awareness

Question 1

What is Movement Habit?

Answer 1

1. Patterns of movement you repeat over and over again-often
   without being aware that you are using them. Some will serve
   you well, others are not.
2. Transferring many of our everyday movement habits into our work
   environments. example, you may interview patients the sad way
   you eat dinner.

Question 2

What is Kinesthetics?

Answer 2

It is recognizing oneself in Space.

Question 3

What is Posture ?

Answer 3

• The Positioning and alignment of the skeleton and associated
  soft tissue in relation to gravity , Centre of mass, and the
  base of support of the body.
• Postural habits can be good or bad

Question 4

What is the difference between Ease & Effort?

Answer 4

• Ease deals with the Skeletal System
• Effort deals with the muscular system

Both leads to body awareness.

Question 5

What are the Body Awareness Options ?

Answer 5

1. Identifying movement & posture habits
2. Sensing the difference between Ease & Efforts
   3.Body Awareness is essential for developing Sound and
   effective body mechanics
3. Mindful breathing helps you respond efficiently to stress and
   supports healthful body mechanics.

Question 6

Efforts VS Ease ?

Answer 6

• Skeleton is used for support (Ease)
• Effort is used to move our bodies with ease and comfort.
• Visualize your skeleton from head to toe and become aware of the
  strength of your bones and sense where your skeleton is aligned and
  where is not.
• “Stacking the bones”

Question 7

Important notes while you are massaging ?

Answer 7

• Do not look down when you are massaging.
• Sense with your hands (Sense of touch better than sense of
  sight)
• Keep. wrist neutral
• Keep thumb neutral with Radius

Question 8

What is the Axial Skeleton?

Answer 8

1. Cranium
2. Vertebral Column
3. Ribs
4. Sternum
5. Hyoid Bone

Question 9

Principles of alignment?

Answer 9

1. Posture is aligned as upright as possible, finding one’s tallest
   posture.
2. The therapiest’s joints remains neutral as possible .
3. When each segment of the axial skeleton is stacked vertically ( one
   above the other) then the masculine efficiency is attained.
4. When the line gravity passes through the Centre of the base of
   support , then the muscular energy to maintain balance is reduced.
5. Changing positions frequently while massaging helps to vary the
   mechanical stress place on the therapiest’s body.

Question 10

How Stance can be demonstrated as a position while the body is standing ?

Answer 10

1. Both feet remain in contact with the floor.
2. When the body weight is centered ion the pelvic region, then
   the body is optimally stable.
3. Bending the knees to protect the lower back, in order to reduce the distance between the therapiest’s and the client.
4. The navel area is oriented with the client body that is being treated, By reducing the rotation of the spine, discs, soft tissues in your back remain stable & at ease.

Question 11

how does the Strength articulate in Body Awareness?

Answer 11

1. Pressure (increase or decrease) is controlled through the use of weight , not muscle strength.
2. When Sensitivity is high then less pressure needed.
3. When applying pressure the therapiest must be precise and
   continuous when transferring her/his weight to the patient.
4. Therapiest joints must be neutral as possible, muscular efficiency is
   attained when each segment of the axial skeleton is stacked
   vertically.

Question 12

Shoulder & Arm in Body Awareness?

Answer 12

1. Stable Shoulder/scapula should stay relatively close to the body, the should is mobile but is used as stabilizer.
2. Most movement comes from the shoulder (glenhumoral Joint)
   Ball & Socket Joint VS Hinge Joint
3. Massage adds resistance to the movement , thus reinforcing
   stability by using gravity to our advantage.
   
   • Activity ( Shoulder /Scapular stability test)
   • Elbow Hinge Joint
   • Stacking joints = muscular efficiency.

Question 13

Wrist, hand & Thumb in Body Awareness ?

Answer 13

• Ulnar & Radial without any deviation - neutral with pressure
  directions.
• Activity (Finger Push-ups ), (Thumb-wars)

Question 14

What is the Intelligent Touch ?

Answer 14

• Defines six skills
• It is premise where the therapiest has the ability to perform
  and identify certain outcomes and techniques.

Question 15

Identify the six skills in the intelligent touch?

Answer 15

1. Attention and concentration which requires the therapiest to
   focus on the info received through their hands.
   E.g ( tissue, texture, temp) where the therapiest can identify,
   compare & sense through diff layers through diff anatomical
   structure.
2. Discrimination refers to the therapiest’s ability to distinguish fine
   gradations of sensory info. such as tissue characteristics and
   response to movement or applied forces “ Skillful Samurai”
3. Distinguish between healthy tissues and dysfunctional tissues.
4. Identify structures and their response to applied forces.
5. Inquiry “intelligent touch is inquiring touch” , good therapiest is
   always asking questions, Inquiring touch respects the never-ending
   set of questions that inform the intelligent touch. Example;
   
   • what is this tissue?
   • how does the feel of the tissue relate to the patient’s history?
   • how does this relate to the patient’s symptoms?
   • how does this compare to the feel of this type of tissue in other
     places in their patient’s body?
   • how does this compare to other healthy and dysfunctional
     tissues that I have palpated in the past?
6. Intention refers to the therapiest aim of using massage techniques
   to produce more normalized response of the client’s tissue or other
   structures. Therapiest’s who have clear intentions know how both
   healthy and dysfunctional tissues respond to massage.

Question 16

Work Environment in Body Awareness ?

Answer 16

1. Table height- allows you to use your body wright instead of
   excessive muscular strength. (adjusting table height
   depending on positioning(side lying vs supine & prone) by setting
   the height of your upper body where it does not need to strain in
   order to work.
2. Loose fist as a guide in order to find the paper table height ,
   the proportional relationships of your limbs of ur trunk and your
   general flexibility will affect the suitable working table height as well.
3. Space- can affect your mood and behavior , if space is restricted so
   are your body mechanics. you need enough room to move around
   and other working surfaces.

Question 17

What is Body Awareness?

Answer 17

1. A mindfulness of your body’s (movements, responses,
   sensations & feelings).
2. Becoming aware of subtle movement patterns, which requires you
   to be more self observant.
3. Incorporating self-observation into your techniques classes and in
   your daily activities.
4. Attentiveness will help you make healthy choices between body
   mechanics that cause injury VS injury prevention.
5. Self-Observation Exercises.

Question 18

Taxonomy massage technique is based on ?

Answer 18

Taxonomy of massage technique is based on

1. Anatomy
2. Operational requirements
3. Outcome

Question 19

Swedish massage techniques is in reference to the motions of ?

Answer 19

Swedish massage techniques is in reference to the motions of :

1. Gliding,
2. Shaking,
3. Hitting,
4. Kneading,
5. Rubbing.

Question 20

What does it meant a structured touch of massage?

Answer 20

It means a massage in a specific manner in order to achieve selected therapeutic outcomes. Thus therapeutic effects or possible outcomes of a techniques are important when classifying massage techniques

Question 21

Why techniques can’t be classified based solely on their therapeutic effects ?

Answer 21

Because a given technique can produce multiple outcomes.

Question 22

Modern and classical techniques are organized into 6 clusters Techniques, what are the techniques?

Answer 22

1. Superficial reflex techniques
   
   • engage only the skin
   • produce reflex effects such as hyper-stimulation analgesia
   • no mechanical effects.
2. Superficial fluid techniques
   
   • engage skin, superficial fascia, and subcutaneous fat down to the
     investing layer of the deep fascia.
   • produce mechanical effects on superficial lymphatics & the
     venous circulation
3. Neuromuscular techniques
   
   • engage muscle & the tissues it contains.
   • affect the function of the contractile element , connective tissues
     and lymphatic return.
   • produce complex reflex effects.
4. Connective tissue techniques
   
   • engage superficial and deep layers of connective tissue.
   • produce complex reflex effects.
5. Passive movement techniques
   
   • engage multiple tissues and structures
   • wide ranging effects on fluid flow, connective tissue and the neural
     control of muscle tone.
   • produce substantial tissue or joint motion without effort on the part
     of the client
6. Percussive techniques (deform and release tissues quickly)
   
   • engage diff tissues depending on the force with which therapists
     apply them.
   • used primarily in cardiopulmonary rehabilitation to assist bronchial
     drainage and airway clearance mechanically.
   • produce useful reflex neuromuscular effects.

1-5 techniques produce psychoneuroimmunologic effects such as the reduction of stress