Massage of Cervical Thoracic Area - Class 2 Flashcards
how do we open a C/T massage
whole back
starts below the sacrum and move to base of occiput
coming around the deltoids
effleurage
effleurage
clearing stroke
clearing stroke -> opening
superficial to deep following a figure 8 pattern
at least 2 stroke at each band of erector spinae
what should we do on the up stroke of a clearing stroke –> opening
move out laterally with each successive stroke
middle C/T massage
continue assessment and tx
extends from mid thoracic spine to upper cervical
landmarks of middle C/T massage
approx T8 to occiput
how should we drape the pt –> middle
low back and sacrum w/ towel
what do we move into during the middle –> C/T massage
deeper into the muscular levels
what techniques do we use in middle C/T massage
NM techniques
frictions
MFR muscle strokes
NM techniques –> middle C/T massage
stripping
broad and specific contract compressions
petrissage
stripping –> middle C/T massage
J stroke around scap
upper, middle traps
levator scap
erector spinae
petrissage –> middle C/T massage
each erector spinae
upper, mid and lower trap
deltoids
frictions –> middle C/T massage
circular frictions
circular frictions –> middle C/T massage
around scap
base of occiput
along mastoid process
b/w ribs
cervical and thoracic paraspinals
traps (esp upper)
rhomboids
levator scap
MFR muscle strokes –> middle C/T massage
strumming
perpendicular strokes
muscle play
strumming –> MFR –> middle C/T massage
erector spinae mm (C/T)
perpendicular strokes –> MFR –> middle C/T massage
erector spinae mm (C/T)
medial and lateral edges
muscle play –> MFR –> middle C/T massage
upper traps
deltoids
how should we mobilize the scap –> middle C/T massage
when pt is in prone
closing C/T massage
open the whole back
start below sacrum and move to base of occiput
pull drape back down
closing C/T massage we should use
effleurage
effleurage –> closing C/T massage
clearing strokes (@ least 6 of them) following a figure 8 pattern
what should we do on the upstroke of effleurage –> closing C/T massage
move out laterally with each successive stroke
along bands of erector spinae
how many strokes on each band –> effleurage –> closing C/T massage
at least 2
how should strokes be performed –> effleurage –> closing C/T massage
deep to superficial
when the pt is supine
manual upper trap stretches
cranial base/suboccipital release
how should we always do deep effleurage strokes
downward after an upward stroke
insure venous return
what should we check throughout massage
pts color
what happens if the pt is too red
only stroke downward
always ask the how the pt is feeling during massage
what should we have the pt do to prevent orthostatic hypertension
rest before standing
