Official Course Description: MCCCD Approval: 04/24/01
WED231 20016-20025	L+L	6 Credit(s)	9 Period(s)
Therapeutic Massage Practices II
Application of the nine strokes of Swedish massage and contraindications to avoid. Application of advanced principles and techniques of trigger point therapy, muscle energy technique, stretching, hydrotherapy protocols, hot and cold applications, reflexology, and corporate massage. Study of the human osseous and muscular structure. Emphasis on normal movement patterns and the origin, insertion, and function of the muscular system. Prerequisites: WED230.

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MCCCD Official Course Competencies:
WED231   20016-20025	Therapeutic Massage Practices II

1.	Explain and demonstrate mastery of nine basic massage strokes. (I, X)
2.	Describe the physiology, benefits, indications, contraindications and effects of the nine basic massage strokes and therapeutic modalities. (I, IX)
3.	Use a massage sequence appropriate for the client. (II, III)
4.	Perform a complete body massage. (II, III)
5.	Demonstrate continuous assessment skills to evaluate a client's response during massage. (III)
6.	Perform functional analysis emphasizing planes of motion, joint movements, and postural alignment. (IV)
7.	Describe articular and osseous structure and function of the skeletal system. (V)
8.	Describe skeletal muscular structure, function, origins, insertions, actions, and associated nerve plexuses. (VI, VII)
9.	Explain the cultural significance of acknowledging energy and meridian therapy. (VIII)
10.	Explain and use therapeutic modalities. (IX)
11.	Describe the equipment and apply techniques for corporate massage. (X)
12.	Describe the role of the massage therapist in collaborating with other health care professionals. (XI)
13.	Document the development of a therapeutic relationship and treatment process with a case study. (XII)

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MCCCD Official Course Outline:
WED231   20016-20025	Therapeutic Massage Practices II

I. Nine Basic Massage Strokes A. Strokes 1. Touch 2. Effleurage 3. Petrissage 4. Friction 5. Compression 6. Tapotment 7. Vibration 8. Joint movements 9. Stretching B. Physiology C. Benefits D. Indications/contraindications E. Effects II. Preparation for Massage A. Client preparation d. Lubricants e. Other 2. Setting up the environment a. Temperature b. Music c. Lighting d. Other 3. Focusing/centering/grounding a. Deep breathing (1) Tec.Quieting the mind c. Stretching d. Being present e. Following a ritual 4. Draping the client a. Materials b. Privacy c. Techniques 5. Hygiene/sanitation a. Personal health b. Appearance c. Hygiene d. Occupational Safety and Health Act (OSHA) requirements e. Universal precautions f. Prevention/control B. Health history form 1. Informed consent 2. Physician referral 3. Subjective Objective Assessment Plan (SOAP) documentation C. Massage documentation 1. Equipment a. Table b. Body supports c. Draping 2. Subjective evaluation a. Previous massage experience b. Expectations c. Probing questions 3. Objective evaluation a. Palpitation b. Range of motion c. Visual assessment 4. Assessment a. Tissue change b. Client reaction/response 5. Plan of action a. Physician orders b. Client goals c. Client education e. Future appointments III. Massage Procedure A. Body position of client 1. Supine 2. Sidelying 3. Prone 4. Seated B. Sequence 1. Supine 2. Sidelying 3. Prone 4. Seated C. Body mechanics 1. Stance 2. Posture 3. Leverage 4. Balance 5. Assistive devices 6. Positioning 7. Breathing 8. Other D. Continuous assessment skills 1. Client reaction/interaction 2. Tissue change 3. Breathing rate 4. Range of motion changes E. Massage completion 1. Time-to-go ritual 2. Follow-up instructions IV. Functional Analysis A. Planes of motion B. Joint movement C. Body posture V. Articular and Osseous Structure and Function A. Vertebral column B. Cranial cavity C. Shoulder complex D. Elbow complex E. Wrist/hand complex F. Hip complex G. Knee complex H. Ankle/foot complex VI. Skeletal Muscles A. Functions B. Structure C. Physiology D. Contraction E. Origins and insertions F. Other VII. Structure and Function of Peripheral Nerve Plexuses A. Cervical B. Brachial C. Lumbo-sacral VIII. Multi Cultural Health Systems A. Historical origin 1. India 2. China 3. Japan 4. Other B. Concept of energy 1. Chi 2. Prana 3. Ki 4. Meridian therapy 5. Other IX. Therapeutic Modalities A. Types 1. Hydrotherapy 2. Heat, cold, and ice applications 3. Trigger point therapy 4. Reflexology 5. Other B. Indications C. Contraindications X. Corporate Massage A. Equipment B. Techniques XI. Referral Practices A. Network relationships B. Scope of practice C. Collaborative practice D. Other XII. Case Study A. Therapeutic relationships B. Treatment process C. Documentation

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