Standard

Posted: 05/21/08

R State Standard         £ Institutionally Developed          College: Not Applicable

NTT 105 - Technique and Theory I

 

Course Description

This course lays the foundation for other neuromuscular courses as it provides the essential basic skills for soft tissue manipulations. Students will learn how to incorporate the basic Swedish strokes as well as integrate each body region into a full body treatment session.  Topics include: therapeutic environment; client positioning, bolstering, and draping; endangerment sites; Swedish strokes per NCE; integrated routine; mobile practice; self care; and case study.

 

Competency Areas

Hours

Therapeutic environment

Class

2

Client Positioning, Bolstering and Draping 

D. Lab

4

Endangerment Sites

P. Lab/O.B.I.

6

Swedish strokes per NCE

Credit

6

Integrated routine

 

 

Mobile Practice

 

 

Self Care

 

 

Case Study

 

 

 

Prerequisite:

Program admission

Corequisite:

 

 

Course Guide

 

Competency

After completing this section, the student will be able to:

Hours

Class

D.Lab

P.Lab/

O.B.I.

THERAPEUTIC ENVIRONMENT

4

6

6

 

Practice the concept of centering.

 

 

 

 

Restate the importance of centering.

 

 

 

 

Define universal precautions.

 

 

 

 

Observe universal precautions.

 

 

 

 

Execute correct use and care of equipment.

 

 

 

 

Establish and maintain a therapeutic environment and atmosphere by participating in room preparation and clean up.

 

 

 

 

Locate and Reference MSDS for all supplies.

 

 

 

CLIENT POSITIONING, BOLSTERING, AND DRAPING

2

4

3

 

Demonstrate a variety of proper and effective client positioning, bolstering, and draping techniques per body region to ensure the following;

  1. client safety
  2. comfort
  3. achievement of a therapeutic goal
  4. accommodate for the special needs of a client.

 

 

 

Endangerment Sites

2

2

2

 

Before beginning soft tissue manipulative techniques, students will identify the general neurovascular, osseous, and visceral endangerment sites and use the appropriate cautions in treatment to include:

  1. Anterior triangle
  2. Posterior triangle
  3. Submandibular triangle
  4. Axillary triangle
  5. Medial brachium
  6. Antecubital space
  7. Ulnar nerve at medial aspect of the elbow
  8. Distal radial pulse
  9. Femoral triangle
  10. Popliteal fossa
  11. Fibular nerve at posterior lateral fibular head to include:

i.              Tarsal tunnel

ii.             Cervical vertebrae-monitor pressure to avoid subluxations

iii.            Floating ribs

iv.            Kidneys-no percussion over region

v.             Varicosities

vi.            Exiting of cervical spinal nerves via the

             foramenal gutters.

 

 

 

SWEDISH STROKES PER NCE

5

8

9

 

Demonstrate correct use of the following fundamental techniques per body region:

  1. Effleurrage
  2. Friction
  3. Petrissage
  4. Compression
  5. Tapotement
  6. Percussion
  7. Shaking
  8. Rocking
  9. Jostling
  10. Vibration
  11. Nerve Strokes.

 

 

 

 

Define the terms:

  1. Reflexive Inhibiting
  2. Reflexive Stimulating
  3. Mechanical

 

 

 

 

Define the therapeutic outcome of each technique as:

  1. Reflexive Inhibiting
  2. Reflexive Stimulating
  3. Mechanical.

 

 

 

 

Match therapeutic goals or outcomes with particular massage techniques/strokes.

 

 

 

INTEGRATED ROUTINE

2

8

9

 

Demonstrate a proper and effective integration of massage strokes, client positioning, and draping per body region, in order to meet the therapeutic goal for the treatment session

 

 

 

 

Integrate techniques to create routines per body region

 

 

 

 

integrate body region routines into a full body massage within the confines of a 60 minute session

 

 

 

MOBILE PRACTICE

2

6

6

 

Interview clients prior to treatment and assess for contraindications.

 

 

 

 

Observe safety precautions through proper set up, break down, and treatment using portable equipment.

 

 

 

 

Demonstrate an appropriate and effective execution of treatment using fundamental massage techniques to meet a therapeutic goal.

 

 

 

 

Discern accommodations for special needs population during mobile practice.

 

 

 

SELF CARE

2

6

15

 

Practice self care as evidenced in their personal assessment as related to dysfunction to include: 

  1. Physical and emotional wellbeing
  2. Nutrition
  3. Breathing patterns
  4. Biomechanical function

 

 

 

 

Practice self massage techniques specific to their biomechanical needs.

 

 

 

 

Use proper body mechanics.

 

 

 

 

Implement personal stretching before and after a treatment session.

 

 

 

 

Engage in a strengthening routine designed for career specific conditioning.

 

 

 

CASE STUDY

1

0

10

 

Choose an outside volunteer to participate in their case study throughout the course of the program.

 

 

 

 

Provide 3 uncompensated 60 minute massages for volunteer that are spaced at a maximum of two weeks a part.

 

 

 

 

Establish, Execute, and Document a treatment plan for each treatment session utilizing skills per NTT103 and 105 to include:

  1. Conduct initial interview using provided medical history/client profile intake form.
  2. Conduct and Document assessments utilizing skills per NTT 103 for each treatment session on provided soap note charting forms.

 

 

 

 

Update the medical history/profile intake form, as necessary, during subsequent treatment sessions.

 

 

 

 

Write a Summary for each treatment in order to justify choice of techniques or methods for each treatment session in terms of goals or outcomes established and by comparing treatment progression.

 

 

 

 

Suggested Resources

 

Fritz, Sandy. (2008). Fundamentals of Therapeutic Massage (4th ed.) (Book & DVD). Elsevier: Mosby.

 

Biel, Andrew r. and Dorn, Robin. (2005) Trail Guide to the Body: How to Locate Muscles, Bones, and More. (3rd ed.). Delaware: Books of Discovery.

Posted: 05/21/08