HLTMSG005 - Provide remedial massage treatments • Performance Evidence • The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has: • performed the activities outlined in the performance criteria of this unit during a period of at least 200 hours of massage client consultation work • prepared for and managed remedial massage treatment sessions - clients must include males and females from different stages of life with varied presentations • applied techniques in each of the following positions during client consultation sessions according to client needs: • prone • supine • seated • side-lying recumbent • used all of the following techniques appropriately: • frictions • passive joint movement • passive soft tissue movement • deep tissue massage • muscle energy • neuromuscular • press and release • myofascial (without skin penetration) • trigger point therapy (without skin penetration) • lymphatic drainage • temperature therapy • proprioceptive neuromuscular facilitation (PNF) • stretching • mobilisation and movement at major joints (without adjustments or high velocity manipulations) 1 Deep tissue massage introduction The benefits of deep tissue massage Relevant anatomy and physiology 2 3 4 5 Hamstrings Quadriceps femoris • It is subdivided into four separate portions or 'heads', which have received distinctive names: • Rectus femoris occupies the middle of the thigh, covering most of the other three quadriceps muscles. It originates on the ilium. It is named from its straight course. • The other three lie deep to rectus femoris and originate from the body of the femur, which they cover from the trochanters to the condyles: – Vastus lateralis is on the lateral side of the femur (i.e. on the outer side of the thigh). – Vastus medialis is on the medial side of the femur (i.e. on the inner part thigh). – Vastus intermedius lies between vastus lateralis and vastus medialis on the front of the femur (i.e. on the top or front of the thigh), but deep to the rectus femoris. Typically, it cannot be seen without dissection of the rectus femoris. • All four parts of the quadriceps muscle ultimately insert into the tuberosity of the tibia. This is via the patella, where the quadriceps tendon becomes the patellar ligament, which then attaches to the tibia. • There is a fifth muscle of the quadriceps complex that is often forgotten and rarely taught called articularis genus. • In addition, recent cadaver studies have confirmed the presence of a sixth muscle, the tensor vastus intermedius.[1] While the muscle has variable presentations, it consistently originates at the proximal femur, runs between the vastus lateralis and vastus intermedius muscles, and inserts distally at the medial aspect of the patellar base. Historically considered a part of the vastus lateralis, the tensor vastus lateralis muscle is innervated by an independent branch of the femoral nerve and its tendinous belly can be separated from the vasti lateralis and intermedius muscles in most cases. 6 7 8 9 10 DEEP TISSUE MASSAGE TECHNIQUES 11 CONTRA–INDICATIONS, CONTRA- ACTIONS AND AFTER CARE 12 • https://www.youtube.com/watch?v=lHgGhrv5tDQ • https://www.youtube.com/watch?v=ckLWd5iN11Q https://www.youtube.com/watch?v=EykYXfP3R6M • https://www.youtube.com/watch?v=_rdOXjFJXTI • https://www.youtube.com/watch?v=NVvLowHLVlE • https://www.youtube.com/watch?v=01IBiwfmC9M • https://www.youtube.com/watch?v=y6unBqSwPgI 13.