Health Sciences 3025A/B Study Guide - Midterm Guide: John Harvey Kellogg, Muscle Energy Technique, Ambroise Paré
Integrative Health Week Six
Manual Healing Techniques
Philosophy
• Holistic tenants
o The body is a unit
o Structure and function are interrelated
o When normal adaptability is disrupted
▪ Disease may ensure
Concepts of Manual Healing
• There are eleven concepts
o Bilateral symmetry
o Gravity
o Tensegrity
o Postural maintenance/coordinated movement
o Connective tissue segmentation
▪ Fascia
o Reflexes/autonomic nervous system
o Pain/guarding
o Compensation/decompensation
o Range of motion
o Active vs passive/direct vs indirect
Goal of Manual Therapy
• Restoration of proper anatomical and physiological balance in the patient
o Restoration of proper joint range of motion and body symmetry
o Restoration of balance of nervous system activity
o Restoration of proper arterial flow and venous/lymph drainage
Basic Treatment Principles
• Active vs passive
o What is the role of the patient
• Direct vs indirect
o Direction of approach to physiological barriers
Massage Therapy
Youtube Video – Fascia 101
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• Fascia – medical meaning is certain sheets of biological material found inside the body
o Body is held together by a net
o Fascia is the soft tissue webbing in the body
History of Massage
• Likely predates written history
• Ancient Greece
o Aesculapius
• China
o Tui Na
• Renaissance Europe
o Ambroise Pare
• Read page 249, Figure 17-2
Modern History
• Sweden
o Pehr Henrik Link
▪ Swedish Movement Cure
o Johann Metzger
▪ Swedish Massage
• Germany
o Izrayl Zabludoski
• USA
o John Harvey Kellogg
Essential Practices
• Rule of the artery
• Direction of application
o Toward the heart
• Muscles are addressed in groups
• Progression from gentle to aggressive applications
• Endangerment sites
• Lubricant use
Swedish Massage Techniques
• Effleurage
• Petrissage
• Frottage
• Tapotement
• Vibration
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• Shear force
Further Applications – Modern Guide
• Touchabilities Essential Connections (2006)
o Breathing, cognitive, energy, compression, expansion, kinetics, oscillation,
gliding
Trigger Points
• Hyperirritable nodules within the fascia
o Pressure on these points radiates sensation
• Massage theap ais to elease the pessue of tigge poits
Hydro/Thermal Application
• Sometimes used to complement manual therapy
• Muscles relax when heat is applied, contract in contact with cold
o Vasodilation vs vasoconstriction
o Both can be applied alternatively during a single session
o Neutal/a ate soeties used i hdotheap
o Use of cryotherapy
Special Applications
• Infant
o Prenatal massage
o Infant massage
• Elderly
o Age associated physiological and socioeconomic changes
• Oncology
o Specialized knowledge of pathophysiology of disease
• Hospice Care
o Emotional and psychological benefits
Lymph Drainage
• Using very light pressure to promote drainage of lymph
• Different from standard effleurage
o Deeply applied effleurage can inhibit drainage and damage to lymphatic vessels
Myofasical Soft Tissue Technique and Release
• Gentle technique aimed at releasing fibrous tissue
• Can be uncomfortable
• Can by aided by instruments
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