Massage of Cervical Thoracic Area - Class 2

Question 1

how do we open a C/T massage

Answer 1

whole back

starts below the sacrum and move to base of occiput

coming around the deltoids

effleurage

Question 2

effleurage

Answer 2

clearing stroke

Question 3

clearing stroke -> opening

Answer 3

superficial to deep following a figure 8 pattern

at least 2 stroke at each band of erector spinae

Question 4

what should we do on the up stroke of a clearing stroke –> opening

Answer 4

move out laterally with each successive stroke

Question 5

middle C/T massage

Answer 5

continue assessment and tx

extends from mid thoracic spine to upper cervical

Question 6

landmarks of middle C/T massage

Answer 6

approx T8 to occiput

Question 7

how should we drape the pt –> middle

Answer 7

low back and sacrum w/ towel

Question 8

what do we move into during the middle –> C/T massage

Answer 8

deeper into the muscular levels

Question 9

what techniques do we use in middle C/T massage

Answer 9

NM techniques

frictions

MFR muscle strokes

Question 10

NM techniques –> middle C/T massage

Answer 10

stripping

broad and specific contract compressions

petrissage

Question 11

stripping –> middle C/T massage

Answer 11

J stroke around scap

upper, middle traps

levator scap

erector spinae

Question 12

petrissage –> middle C/T massage

Answer 12

each erector spinae

upper, mid and lower trap

deltoids

Question 13

frictions –> middle C/T massage

Answer 13

circular frictions

Question 14

circular frictions –> middle C/T massage

Answer 14

around scap

base of occiput

along mastoid process

b/w ribs

cervical and thoracic paraspinals

traps (esp upper)

rhomboids

levator scap

Question 15

MFR muscle strokes –> middle C/T massage

Answer 15

strumming

perpendicular strokes

muscle play

Question 16

strumming –> MFR –> middle C/T massage

Answer 16

erector spinae mm (C/T)

Question 17

perpendicular strokes –> MFR –> middle C/T massage

Answer 17

erector spinae mm (C/T)

medial and lateral edges

Question 18

muscle play –> MFR –> middle C/T massage

Answer 18

upper traps

deltoids

Question 19

how should we mobilize the scap –> middle C/T massage

Answer 19

when pt is in prone

Question 20

closing C/T massage

Answer 20

open the whole back

start below sacrum and move to base of occiput

pull drape back down

Question 21

closing C/T massage we should use

Answer 21

effleurage

Question 22

effleurage –> closing C/T massage

Answer 22

clearing strokes (@ least 6 of them) following a figure 8 pattern

Question 23

what should we do on the upstroke of effleurage –> closing C/T massage

Answer 23

move out laterally with each successive stroke

along bands of erector spinae

Question 24

how many strokes on each band –> effleurage –> closing C/T massage

Answer 24

at least 2

Question 25

how should strokes be performed –> effleurage –> closing C/T massage

Answer 25

deep to superficial

Question 26

when the pt is supine

Answer 26

manual upper trap stretches

cranial base/suboccipital release

Question 27

how should we always do deep effleurage strokes

Answer 27

downward after an upward stroke

insure venous return

Question 28

what should we check throughout massage

Answer 28

pts color

Question 29

what happens if the pt is too red

Answer 29

only stroke downward

always ask the how the pt is feeling during massage

Question 30

what should we have the pt do to prevent orthostatic hypertension

Answer 30

rest before standing