＊授業で習ったものの個人的なメモです。内容の整合・不整合は個人でお確かめください。Kapiolani Community College のMassage Therapy Programより。
来週は小テスト第一弾なので復習
先生が優しいのでテストのレビューをしてくれる。
Review
How important is palpation? - ここは自分の言葉でかくしかないらしい。
Are there times when less pressure is better? - Yes
What is the master controller of your muscles? - Central Nerve
Know what trigger point therapy is! - Trigger Points are discrete, focal hyper irritable spots located in a taut band of skeletal muscle. The spots are painful on compression and can produce referred pain, referred tenderness, and motor dysfunction.
Know about active and latent trigger points! - Active Trigger Points causes pain at rest and has a referral pattern that accompanies it. Tender to palpation and has a similar referral pattern to patients pain complaint. Pain is described as spreading and radiating. A latent trigger points does not cause spontaneous pain, but may restrict movement or cause muscle weakness. The patient with a latent trigger point will only know there is a trigger point if pressure is directly applied it.
Know about primary and secondary trigger points! - Primary trigger points are the points that are causing the main issue with the client. Secondary trigger points may develop because of the primary trigger point.
Whats the referral pattern for subscapularis and serratus posterior superior? - Shoulder
How do you get trigger points? - Trigger Points are developed from muscular strain and or overuse/overload in muscles. Trigger points can also be developed from acute and chronic injuries as well as emotional stress.
On a pain scale of 1-10 what number should client be on? - 7
What is the method of majority of your trigger point work? - Fingers, Knuckles, Elbows, Forearms
What musdes prevent upward rotation of scapula? - Rhomboid
What happens if you feel a pulse? - Move somewhere else
Know what a twitch response is! - Something like gutter stings
18 musces for shoulder.
- Subscaplaris 肩甲下筋
- Infraspinatus 棘下筋
- Supraspinatus 棘上筋
- Teres Major 大円筋
- Teres Minor 小円筋
- Omohyoid 肩甲舌骨
- Rhomboid major 大菱形筋
- Rhomboid minor 小菱形筋
- Triceps Brachii Long head 上腕三頭筋
- Biceps Brachii Long head 上腕二頭筋 長頭
- Biceps Brachii Short head 上腕二頭筋 短頭
- Levator Scapula 肩甲挙筋
- Trapezius 僧帽筋
- Deltoid 三角筋
- Latissimus Dorsi 広背筋
- Pectoralis Minor 小胸筋
- Coracobrachialis 烏口腕筋
- Serratus Anterior 前鋸筋
続きは腕周り
腕周りは多くの筋肉が集まっていて複雑だし、ピンポイントに見つけるのは難しいけど、全体をほぐすのもあり。また手首の周りは腱になるので、肘に近い方の筋肉側をマッサージしてあげよう。
