Standard

Posted: 05/27/08

R State Standard         £ Institutionally Developed          College: N/A

 

NTT 108 – Techniques and Theory II

Course Description

This course enhances didactic instruction of students in the techniques of neuromuscular therapy (NMT) as related to physiologic factors of pain such as Ischemia, Trigger Points, Postural Distortion, Neural Compression/Entrapment, Biomechanical Dysfunction, Nutrition and Stress in an attempt to restore and maintain a balance among the muscular, skeletal and nervous systems. Topics include: NMT foundational platform; NMT application fundamentals; indications and contraindications for treatment; muscles; NMT treatment per body region; self care and case studies. 


 

Competency Areas

Hours

NMT Foundational Platform

Class

1

NMT Application Fundamentals

D. Lab

4

Indications and Contraindications for Treatment

P. Lab/O.B.I.

9

Muscles

Credit

6

NMT Treatment Routines per Body Region

 

 

Self Care

 

 

Case Studies

 

 

 

Prerequisite:

NTT 101, NTT 102, NTT 103, NTT 105, NTT 106

Corequisite:

 

 

Course Guide

 

Competency

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

Hours

Class

D.Lab

P.Lab/

O.B.I.

NMT Foundational Platform

7

4

0

 

Recall the history of massage therapy and Neuromuscular Therapy to show the transition and progression that took place in the development of different applications of Neuromuscular Therapy.

 

 

 

 

Illustrate known Locations and Types of trigger points. 

 

 

 

 

Differentiate among trigger points as primary, secondary, key, satellite, latent, and active.

 

 

 

 

Analyze Visual, Palpable and Functional Assessments in order to associate Physiologic Laws to findings as well as an appropriate application of NMT to include:  

  1. Facilitation
  2. Arndt-schultz
  3. Davis
  4. Head’s
  5. Hilton’s
  6. Hooke’s
  7. Sherrington’s
  8. Wolff’s
  9. Reciprocal innervation.

 

 

 

 

Apply the principles, theories, and factors listed below in explaining the development of pain and dysfunction.

  1. Pain Gate Theory
  2. Sliding Filament Theory
  3. Influences on Health: Biochemical; Biomechanical; Psychosocial.
  4. Adaptation, Compensation and Decompensation
  5. Ischemia
  6. Trigger Point Development
  7. Scar tissue and adhesion formation
  8. Neural Entrapment and Compression
  9. Biomechanical dysfunction
  10. Posture
  11. Nutrition
  12. Emotional and physical well being.

 

 

 

NMT Application Fundamentals

1

4

3

 

Define and accurately perform the following manipulative techniques for each NMT routine:

  1. Pincer, flat, static and manipulative compression
  2. Longitudinal, cross fiber, and combination friction
  3. Myofascial release
  4. Skin Rolling
  5. Positional Release
  6. Specific Gliding/Effleurage

 

 

 

 

Identify the correct and incorrect Body Mechanics in the application of Manipulative Techniques by means of observing and critiquing peers during lab.

 

 

 

 

List and model the proper techniques for the use of Pressure Tools.

 

 

 

Indications and Contraindications for Treatment

0

18

20

 

Assess for the following using means of subjective, visual, functional and/or palpable:

  1. Ischemia
  2. Trigger points
  3. Neural interferences as osseous or soft tissue
  4. Biomechanical dysfunction
  5. Nutrition
  6. Emotional and physical well being.
  7. Cautions
  8. Pain
  9. Weakness
  10. Strength
  11. Anatomic, Physiologic and Pathologic barriers
  12. Range of Motion

 

 

 

 

Interpret data from assessment and determine both indications and contraindications for NMT Treatment.

 

 

 

 

Identify the extent to which specific NMT routines would most likely improve, manage and/or correct a given dysfunction.

 

 

 

MUSCLES

1

4

0

 

Recognize each of the following muscles by origin, insertion, and action on the associated joint:

a.     Temporalis

b.    Masseter

c.     Medial and Lateral pterygoids

d.    Occipitofrontalis

e.     Digastric

f.     Scalenes

g.    Sternocleidomastoid

h.     Platysma

i.      Suprahyoids

j.      Infrahyoids; and

k.     Longus Capitis and Colli.

 

 

 

NMT Treatment Routines per body region

0

10

37

 

Correctly execute, as depicted in CANMT vol. 1-2, all NMT routines for each of the following body regions:

  1. Upper Extremities
  2. Lower Extremities
  3. Cervical Cranium
  4. Pelvis / Torso

 

 

 

 

Integrate NMT routines per body region so as to create a  continuous treatment without breaking contact with client except positioning and draping

 

 

 

 

Integrate regional NMT routines so as to create a 60 minute, continuous treatment without breaking contact with client. except for positioning and draping.

 

 

 

 

Observe proper positioning and draping of client for NMT routines.

 

 

 

 

Restate the precautions per NMT routine.

 

 

 

 

Recall the Action, Origin and Insertion of each muscle addressed per routine

 

 

 

 

Communicate with client concerning:

  1. Comfort
  2. Pressure
  3. Treatment area
  4. Reason for treating.

 

 

 

Self Care

0

0

22

 

Practice self care as evidenced in their assessment of personal:

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

 

 

 

 

Practice self massage techniques specific to personal biomechanical needs.

 

 

 

 

Implement and demonstrate proper body mechanics.

 

 

 

 

Implement personal stretching before and after a treatment session.

 

 

 

 

Engage in strengthening exercises designed for personal, career specific conditioning.

 

 

 

Case Studies

1

0

8

 

As a continuation of the case study from NTT 106, provide 3 uncompensated 60 minute massages for the original volunteer that are spaced at a maximum of two weeks a part.

 

 

 

 

Conduct initial interview using instructor approved and student designed client intake and informed consent forms.

 

 

 

 

Establish, Execute, and Document a treatment plan for each treatment session.

 

 

 

 

Conduct and document assessments for each treatment session on instructor approved soap notes created by the student.

 

 

 

 

Update client intake and informed consent necessary during treatment sessions.

 

 

 

 

Write a summary for each treatment to include justification for choice of techniques or methods for each treatment session in terms of goals or outcomes established and by comparing the clients past treatment progression.

 

 

 

 

Write a narrative comparing the initial treatment from first quarter to the last treatment session of current coursework.

Summarize and justify your progressive choice of treatment techniques showing your clients response to treatment.

Explain any alterations to goals for future treatment that are being considered based on mutual agreement.

 

 

 

 

Suggested Resources

 

Acland, Robert D. (2003). Acland's DVD Atlas of Human Anatomy. Louisville: University of Louisville School of Medicine.

 

A.D.A.M. Interactive Anatomy 4.0, Professional Software. Edu-Technology.

 

Agur, Annie M. and Dalley, Arthur F. (2004) Grant’s Atlas of Anatomy. (11th ed.). Lippincott, Williams, and Wilkins.

 

Chaitow, Leon. (2003). Palpation and Assessment Skills. (2nd ed.). Elsevier Health Sciences.

 

Chaitow, Leon and Delaney, Judith Walker. (2002). Clinical Applications of Neuromuscular Techniques, Vol. 1-2. Elsevier Health Sciences.

 

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

 

Hillman, Susan K. Primal Interactive Software: Functional Anatomy. Edu-Technology.

 

Netter, Frank H., (2006). Netter’s Atlas of Human Anatomy. (4th ed.) Elsevier Health Sciences.

 

Travell, Janet C. and Simmons, David C. (2002). Myofascial Pain And Dysfunction: The Trigger Pt Manual, Vol. 1-2. (2nd ed.). Lippincott, Williams, and Wilkins.

Posted: 05/27/08