Standard Protocols

Question 1

Asthma and Chronic and Shallow Breathing

Hint there are 10 strokes

Answer 1

Strokes:
(Client Supine)
1.) Sternum
2.) Pectoralis Major
3.) Pectoralis Minor
4.) Latissimus Dorsi, Teres Minor
5.) Subscapularis (lateral border)
6.) Lower Ribs (anterior)
7.) Diaphragm 
8.) Rib Compression
(Client Prone)
9.) Lower Ribs (posterior)
10.) Paraspinals

Question 2

Carpal Tunnel Syndrome

Hint there are 4 strokes

Answer 2

Strokes:

1. ) Dorsal and Ventral Arms
2. ) Dorsal and Ventral Hands
3. ) Finger pull
4. ) Adductor pollicis

Question 3

Pronator Teres Syndrome

(Hint it includes protocol for_________?) as well as_________?

Answer 3

Strokes:

1. ) All protocols from Carpal Tunnel Syndrome
2. ) Longitudinal and latitudinal strokes to the Pronator Teres with the client rotating his or her hand and wrist internally

Question 4

Brachial Plexus Syndrome

Hint there are 5 strokes

Answer 4

Strokes:

1. ) Pectoralis Major
2. ) Pectoralis Minor
3. ) Latissimus Dorsi and Teres Minor
4. ) Anterior Scalenes
5. ) Rib compression of upper chest

Question 5

Thoracic Outlet Syndrome

Hint there are 5 strokes

Answer 5

Strokes:
(client seated)
1.) Tapezius
2.) Levator Scapulae
3.) Occipital Ridge (with emphasis on traction of the neck)
(client supine on table)
4.) Latitudinal strokes across the neck with special emphasis on the anterior scalenes in the valley superior to the clavicle
5.) Rib compression

Question 6

Chronic/Acute Stiff Neck

Hint there are 12 strokes

Answer 6

Strokes:
(client seated)
1.) Trapezius
2.) Levator Scapulae
3.) Occipital Ridge
(client supine)
4.) Pectoralis Major
5.) Pectoralis Minor
6.) Latissimus Dorsi/Teres Minor
7.) Neck: Latitudinal strokes with special emphasis on occipital ridge and Anterior Scalenes in the valley superior to the clavicle
8.) Subscapularis: lateral border
(client prone)
9.) Infraspinatus
10.) Supraspinatus
11.) Subscapularis: medial border
12.) Paraspinals: from C7 to L5

Question 7

Low Back Pain

Hint there are 16 strokes

Answer 7

Strokes:
(client supine)
1.) Sternum
2.) Pectoralis Major
3.) Pectoralis Minor
4.) Latissimus Dorsi
5.) Lower Ribs
6.) Diaphragm
7.Rib Compression
(client prone)
8.) Hamstrings
(client sidelying)
9.) Quadratus Lumborum
10.) Adductors
(client prone)
11.) Lower Posterior Ribs
12.) Paraspinals (T1-L5)
(client supine)
13.) Piriformis
14.) Ilio-psoas tendon
15.) Iliacus
16.) Psoas

Question 8

Fibromyalgia

Hint: What’s included? What are the exceptions?

Answer 8

Strokes:
All strokes for the complete Myofascial Release Massage with the exception of the deep structure strokes (Piriformis, Iliopsoas tendon, Iliacus and Psoas). Deep structure strokes may be useful after four or five sessions if the client is reporting relief from the work you are already doing.

Question 9

General Stress and Tension

Hint: What’s included

Answer 9

Strokes:
All strokes, superficial and deep. Again, wait to do the deep structures for three to four sessions until the client is able to relax and let you work these tissues more easily.

Question 10

Gross Physical Trauma

(Hint: What’s included? Once the client can better relax you can_____________?

Answer 10

Strokes:
All strokes, including those for the deep structure (Piriformis, Iliopsoas tendon, Iliacus and Psoas) are very useful. Wait until you have done four or five sessions before employing the deep structure strokes so that the client can better relax and allow the work on the deep structures.

Question 11

Restricted Joint Movement

Answer 11

Strokes:

Work all tissue which span the involved joint(s)