Clinical massage .pptx

Clinical massage Prepared by: Kidist Zegeye Course outline Introduction to clinical massage Definition and benefits of clinical massage Some contraindications of clinical massage Client assessment Understanding trigger points Identification and treatment of trigger points Comm...

Clinical massage Prepared by: Kidist Zegeye Course outline Introduction to clinical massage Definition and benefits of clinical massage Some contraindications of clinical massage Client assessment Understanding trigger points Identification and treatment of trigger points Common NMSDs and their impact on function Some clinical cases and their treatment plans Assessment Continuous assessment 100% Quiz 10% 1 individual assignment 30% Class attendance and participation 10% Final exam covering all the course material 50% Introduction Definition Clinical massage therapy is a specialized area of massage therapy that involves treating specific conditions and injuries. Clinical massage therapy is a form of massage therapy that is focused on treating medical conditions and injuries. Therapists use specific techniques and protocols to address a client's individual needs. Cont... As a professional clinical massage therapist we've to know these things competently: Advanced knowledge of Anatomy and Physiology Proficient palpitation skill Competent assessment ability (Hx, PE and special tests) Visual observation Benefits of clinical massage therapy Pain relief Improved circulation Stress reduction Inflammatory process reduction Restore normal soft tissue environment Improved flexibility and ROM Enhanced immune function Injury recovery Most common contraindications for massage therapy Fever Infection Acute injuries High blood pressure Skin conditions Certain medical conditions (DVT, cancer, osteoporosis...) Pregnancy Recent surgery Severe pain Forms of therapeutic massage Therapeutic massage is a type of manual therapy that involves manipulating the soft tissues of the body, such as muscles, tendons, and ligaments, to promote healing, relaxation, and overall well- being. There are various forms of therapeutic massage, each with its own unique techniques and benefits. Cont... Some popular forms of therapeutic massage include: Swedish massage Deep tissue massage Sport massage Trigger point therapy Aromatherapy massage Specialized forms of massage therapy It focus on treating specific medical conditions, injuries, or orthopedic issues. Clinical massage Involves using various techniques to address musculoskeletal pain and dysfunction. This type of massage may target specific areas of tension, improve range of motion, and reduce pain and inflammation. Cont... Medical massage Is similar to clinical massage, but typically involves treating more serious medical conditions, such as chronic pain, postural imbalances, injuries from accidents or surgeries, or conditions like fibromyalgia or arthritis. Medical massage therapists often work closely with healthcare providers to create an integrated treatment plan. Cont... Orthopedic massage Specifically focuses on treating musculoskeletal injuries or conditions, such as sprains, strains, tendonitis or joint pain. Therapists use a combination of deep tissue massage, myofascial release, stretching, and other techniques to address the underlying causes of pain and dysfunction. Clinical assessment As a professional massage therapist, we evaluate soft tissue and joint injury or dysfunction, So that we understand how these physical structures are producing the pain or the dysfunction that the client presents with. Purpose of assessment To understand the client's current condition To gather informations that we needed To establish treatment goals The two methods of gathering information during an assessment. The HOPS method H- History O- Observation P- Palpitation S- Special tests The SOAP method S- Subjective O- Objective A- Assessment P- Plan History taking While we take a client's history we have to: Greeting the client (use appropriate title when naming) Self introduction Professional manner Keep confidentiality and privacy Be kind and non judgemental Maintain eye contact Ask open ended questions Facilitating the client's story Allow patients to recount their own stories spontaneously, don’t intervene use Nonverbal communication Adaptive questioning Facilitation: posture(nodding), say ehh,Mm,go on, I am listening... Echoing: repetition of patient’s words Clarification: when patients’ symptoms unclear, ask clarification Empathic responses: show empathy and compassion towards the patient History format Identification (NASADORM) Chief compliant HPI (OPQRST) Past Medical History Family History Identification Name Age Sex/gender Address Occupation Lifestyle Chief compliant Is the main reason they are seeking medical attention. It is a concise statement that describes the symptoms or health issue that is bothering them. When we write a chief compliant, we have to write the patient's/client's symptom by it's own word. We don't have to translate it to medical words and also it can not be a diagnosis. Cont... If the compliant is more than one, they should be listed in the order of occurrence. Also we have to mention the duration of each symptoms. Eg: One sided body weakness of 2 wks duration Blurry vision of 1 wk duration History of Present Illness (HPI) Elaborating the chief compliant Typically described in chronological order from the onset of their first sign and symptom to the present moment. Consider: O- Onset (Date, Mode) P- Provocation/Palliation Q- Quality R- Region/Radiation S- Severity T- Timing Past Medical History Any previous fracture Surgical history Serious injuries Massage therapy treatments Any on going medical conditions Family History It is important: To identify any potential genetic risk factors for certain conditions. Provide valuable information about the patient's risk for developing certain diseases or conditions. It can also help healthcare providers to take preventative measures and screening recommendations to address potential health risks based on familial patterns. Cont... We have to consider Any known medical conditions through their family Inquire about specific conditions (heart disease, cancer, diabetes, high blood pressure, stroke, autoimmune diseases) Ask about the age at which family members were diagnosed with these conditions Ask whether they are immediate family members or extended family members Observation It includes a visual analysis of the client’s: Overall appearance, Posture Dynamic movement and The symmetry of his or her body. In addition to observing the client, inspect the injury site for factors such as redness, bruising, swelling, deformities, and other marks in the area. Cont... While observing the client from different views, consider these specific questions: Is there any obvious deformity? Does the client possess normal balance? Are the bony and soft tissue contours symmetrical? Are limb positions equal and symmetric? Is there any scars or other signs that indicate recent injury? Is the color of the skin normal? Posture Posture is usually defined as the relative arrangement of the parts of the body. Good posture is that state of muscular and skeletal balance which protects the supporting structures of the body against injury or progressive deformity, irrespective of position. Poor posture is a faulty relationship of the various parts of the body which produces increased strain on the supporting structures and in which there is less efficient balance of the body over its base of support. Types of posture There are two types of posture. These are: Static posture The body and its segments are aligned and maintained in certain positions like standing, sitting, lying, and kneeling. Dynamic posture The body or its segments are moving, walking, running, jumping, throwing, and lifting. Posture assessment The key to great posture is the position of the SPINE. The spine has four natural curves that play a crucial role in maintaining balance, stability, and flexibility. These are: 1. Cervical curve (Neck region, C1-C7, Lordotic) 2. Thoracic curve (Upper back, T1-T12, Kyphotic) 3. Lumbar curve (Lower back, L1-L5, Lordotic) 4. Saccral curve (Pelvic region, S1-S5, Kyphotic) Cont... Correct posture should maintain these curves, but not increase them. Your head should be above your shoulders, and the top of your shoulder should be over the hips. While assessing posture, symmetry and rotations/tilts should be observed in the anterior, lateral, and posterior views. Each view provides valuable insights into the alignment of the head, shoulders, spine, pelvis, and lower extremities. Anterior view Key Areas to Observe: Head Position: Is the head centered over the shoulders? Look for any tilting or rotation. Shoulder Alignment: Are the shoulders level and symmetrical? Check if one shoulder is higher than the other. Chest Position: Is the chest open or collapsed? Look for signs of rounded shoulders. Arm Position: Are the arms hanging naturally by the sides? Check for any winging of the scapulae. Pelvic Position: Is the pelvis level? Observe for any tilting or rotation. Knees and Feet: Are the knees aligned with the toes? Check for any valgus (inward) or varus (outward) positioning. Cont... Pelvic Position: Is the pelvis level? Observe for any tilting or rotation. Knees and Feet: Are the knees aligned with the toes? Check for any valgus (inward) or varus (outward) positioning. Common Postural Issues: Rounded shoulders Forward head posture Asymmetrical shoulder height Posterior view Key Areas to Observe: Head Position: Is the head centered over the spine? Shoulder Alignment: Are the shoulders level and symmetrical? Look for any asymmetry in scapular positioning. Spinal Alignment: Check for any deviations in the spine, such as scoliosis (curvature). Pelvic Position: Is the pelvis level? Observe for any lateral tilt. Cont... Leg Alignment: Are the legs straight and aligned with the hips? Look for any rotational issues. Feet Position: Are the feet parallel and pointing forward? Common Postural Issues: Scoliosis (lateral curvature of the spine) Uneven shoulder heights Asymmetrical pelvic alignment Lateral view Key Areas to Observe: Head Position: Is the head in line with the shoulders and pelvis? Look for forward head posture. Cervical Spine: Assess the curve of the neck; it should have a slight lordotic curve. Thoracic Spine: Observe the thoracic curve; it should have a kyphotic curve but not be excessively rounded. Lumbar Spine: Check for the lumbar curve; it should have a lordotic curve. Cont... Pelvis Position: Is the pelvis neutral (not tilted forward or backward)? Knees and Ankles: Are the knees straight and in line with the ankles? Look for any hyperextension or flexion. Common Postural Issues: Forward head posture Excessive thoracic kyphosis Anterior or posterior pelvic tilt