Clinical Massage Therapy A Structural Approach to Pain Management

Cover......Page 1
Title Page......Page 4
Copyright Page......Page 5
Foreword......Page 10
Preface......Page 12
Acknowledgments......Page 16
About the Author......Page 18
About the Illustrators......Page 20
Reviewers......Page 22
Contents......Page 23
Chapter 1 The Twelve-Step Approach: Assessment, Treatment, and Client Self-Care......Page 29
Twelve Steps to Pain Management......Page 32
Step 2: Assess Active Range of Motion (AROM)......Page 34
Step 3: Assess Passive Range of Motion (PROM)......Page 41
Steps 5–12: Path to Pain-Free Movement......Page 42
Step 5: Area Preparation......Page 45
Step 6: Myofascial Release......Page 46
Step 7: Cross-Fiber Gliding Strokes/Trigger Point Therapy......Page 47
Step 8: Multidirectional Friction......Page 50
Step 10: Eccentric Scar Tissue Alignment......Page 52
Step 11: Stretching (During Therapy/Client Self- Care)......Page 53
Step 12: Strengthening (Client Self-Care)......Page 55
Tendinosis Techniques......Page 56
Scar Tissue Mobilization......Page 57
A New Hypothesis......Page 58
Case Study......Page 59
Draping......Page 62
Review Questions......Page 64
Chapter 2 Pelvic Stabilization—The Key to Structural Integration......Page 65
Osteophytes......Page 67
Step 2: Assess Active Range of Motion (AROM)......Page 68
Psoas Major, Iliacus (Iliopsoas), and Joint Capsule......Page 70
Step 3: Assess Passive Range of Motion (PROM)......Page 71
Step 11: Stretching (During Therapy)......Page 75
Step 3: Assess Passive Range of Motion (PROM)......Page 77
Step 6: Myofascial Release......Page 79
Step 8: Multidirectional Friction......Page 80
Step 10: Eccentric Scar Tissue Alignment......Page 81
Step 6: Myofascial Release......Page 82
Step 3: Assess Passive Range of Motion (PROM) for Lateral Hip Rotation......Page 83
Step 3: Assess Passive Range of Motion (PROM) for Medial Hip Rotation......Page 85
Step 6: Myofascial Release......Page 86
Step 11: Stretching (During Therapy)......Page 87
Step 4: Assess Resisted Range of Motion (RROM)......Page 89
Step 6: Myofascial Release......Page 90
Step 11: Stretching Medial Hip Rotators (During Therapy)......Page 92
Quadriceps and Iliotibial Band (ITB)......Page 93
Step 4: Assess Resisted Range of Motion (RROM)......Page 94
Step 7: Cross-Fiber Gliding Strokes/Trigger Point Therapy......Page 95
Step 7: Cross-Fiber Gliding Strokes/Trigger Point Therapy......Page 96
Step 8: Multidirectional Friction......Page 97
Step 11: Stretching (During Therapy)......Page 98
Step 4: Assess Resisted Range of Motion (RROM)......Page 99
Step 6: Myofascial Release......Page 100
Step 11: Stretching (During Therapy)......Page 102
Step 11: Stretching (Client Self-Care)......Page 104
Case Study......Page 108
Review Questions......Page 109
Chapter 3 Knee and Thigh Conditions......Page 111
Step 1: Client History......Page 113
Step 2: Assess Active Range of Motion (AROM)......Page 115
Step 3: Assess Passive Range of Motion (PROM)......Page 116
Step 4: Assess Resisted Range of Motion (RROM)......Page 117
Step 4: Assess Resisted Range of Motion (RROM)......Page 118
Step 6: Myofascial Release......Page 119
Step 8: Multidirectional Friction......Page 120
Step 4: Assess Resisted Range of Motion (RROM)......Page 121
Step 11: Stretching (During Therapy)......Page 122
Step 6: Myofascial Release......Page 123
Step 8: Multidirectional Friction......Page 124
Popliteus Strain......Page 125
Step 5: Area Preparation......Page 126
Step 10: Eccentric Scar Tissue Alignment......Page 127
Step 4: Assess Resisted Range of Motion (RROM)......Page 128
Step 8: Multidirectional Friction......Page 129
Step 10: Eccentric Scar Tissue Alignment......Page 130
Iliotibial Band Friction Syndrome......Page 131
Step 6: Myofascial Release......Page 132
Step 7: Cross-Fiber Gliding Strokes/Trigger Point Therapy......Page 133
Step 4: Assess Resisted Range of Motion (RROM)......Page 134
Step 9: Pain-Free Movement......Page 135
Step 11: Stretching (Client Self-Care)......Page 136
Step 12: Strengthening (Client Self-Care)......Page 139
Case Study......Page 140
Review Questions......Page 141
Chapter 4 Lower Leg, Ankle, and Foot Conditions......Page 143
Step 2: Assess Active Range of Motion (AROM)......Page 145
Step 6: Myofascial Release......Page 147
Step 7: Cross-Fiber Gliding Strokes/Trigger Point Therapy......Page 148
Step 9: Pain-Free Movement......Page 149
Step 7: Cross-Fiber Gliding Strokes/Trigger Point Therapy......Page 150
Step 8: Multidirectional Friction......Page 151
Step 6: Myofascial Release......Page 152
Tibialis Posterior Protocol......Page 153
Step 6: Myofascial Release......Page 154
Flat Feet and Fallen Arches or Pronation......Page 155
Step 5: Area Preparation......Page 156
Step 7: Cross-Fiber Gliding Strokes......Page 157
Step 11: Stretching (During Therapy)......Page 158
Step 10: Eccentric Scar Tissue Alignment......Page 159
Step 4: Assess Resisted Range of Motion (RROM)......Page 160
Step 6: Myofascial Release......Page 161
Step 7: Cross-Fiber Gliding Strokes/Trigger Point Therapy......Page 162
Step 9: Pain-Free Movement......Page 163
Inversion Ankle Sprain and Strain......Page 164
Step 11: Stretching (During Therapy)......Page 165
Step 4: Assess Resisted Range of Motion (RROM)......Page 166
Step 11: Stretching (Client Self-Care)......Page 167
Step 12: Strengthening (Client Self-Care)......Page 169
Chapter Summary......Page 171
Review Questions......Page 172
Chapter 5 Shoulder Conditions......Page 173
Twelve-Step Approach to Shoulder Conditions......Page 175
Step 2: Assess Active Range of Motion (AROM)......Page 176
Specific Muscle Resistance Tests......Page 179
Pectoralis Minor......Page 180
Supraspinatus......Page 181
Rhomboid Major and Minor......Page 182
Joint Capsule Work......Page 183
“Velvet Glove” Technique......Page 185
Step 5: Area Preparation......Page 186
Step 7: Cross-Fiber Gliding Strokes/Trigger Point Therapy......Page 187
Step 7: Cross-Fiber Gliding Strokes/Trigger Point Therapy......Page 188
Step 11: Stretching (During Therapy)......Page 189
Step 8: Multidirectional Friction......Page 190
Step 4: Assess Resisted Range of Motion (RROM)......Page 191
Step 11: Stretching (During Therapy)......Page 192
Step 7: Cross-Fiber Gliding Strokes/Trigger Point Therapy......Page 193
Step 11: Stretching (During Therapy)......Page 194
Step 8: Multidirectional Friction......Page 195
Step 10: Eccentric Scar Tissue Alignment......Page 196
Step 5: Area Preparation......Page 197
Step 7: Cross-Fiber Gliding Strokes/Trigger Point Therapy......Page 198
Step 8: Multidirectional Friction......Page 199
Step 10: Eccentric Scar Tissue Alignment......Page 200
Step 6: Myofascial Release......Page 201
Step 11: Stretching (During Therapy)......Page 202
Step 6: Myofascial Release......Page 203
Triceps and Posterior Deltoid......Page 204
Step 6: Myofascial Release......Page 205
Step 10: Eccentric Scar Tissue Alignment......Page 206
Step 9: Pain-Free Movement......Page 207
Step 5: Area Preparation......Page 208
Supraspinatus and Upper Trapezius......Page 209
Step 7: Cross-Fiber Gliding Strokes/Trigger Point Therapy......Page 210
Step 8: Multidirectional Friction......Page 211
Step 10: Eccentric Scar Tissue Alignment......Page 212
Step 6: Myofascial Release......Page 213
Step 4: Assess Resisted Range of Motion (RROM)......Page 214
Step 10: Eccentric Scar Tissue Alignment......Page 215
Step 4: Assess Resisted Range of Motion (RROM)......Page 216
Thoracic Outlet Syndrome......Page 217
Step 11: Stretching (During Therapy)......Page 218
Frozen Shoulder (Adhesive Capsulitis)......Page 219
Supraspinatus Tendinosis......Page 220
Subacromial Bursitis......Page 221
Step 11: Stretching (Client Self-Care)......Page 222
Step 12: Strengthening (Client Self-Care)......Page 224
Case Study......Page 226
Chapter Summary......Page 227
Review Questions......Page 228
Chapter 6 Cervical Spine Conditions......Page 229
Precautionary Tests......Page 231
Step 2: Assess Active Range of Motion (AROM)......Page 233
Step 4: Assess Resisted Range of Motion (RROM)......Page 235
Dura Mater and Dural Sheath Mobilization Protocol......Page 237
Atlanto-Occipital/ Atlanto-Axial Lateral Mobilization Protocol......Page 238
Atlanto-Occipital/Atlanto-Axial Anterior-Posterior Mobilization Protocol......Page 239
Velvet Glove Myofascial Release Technique......Page 241
Step 6: Myofascial Release......Page 244
Step 7: Cross-Fiber Gliding Strokes/Trigger Point Therapy......Page 245
Step 11: Stretching (During Therapy)......Page 246
Step 11: Stretching (During Therapy)......Page 247
Interspinales, Rotatores, and Intertransversarii......Page 249
Step 6: Myofascial Release......Page 250
Step 6: Myofascial Release......Page 251
Cervical Joint Capsule Work and C1–C2 Mobilization......Page 252
Step 11: Stretching (During Therapy)......Page 253
Levator Scapula......Page 254
Step 4: Assess Resisted Range of Motion (RROM)......Page 255
Techniques for Client Self-Care......Page 257
Neck Extensors......Page 258
Chapter Summary......Page 259
Review Questions......Page 260
Chapter 7 Elbow, Forearm, Wrist, and Hand Conditions......Page 261
Step 2: Assess Active Range of Motion (AROM)......Page 263
Step 3: Assess Passive Range of Motion (PROM)......Page 265
Medial Epicondylosis (Golfer’s Elbow)......Page 266
Step 6: Myofascial Release......Page 267
Step 7: Cross-Fiber Gliding Strokes/Trigger Point Therapy......Page 268
Step 6: Myofascial Release Flexor Tendons......Page 269
Step 6: Myofascial Release......Page 271
Step 11: Stretching (During Therapy)......Page 272
Lateral Epicondylosis (Tennis Elbow)......Page 273
Step 4: Assess Resisted Range of Motion (RROM)......Page 274
Step 7: Cross-Fiber Gliding Strokes/Trigger Point Therapy......Page 275
Step 10: Eccentric Scar Tissue Alignment......Page 276
Step 8: Multidirectional Friction......Page 277
Carpal Tunnel Syndrome......Page 278
Step 6: Myofascial Release......Page 279
Step 11: Stretching (During Therapy)......Page 280
Step 4: Assess Resisted Range of Motion (RROM)......Page 282
Treatment......Page 283
Trigger Finger......Page 284
Step 12: Strengthening (Client Self-Care)......Page 285
Chapter Summary......Page 287
Review Questions......Page 288
Appendix A: End-of-Chapter Questions—Answer Key......Page 290
Appendix B: Notes......Page 292
Appendix C: Suggested Readings......Page 296
B......Page 298
L......Page 299
R......Page 300
V......Page 301
C......Page 302
G......Page 303
M......Page 304
P......Page 305
S......Page 306
T......Page 307
W......Page 308