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SantaBarbara Body Therapy Institute

Instructors: Katie Mickey (KT) and SoniaRoss(SR)
May 26- August 18,2009

Dav Time Date Pase Class instructor-Tifle

Tuesday 5:30pm-10:00pm 5126 14 1 KT-ActivatingMechanisms
of Healing
Thursday 5:30pm-10:00pm 5/28 21 2 SR-Opening
Tuesday 5:30pm-10:00pm 6/02 24 3 KT-ActivatingtheRelaxationResponse
Thursday 5:30prn-10:00pm 6/04 29 4 SR-Nourishing
the Skin
Tuesday 5:30pm-10:00pm 6109 37 5 SR-Pressing
Thursday 5:30pm-10:00pm 6/11 41 6 KT- Activatingwhole Brain State/Nervous
Tuesday 5:30pm-10:00pm 6116 44 7 KT- krcreasingCirculation
Thursday 5:30pm-10:00pm 6/18 48 8 SR-Flushing
Tuesday 5:30pm-i0:00pm 16123 53 9 KT-Releasing
ard Hormones
Thursday 5:30pm-10:00pm 6125 50 10 SR-Flushing
Tuesday 5:30pm-10:00pm 6130 52 11 KT-PressingMuscles-Neck andHead
Thursday 5:30pm-10:00pm 7102 59 12 JH-Resetting
Tuesday 5:30pm-10:00pm 7109 6'l 13 SR-KneadingMuscles/Abdomen
Thursday 5:30pm-10:00pm 7/11 68 14 SR-ReviewMuscles and Bones
Tuesday 5:30pm-10:00pm 7116 6I 15 KT -Establishing
Thursday 5:30pm-10:00pm 7ll8 71 16 SR-Clinic Preparation
Tuesday 5:30pm-10:00pm l/21 70 17 KT- DigestiveSystem
, ''
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5:30pm-10:00pm7/23 18 SR-SettingUp
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Sunday 8:Joam-tz,:opm zl Retrlii
SunJiv i::opm-O:OOpm1/26 )i Relreal
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rriiai/ iDs 23 KT/SR-evaiuaiioni
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thri;d;t s:iopr-ro,ooprnsloo X Nocf'us.-.traenlsiuayiessionorclinic'
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Tuesday 5:30pm-10:00pm8/18 27 KT-IntroEvent/Public
Welcometo the Body Therapylnstitute...

We inviteyou to participatefully in your traininghere at SBBTI.Our coursesare experieniial.

Withinour curriculumwe explorethe body as an integratedwhole of elevenbody systemsand
energyflows. As a participant,you will learn how to enhancethe functionof
the body systemsthroughbodyworkand self care. lt is our beliefthat givingcare to others
beginswith givingcare to oneself.Our programsfostercominginto relationship
withthe inner
healer. We offer time honoredessentialmethodsfor accessingthe inner healerand activating
of healing.we encourageyou to allowspacein your day to apply
the self-caremethods,space in your week to give and receivemassage,and space in your life
to attendthis coursefully.

The Level I notebookoffersa class by class text to supportthe learningthat occursin the
classroom.The classesare structuredsequentiallyarounda specificbodyworkskill and body
system.The coursescheduleindicatesthe topicsfor eachclassand the page numberwhere
the classtext begins.Additionalreadingassignments
are includedin the homeworksectionof
the class text. The text offersexercises,techniquesand theoryto sequentiallybuild essential
bodyworkskillsand understandingof how the body works.

We ask you to read the followinginformationregardingour Institute'spoliciesano

Procedures.All of our policiesare writtenin the interestof fairnessand providinga safe
for our students,instructors,
and staff. By enrollingin our courses,you
agreeto abideby all of our policiesand followour procedures.lt is your responsibility
informyourselfof our policiesand procedures.lf vou have anv questions regardinq anv of
. Your
instructorsare not responsiblefor policyinformationand will not assistyou fully with this
information.sBBTI reservesthe rightto makechangesto any and all policiesat any time,as
we deem appropriate,with 30 days noticein writing. We wjll make every reasonableeffortto
informall studentsof any changesmade. Changeswill be postedand copiesmadeavailable
to all studentson request.Any conflictsor misunderstandings
relatingto policyor procedures
shall be resolvedby agreementof the Djrectorand AssistantDirector.



The Santa Barbara Body Therapy Institute, Inc. has been licensedby the Council for Private
Postsecondary and VocationalEducationpursuantto Califomia EducationCode Section94311. The
Council's licensemeansthat the institution and its operationcomply with the minimum standards
establishedunderthe law for occupational
instructionby privatepostsecondaryeducationalinstitutions.
The institutionallicensemustbe re-approvedeverythreeyears(soonto be revisedto everyfour years)
andis subjectto continuingreview. Approvedarethe followingcourses:

MassageTechnician 200hours

MassageTherapist 550hours

Holistic Health Practitioner 1000hours

Instruction is in residencewith facility occupancylevel accommodating22 studentsat any one time.

Prospectiveenrolleesare encouragedto visit the physical facilities of the school and to discusspersonal
educationaland occupational plans with school personnelprior to enrolling or signing the enrollment
agreements. This school currently does not have available sponsored programs, government or
otherwise,to provide grants or to pay for poftions oftuition and fees.

Califoraia statute requires that a student who successfullycompletesa course of study be awarded an
appropriatecertificate verifying the fact.

The Santa Barbara Body Therapy Institute, Inc. does not provide English as a SecondLanguage(ESL)


Personsseekingto resolve problemsor complaintsshould first contact the instr-uctorin charge.

Complaintsmay be made orally or in writing. If the complaintis not resolvedwith the inskuctor,
requestsfor furtheractionrnaybe directedto the owner/director.The ownerwill thoroughlyinvestigate
the complaintand resolveor reject the complaintwithin ten businessdays.A written summaryand
dispositionwill be providedto the student,includingreason(s)
for rejectionif applicable.A summaryof
the complaintwill be placedin the student'sfile, and an entry will be made in the 1og of student
complaints. The complaintmay be rejectedif it is determinedto be unfounded,or resolvedin a
reasonablefashion,which may includea refund.

If the complaintis valid, involvesa violationof the law, and is not resolvedwithin 30 daysafter it was
first made,the studentshould notify the Bureau,the accreditingassociation,and law enforcement
authorities. The Institute shall determineif any other studentshave been affected by similar
circumstancesandprovidean appropriate remedy,implementreasonable policiesor proceduresto avoid
similar complaintsin the future, and/or communicatedirectly to any person in control regarding
complaints,their investigation,andresolutionor lack thereof.

Currentlyunresolvedcomplaintsmay be directedto:

The Bureaufor PrivatePostsecondary & VocationalEducation

400 "R" Street,Suite5000
Sacramento,CA 95814

All informationin the contentof this schoolcatalogis currentandconectand is so certifiedas tnreby

Katie Mickey,Director,SantaBarbaraBody TherapyInstitute,Inc.


Classesat the SantaBarbalaBody TherapyInstitute,Inc. are designedto meet a broadrangeof studentneeds

organizedin seriesas Level I, [ & I[. Our classsizerangesf]om 8 - 24 studentswith 1-2 instructorsand 1-2
dependingon the natureof the coursecontent. We offer tbree differentpro$ams of inshuction:
MassageTechnician,MassageTherapist,and Holistic Health Care Practitioner. Note that the Massage
Technicianprogram is combinedin the MassageTherapistprogram and that the MassageTecbnicianand
MassageTherapistprogramsarecombinedin theHolisticHealthCarePractitionerprogram.


Level I Core Course- The completionof Level I and practicumis lequiredfor this course. Our core course
coversthefundamentals of HolisticMassage.Our emphasisis hands-onexperience groundedin movementskills,
basicanatomy,and personal process.

Successfulgraduateswill receivea 200-hourcertificateof completion,which complieswith the minimum local

businesslicenserequirements.Graduatesarepreparedfor privatepracticeasa massagetechnician.


The Massage Technician curriculum consists of the following requirements and hours.

Bodywork Theory and Practice 60 hours
Anatomy and Physiology 25 hours
Kinesiology 15 hours
Nutrition B hours
BusinessSkills and Ethics B hours
r allrwruEy 2 hours
Hygiene and Safety 2 hours


CIinic 60 hours
BusinessInternship/ Externship 8 hours
Graduate Student Coaching 6 hours
Receivingprofessionalsessions 6 hours

LEVEL I VOCATIONAL (Classroomand Practicum) 200HOURS

Admission Requirements: Admission in our training programsrequiresthat the prospectivestudentbe
able to read, write and speakEnglish. Age of studentsmust be 18 yearsminimum or have written
parentalpermissionto attend.Each individual will be given an ability to benefit exam and the school
will decidewhether the individual can benefit from the program.

Attendance Policy: Studentsare required to attend all classesas scheduledand be prompt.

Absence:Absencewill be consideredexcusedunder the following circumstances:illness, death,or birth
in the immediate family, and otler caseswhere the school approvesthe absence.All missedclasstime
must be madeup.
Tardiness:Studentswill be consideredtardy if they arrive more than 15 minutes late or leave more than
15 minutes late. Three tardies are equal to one absence.
Intemrption for UnsatisfactoryAttendance:Studentsfailing to maintain satisfactoryattendancewill be
counseledby the administrator.If attendancefails to improve, the school director may dismiss a student
for unsatisfactoryattendance.Re-admittancemay be permitted if the causefor unsatisfactoryattendance
has been comected.
Make-up work: Make-up work is required for all missedclasses.Shrdentswill have the following
options for making up absences:
Makeup class:Attend a makeup classin the following term. Excusedabsencemake-upsincur no charge.
Unexcusedabsencemake-upswill be chargedat halfcurrent tuition rate.
Makeup clinics: Attend comparableclinic hours to missed classroomhours, no chargeincurred.
Semi private tutorial: Receiveprivate or semiprivatetutorial with the instructor. Cost of tutorials vary
dependingon number of studentsattendingdivided into $50/hr. Practicum logged hours required in
addition to completemissedhours.
Written Bappl: Submit a written paper authorizedby administratronand assignedby instructor
when appropriate.

All make-upsmust be completedwith one year of the courseend date. Veteransmake-upsmust be

completedwithin 3 months of the courseend date.

Enrollment Policy: Prospectivestudentsare encouragedto come to a free introductory class,receive in

our studentclinic, and/or meet individually with an admissionsstaff member.Enrolling studentsshall
submit an application form and interview with our Director of Admissions.

Granting of Academic Credit: Studentswith previoustrainingin the coursewill be given appropriate

creditwith copy oftranscriptsfrom previousschool. Creditallowedwill be recordedon enrollment
record and the length ofthe courseadjustedaccordingly. In addition, the studentsand the departmentof
VeteransAffairs shall be notified. (Note: all prior training must be evaluated.)Studentsmay receive
academiccredit for up to 40% of their program requirements.Level I studentsincur the full tuition cost
regardlessof academiccredit granted.Level II and III incur the full a la carte ratesfor modules attended
plus a $ 1.00 fee for eachhour of academiccredit grantedfrorn anotherinstitution.

Job Placement:SBBTI doesnot guarantee job placement,but doesprovidea varietyofresourcesfor

securingemploymentand building a practice.A graduateand employer graduatepanel will occur in the
businessportionofeach Level I class.Currentjob openingsare listedon a bulletir.r boardin the student
lounge. An employer notebook is available for all studentsin the studentlounse to referencefor all the
known, local massage/bodyr,vorkemployers.

Notice of Cancellation: A studentmay terminateenrollment by mailing or delivering a'Notice of
cancellation" letter to the school. cancellation is effective by postmark or email date.

Operating Schedule: Instructional Hoars: Weekdays,weekendsand eveningsarrangedby class.Office

Hours: Monday - Friday 10:00am- 6:00pm, weekendhours by appointment.Schedulinginformation
(classes,revisions,holidays, etc) provided to studentsin advance.School is closedfor the following
holidays and or vacation time: Memorial Day, lndependenceDay, Labor Day, Thanksgiving oay, ana
from Christmasthru New Year's Dav.

Gradins: The school's grading systemis Pass/Fail.
Passing=75070 or higher
Failing :Less than 15o/o
Certificate of Completion: The documentto be issuedupon satisfactorycompletion of the courseis
SantaBarbaraBody Therapy Institute's Certificate of Completion. Qualifying for this certificate
dependsupon completion of all classroomtraining hours, ail practicum hours, a passinggradeon the
written test and the hand-onproficiency test. Studentsare to complete all requirementswithin one year
of the courseend date.Veteransare required to completewithin the time frame of their program end
date. Studentsmay reinstatewithin 5 yearsby fulfilling thef outstandingprogram requirementsand
attendingsix additionalclinicsor four additionalclasses. The re-instatement fee is $150.
UnsatisfactorvEvaluation: If a studentreceivesan unsatisfactoryevaluation,he/shemay: retake the final
evaluationup to two times and receive a passinggrade,repeatthe entire courseat full cosr or arrangea
make-upprogram approvedby the instructor. charges for retake examsas follows: written $10,

Records and Transcripts Files are kept for eachstudent.Studentshave the right to view their records
on request. Studentsare advisedthat the Institute will not releaseeducationalrecordswithout the
wrltten consentof the shrdent.A transcriptwill be given to eachstudentupon certification. Additional
transcriptsare available for $ 15. Studentsare advisedthat voluntary compliancerequiresthis institution
to maintain school recordsonly for a five- year period.

Tuition Refunds: Cancellationshall occur when a studentgives written notice ofcancellation at the
addressof the school shown herein,by mail, email or hand delivery. The written notice of cancellation,
if sentby mail, is elfective from the date ofpostmark. If the "Notice of Cancellation" is datedbefore the
passageofone businessday, the Institute shall remit a full refund less the registrationfee within 30 days
following the student'swithdrawal. Studentsare obligated to pay only for educationalservicesrendered
and for un-retumedequipment. The refund amount shall be prorated.The proratedamount shall be
determinedby multiplying the total hours renderedby the hourly instmctional charge,minus
RegistrationFee,minus cost ofany unreturnedequipment. Once67%oof the courseis offered and no
drop has been requested,tuition is due in full; no refund is given. Additional information is fognd in the
enrollment contract.

Rules of Conduct: Studentsareexpectedto be free from the influenceofalcohol or dn-rgswhile

pafticipatingin the Institute'scourses,includingclassroom,clinic, retreatand communityoutreach
settings.The schooladministrationmaintainsthe right to dismissstudentsfor conductreflecting
unfavorablyon the massageprofessionor reputationof the school,or which seriouslylimits the
insfuctor's effectivenessto teach,or the class's opportunity to leam. Studentsare required to abide by
the classroomagreements regardingpresence, sharing,therapeuticintent,boundaries, responsibilityand
Studentcomplaints:Personsseekingto resolveproblemsor complaintsareencouraged to go directly
to the lnstructoror staffpersonmostcloselyassociatedwith the issue.If furtherresolutionis desired,
studentsmay schedulean appointment with SBBTI's studentcounseloror Director.

Voluntary ComplianceSBBTI is in voluntarycompliaacewith theformerBureauof Private

Educationandthe CurrentDepartnentof ConsumerAffairs.

Appointments-Our office hours are Monday through Friday 10:00amto 6:00pm. We are availableto
seestudentsduring thesetimes. APPOINTMENTS ARE REQUIRED to ensureavailability. Pa).rnents
may be mailed to our office or handedto office staff. Cashpal.rnentscan be receivedduring the hour
after the moming class,the hour before the evening class,or betweenSaturdayclasses.Monthly
pa).rnentsdo not require an appointment,but rather the submittal of a credit card number for processing
a monthly withdrawal on the l5tr'of the month. Appointments,paperwork and information requestsmay
not be able to be handled immediately. One week is often needed. BecauseBTI is a very personal
environment,we ask you to rememberthat a functional community and businessrequireshonoring each
person'sworking hours. As our staffhas much to do, we requestthat you schedulepersonal
conversationtime with us during non-businesshours.

Breaks/Kitchen Use There will be a 15-minutebreak during classtime and betweensessionsduring

clinics. Studentsare expectedto be back from breaksand in classon time. There are a few restaurants
and food markets in the immediate area,but studentsare advisedto bring food for light snacksduring
breaks. Food should be labeledwith the student'sname and date and placed in the studentareaof the
refrigerator.Pleasedo not leave food in the refrigerator. Food that is not labeledor is left for more than
24 hours will either be made availableto othersor discarded. We do not have a microwave in the
school. We do, however, have a toasterand double bumer, dishesand utensils available. Studentsare
required to clean up after themselvesand disposeoftrash and recycling responsibly.

Classroom/Kitchen Use Students are encouraged to enjoy the use of our community space and
materials. Our classroomis open to students15-30 minutes before and after class. Studentsmay "hang
out" in the kitchen during breaks. Ortega Park is also a break time option. We ask you to be conscious
when in and aroundthe Institute to speakquietly as massagesare often in session. We supply shelvesin
the classroomfor student's personal items to ensuremore workspace in the classroom. PLEASE DO
NOT BRING VALUABLES TO CLASS. We cannot insure the safety of your valuables. If you have a
wallet that you need to have securedduring clinic or class-time,you may enftust your wallet to an office
personalto be securedin our office safe for the duration of your class or clinic. The floor in front of the
doors MUST BE KEPT CLEAR AT ALL TIMES due to fire marshalregulations.

Studentsare expectedto respectthe property of SBBTI and feat all equipment as if it were their own.
The last few minutes of class will be for cleanup: retum table, mats, blankets, pillows etc to their
original location. All mission linen sheetsmust go in the hamper. Studentsare expectedto wipe down
their table and head rest after usage,clean up any food and dishesrernaining within the kitchen space.
and collect all personalbelongings.A neat workspaceconveys professionalism. By treating the
classroomand school as an extension of your future workspace, you are creating the habits that will
convey to your fliture clients that you are a professional. Pleasebe sure to wash your hands and clean
under your nails before coming to class. The sinks in the classroomand bathroolr are availablefor
washing your handsbefore or after your massage.

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PLEASE, inform the OFFICE STAFF of any equipmentthat is damagedor in need of repair. As you
are the ones using the equipment on a daily basis, you may find something we missed and we would
appreciateknowing immediately so that we may repair or replaceas needed. No food,/beveraqes/teaare
allowed in classroom-only water. Pleasewash any dishesyou use and put them in the drain rack when
done (by the kitchen sink).

Clinics Studentsmay sign up in the office to begin their clinical hours after receiving the approval of the
inshrctor. They may sign up for as many different clinic days as they may like dependingon their
schedule. we requestthat studentssign up at least one week before, and a 24-hour notice of
cancellationis required. Ifthere are more therapiststhan clients, the studentswill work on eachother, a
staff member,or work with a classmateperfoming tandemmassage.Studenttherapistswill receive fulI
credit for the clinic time whether or not they have a client to work on, but they must remain on the
school premisesfor the duration of the clinic and be ready to do massageif the opportunity presents
itself. If the studentchoosesto 1eave,full credit for the clinic will not be granted. Specific instmctions
for clinic sign-up are located on the first page ("Clinic Guidelines") in the Clinic binder in the office.
Pleaseread the instructionsand then check with staff when signing up. Studentsare askedto schedule
clinics once they are approvedto stafi clinical practicum. Studentsare responsiblefor tracking their
own clinic hours as cross-referencewith SBBTi's tracking.

SBBTI will provide sheetsfor the clinics. Studentsare required to bring their own massagelotion or
cream All usedMission Linen white towels and sheetsgo in the hampers. NO BLANKETS IN THE
HAMPERS Studentsare expectedto wipe down tables/headrestsat the end of clinic and follow all
instructionsfor the set-up,break-down,and cleanupportion of the clinic. Studentsare required to anive
and begin clinic set-up at least 15 minutes prior to appointmenttimes. Arriving late (more than 10
minutes) to clinic 3 times will require attendingan additional clinic. Any late arrival of 15 minutes or
more without prior notification will result in a 930 fee chargedto the studentand halfcredit for that
clinic. Some sessionsmay occasionallyrun over and studentsshould allow extra time. Full credit
requiresful1 attendancewithin scheduledtimeframe.

Library We invite you to make use of our loft library. DVDs and videos are not available for checkout
but can be watched in the loft. If you have flyers or notices to post, submit to an office staff member
(flyers should be as small as possibleand dated).

Licensing Studentsare counseledin the local requirementsfor licensing during the Level I training.
Studentswill be given the oppofiunity to receive lettersof recommendationfrom their classmatesand
are advisedto make an appointmentwith the police departmentwithin the city or county they are
seekingemploymentfollowing their cerlification. SBBTI's Level I program curuentlymeetsthe
requirementsspecific to SantaBarbaraand Ventura counties,and are recognizedelsewherein the state
(andvariouslocationsaroundthe U.S.). Licensingregulationsvary betweencities,countiesand states.
Sfudentsare advisedto educatethemselveson tl.reregulationsin their areaor the areain which they
intendto practice.

MassageRooms When classesand clinics are not in session,culrent studentsare welcome to use the
classroom for student massage trades and practice hours (this will be community space). if the
classroomis unavailabledue to a scheduledevent,studentsmay use one of the professionalmassage
rooms,providedthat a professionalmassageis not scheduled.If both of the rooms becomeneededfor
professionalsessions,the studentmay work in the loft space. We do not guaranteemassageroom space
without a room rental fee. Once studentsbecomecertified and licensed,they may rent the massage
rooms for professionalmassageappointments.Cost is $15/hour,payableon the dateof rental. Rooms
should be booked at least 24 hours in advance. Room rental includes the use of SBBTI sheets and
blankets,but therapistsmust bring their own lotion or cream. Rooms should be retumed to their orieinal

Reduce, Reuse, Recycle We strive to assistthe health of not only our bodies,but also our environment
as well; we encourageeveryoneto buy as few prepackageditems as possibleto keep 1andfilluse low.
Plastic bags and paper towels do not recycle. Pleasebe mindfu1 of the signs postedon wastebasketsand
do not including garbagein recycling bins. Rinse out all recyclablecontainersbefore placing in the
recycle bin. For a list of recyclableitems, pleaserefer to the postedlist.

Table and Chair Checkouts We have massagetables and chairs available for checkout. Classroom
tables are NOT available for checkout; they are only for use in the classroom. All tables and chairs
must be checkedout and checkedin with a staff member to ensurethat no damageswere incurred. As
persons are responsiblefor any damagesincurred to tables and chairs while checked out to them, we
require that you open and check al1 equipment for damage before taking them from the school.
Checkoutsare available to studentsat a discountedrate of $5per 24 hotx period while enrolled in the
Level I program. After Level I certification, students may check out tables/chairsfor gl5/24-hours.
Rental is subject to availability basedon cuffent studentneed. Pleasecheck with office staff for check-
out procedures.

Telephone Use If you need to use the phone for an EMERGENCY, there is a phone available in the
office on the reception desk. Studentsmust receive permission from a staff person before using the
telephone.The cost is $0.35 per call, payable at time of call. Office desks and phones are for staff
personnelonly. We ask studentsto be consciousthat we need to leave the lines open for businesscalls
and thatall callsarechargedto the schoolper minute.Srudents areableto receiveiallsfor emergencies
only. We ask that all cell phones and pagersbe tumed to silent mode and left in the shoe rack, and be
used outside,away from the doors and windows, so as not to disturb any massagesin progress.

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L You may cancel your contract for school, without any penalty or obligation, by
midnight ofthe first classsessionofthe Level I200-hour course,or by midnieht ofthe
fifth business dav of the Level II 550-hour course/Level III 1000-hour course, as
described in the Notice of Cancellation form that will be given to you when you are
enrolling. Read the Notice of Cancellationform for an explanationof your cancellation
rights and responsibilities. If you have lost your Notice of Cancellation form, ask the
school for a samplecopy.

2. After the end of the cancellationperiod, you also have the right to stop school at any
time. Furthermore,you have the right to receive a refund for the part of the course not
taken. Your refund rights are describedin the contract. If you have lost your contract,
ask the school for a descriptionofthe refund policy.

3. If the school closesbefore you graduate,you may be entitled to a refund. contact the
Bureau for Private Post-secondaryand Vocational Educationat the addressand telephone
number printed below for information.

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Parking for SBBTI students,instructors & staff:

We haveparking on the streetONLY.

Pleaseensurethat you arenot blocking anlione'sdriveway
when you park.

There is NO STUDENT PARKING on Quarantina

St.betweenCotaandHaley or the closestblock of
Bond St.
Studentparking is on the other sideof the Park
(JuniorHigh School)on QuarantinaSt.
from De La Guerra).
Pleasenoteany postedparkingrestrictions.

Pleaselock all bikes to the rack

(not the fence, gate,or palm trees).

I ' To empowerstudentsto takechargeof theirpersonalwellnessandto faciiitaterelaxationand
vitality in othersthroughtheregularpracticeofThe FourEssentialMethods:gentle
movement,massage, deepbreathing,anddeeprelaxation
2. To producegraduatecompetency in stressreduction,relaxation,andpainreliefutilizing
techniques of Swedishmassage
3. To preparegraduates for employmentin relatedhealthfie1d
4. To preparegraduates to passthevariouswrittenexamsrequiredwithin thetri-countieswithin
the applicationprocessfor a massage technicianpermitandbusinesslicense

Learning Outcomes:
Bodywork Theory and Practice
The purposeis to provide the studentwith an understandingof the historical context, purpose,and
application of basic Swedishmassage.

At the end of the course,the studentwill be able to:

1. Discussthe history and contextof Swedishmassage
2. Understandthe purposeand effect of Swedishmassagc
3. Performa 1-hourSwedishmassase

Anatomy and Physiology

The purposeis to introduce the studentto basic systemsand functions of the human body and to give
the studentan understandingofthe twelve anatomicalsystems.

At the end of this coursethe studentwill be able to:

1. Understandand use basic anatomicalterminology
2. Identify the eleven anatomicalsystemsand their componentparts.
3. Understandhow Swedishmassageinterfaceswith the anatomicalsystemsof the body

The purposeis to teachthe studentproper body mechanicsto avoid injury and develop strength,
fl exibility, fluidity, and presence.

At the end of this coursethe studentwill be able to:

1. Stretchand strengthentheir tendonsand musclesin preparationfor the practice of Swedish
2. Transfer force and orient their movementsfrom their physical centerof gravity
3. Align theirjoints and maintaincontactwith their centerline
4. Improve their llnnphatic drainageand tissuerepair relatedto musclesused in Swedish
massagewith herbalsupplementation

Business,Ethics and Professionalism

The purposeis to preparethe studentto seekemploymentin the field of Swedishmassage,to
familiarize the studentwith quality documentationof client information and administrativerecord
keeping,and to havea firm understanding ofprofessionalstandards,

At the end ofthis coursethe studentwill be able to:
1. Understandstateand/or local licensing requirements
2. Understandand react to difficult nroblems
3. Understandthe scopeofpractice bf the massagetechnicianin relation to other professions
4. Discussdifferent aspectsof working with othersin self-emplol,rnent
5. Understandboundariesand enforcethem
6. Understandbasic marketing for Swedishmassage
7. Understandindushy,acceptedcodesofethics
8. Communicateeffectively with clients for successfuloutcomes
9. Practicewithin hislher areaofcomoetence
10. Perform a basic client assessmentincluding health history, observation,and palpation
I 1. Document and evaluateoutcomes
12. Complete a quality client intake form
13. Record what they did and obserwedduring the sessron
14. Recordwhat the client reporled during and after the session
15. Keep accuraterecordsof appointments
16. Use professionalcommunicationskills relatedto clinical issues
17. Use professionalcommunicationskills relatedto administrativeissues
18. Understandthe importanceof continuing professionalgrowth

Hygiene,Safety and Contraindications

The putpose is to help the begiruringstudentform a knowledge baseupon which he/shecan praclce
Swedisli massagesafely.

At the end of this coursethe studentwill be able to:

1. Recognizecontraindicationsfor common health conditions
2. Make referrals to other health professionalswhen necessary
3. Properly wash handsand maintain equipmentin a safe and hygienic manner
4. Understandhow to preventdiseasetransmission in a massagepractice
5. Follow universalprecautionsfor blood-bomepathogens

Clinical Supervision
The purposeis to help the studentmake the transition from the classroomto working on the public in a
safe,supewisedsetting and to practicethe skills leamed in the massagetechniciancourse,including
Swedishmassage,communication,record keeping, and other businesspractices.

Evaluation of Outcomes
The purposeis to measurewhether the desiredoutcomeshave been achieved. Methods of evaluation
might include written and practical exams.

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ActivatingMechanismsof Healing/TheInner physician
Read"BTI Notebook"(StudentHandbook,coursecatalog,courseschedule)optional, The
Healer Within pgs 1-82
The InnerPhysicianis the creativeintelligenceofeachbeingthatintimatelyguidesandunfoldsthe
healingmechanisms within. Unfoldinghealingpotentialbeginswith contactingthe innerphysician,
aligningour doingwith the expression ofour innerphysician.SBBTI's curriculumencompasses many
aspectsofbeing: the skillful applicationoftouch, openingto thehealerthat lieswithin, andcontributing
to the wellbeingothers. The art of massage unfoldswith personaldevelopment in the essentialskills
of: relaxation,presence,capacityto transferforce,andsensitivityto thetisiue lavers.

The essentialmethodsof self-healingare timelessmethodswithin every healing tradition that activate
spontaneousmechanismsof healing and relaxation. They are essentialforms of resourcing:calming and
orienting oneselfwithin one's body/mind. Spontaneousmechanismsof healing are our own intemal
medicine comprisedof blood, lymph, neurotransmitters,homones, oxygen and nutrients. The four
essentialmethodsare: gentle movement,self massage,deepbreathing,and deeprelaxation.

Practicing chi gong daily generateshealthy cells. Regular practice teachesyou to anchor your
consclousnessor awarenesswithin the cells of your body. Awarenesssupportsthe natural intelligence
within the cell - the inner physician.Body awarenessallows your inner physician to make many subtle
and vital corrections-transportingfluids and healing chemicalswhere they are most needed. Body
awarenessbegins with scanningyour attentionthrough your body. Leaming to hold your attentionon
specific stmcfuresin the body will enhanceyour capacity to maintain focus and presence.The
following exercisescultivate body awarenessand the habit of skeletalalignment coupled with muscle

Massageof the hand and arm.

Establishingrappod in human reiationshipbegins with establishinga sharedease,relaxation and trust.
Reachingout and getting to know someoneand offering to massagethe handsand arms of anotheris a
simple practicethat can elicit sharedeaserelaxation and trust. choose a partner amongstyour
classmates,introduce yourself, find out a bit about why they are hear learning -usrug., what they do
and offer to massagetheir handsand arms.

Chi Gong or Gentle Movement

Chi Gong meansenergyexercise. There are many forms of chi gong ranging from precisesequencesof
movementssuch as Tai Chi, to spontaneousfree flowing movement,to stationeryextemal movement
combinedwith active intemal movement. For the purposesof entrainingour body for the body
mechanicskills involvedin massage, we will practicea seriesof chi gong movementsthat combine
flowing motion with syr.rchronized
breathingand focusedattention.

Orienting involves anchoringone's attentionwithin the body, and within space. Being fully present
within the body allows for focusand awareness ofprocess. To begin orienting,standuprighi. Feelthe
bottom ofyour feet. Notice the earth supportingyour feet. Drop your attentionto the centerof the
earth. Now feel the crown of your head. Draw your attention to the sky aboveyou. Feel the support of
the sky. Now feel the right side of your body. Now feel the left side of your body. Now feel your
whole body in relation to the sky and the earth.

t4 -
Contacting your Centerline
Your centerlineis an imaginary vertical column that nms through the center of the body. Begin by
moving off center. Lean forward onto the balls of your feet, shifting your weight onto the anteriorplane
ofyour body. Hoid your balance. Lean back onto your heels,shifting your weight onto the posterior
plane of your body. Hold your balance. Oscillate betweenthesetwo exkemeswhile noticing the
musclesthat are neededto engagein order to hold you upright. Diminish the extrcmesin oscillation
betweenthe anterior and posteriorplaries,until you find your plane ofgreatest balance,where the bones
are centeredand the anterior and posterior musclesare released. Next, move off centerto the right,
shifting your weight 1atera11y to the sagittalplane. Hold your balance. Then move your weight to the
left, lateral to the sagittal plane. Hold your balance. Decreasethe size of oscillationsonce againuntil
you find the line ofgreatest balancebetweenthe right and left as well as the anterior and posterior
planes of the body. With practice you will be able to contactyour centerlineby simply bringing your
attention to your musculoskeletalstructureand adjustingyour alignment to the position of greatestease,
and extension.

Centerline Movement
Once you have anchoredyour attentionon your hara, your centerlineand your breath,you can begin to
orient your movementsaroundthesespatial structures. Place one foot in ftont of the other with the
posterior foot slightly tumed out. Pour your weight over the forward leg and foot. Then shift your
weight over the posterior leg and foot. Move forward and back with your attentionanchoringinto the
sensationsof weight bearing within your legs. Your torso follows the movementsof the legs,
maintaining your centerlinebalance. Your arms follow the movementof the legs with a folward
scoopingmotion circling down, out, up and back into the hara center. Allow your breath to synchronize
with your movements.

Allow your weight to move forward onto the balls of the fleet,lifting your heels off the ground. Draw
your arms up overhead,as you bear your weight on your anterior skeletalstructuresofyour body.
Lower your arns as you lower your weight onto your heels and your posterior skeletalstruchire. Repeat
the motion multiple times flowing up and down, anchoringyour awarenessin your vertical column of
energy that moves up the body. imagine that your breath animatesfrom below your feet and fills your
vertical column of energy.

Polishing the Energy Ball

Breatheinto your hara center. Each inhale expandsthe hara centerwith prana or electromagnetic
energy. Once the hara centerbuilds an electromagneticcharge,begin to exhale tl.reenergy into the
thymus center,or spaceat the level of the secondrib behind the stemum. Let the thymus centerfill with
electromagneticenergy. Then begin exhaling the electromagneticenergy acrossthe chest and down the
arms. Continue breathingand directing the energy into the hands. Spacethe handsapart such that you
are holding an imaginary ball. Polish the ball by twisting the handsback and forth, causingthe finger
tips to crosseachother. Notice the magnetic chargeof attractionbuilding in the spacebetweenthe
hands. Now move the handsin and out. Notice the magneticrepulsionas the fingertipsmatchup, index
to index. Continueto breathe,polish and expandthe ball. Completeby restingthe handson the hara
and retllming the ball of energyto the hara center.

Deep Breathing
Breathein and out without pausingbetweenyour breaths.Breathegentlyapplyingslight effort only to
your in-breath.The out-breathis automaticand relaxed. Intend to breathewith your inhale and exhale
being one continuousbreath-one continualflow._Donot exaggerate your breathingpatternin any way.
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Breathing through your nose is best.If your nasal passagesare blocked use your moth instead.Notice
the movement of the diaphragmas you breathein and out. Notice the movement of your ribs. Release
any attempt to force the breath. Let go of effort. Notice the sensationsas they rise and fall. Relax.

Deep Relaxation
Deep relaxation involves the calming and focusedattentionof the mind. Deep relaxation is meditation.
It can be applied while stationeryor during intenseactivity. What makesit deeprelaxation is the quality
of calm, focus and presencethat imbues the activity. The practice of massagecin be a form of deep
relaxation,when the mind is fully absorbed,open and presentwhile perfoming the movements. To
practice deep relaxation it is helpful to bring the body to a stateofrelaxation and easeso that the mind
can maintain a stateof focus. Practicingthe first three essentialmethodscan help greatly in opening the
channelsofenergy flow within the body such that the body is pain free and the mind is free from
distraction. If you find your attentionwavering, the essentialpractice is simply to notice the mind has
wanderedand to bring attentionback to the point of focus. A simple approachto deeprelaxation
involves tensingand releasingthe musclessequentiallyfrom the feet to the top of the head. Lie
comforlably on the back and extend legs out straight. Begin with tensingthe musclesof the feet and
then release. Tensethe musclesofthe ankles and then release. Continuetensing and releasingeachof
the musclesgroups in the body from the toes to the face and head. Lie in stillneis. Rest attentionat the
brow center.

Check-in: Sharewhat you notice in your body, after having practicedthe four essentialmethods.

Overview of Iearning styles: visual, auditory, kinesthetic. Visual learnersneed to seewhat they are
leaming. Reading and watching demonstrationswork well for them. Auditory learlers need to hear
what they are studying. Lecturesand discussionswork well for them. Kinesthetic leamersneed to feel
what they are learning. Performing the movements,and getting their handson what they are studying
works well for them. Each of us has primary and secondarylearning strengths. This coursewill be
taught with all three leaming stylesin mind. Taking a pulse on how we eachlearn best will support the
overhaulstrengthsand needswithin the class.

check-in: Shareyour experienceofbeing guidedthroughthe essentialmethods.what mode of

perceptionwas dominant for you? Was it listening to the instructor's voice, following the instructor's
movementsor feeling the methodsin your own body? Sharewhat learning mode is dominant for you.

orientation: overviewof scl.rool
policies,courseobjectives,coursescheduleand practicum

Classroom Agreements: We, as a group, l.ravethe opportunity to createa deepbond of trust and safety
basedon the agreementswe hold with eachother. The following agreementsare askedof all
participantsin SBBTI programsthat includes students,insfuctors and staff. The agreementsare
guidelinesin how to succeedin this curriculum, how to take care of yourself, prevent injury, therapist
bumout and develop the capacity to effectively connectwith others.We will be developingour capacity
in theseagreementsthroughoutthe course.For starterswe will discusseachagreementand role pliy iti
applicationin the contextofmassage.
' I agreeto be present.This meansintellectuallyand emotionallygrappling
with the subjectmatter
and adding depth of your understanding. You may draw on your fellow classmatesto help you
resourceduring the classthrougheye contactor physicalcontact.If your own processpreventsyou

l 6-
from beingpresent,call for a breakor make a requesttowardsmeetingyour needsor get up and
moveyour body to maintainyour level of engagement. As a corollary,brainsugarlevelsneedto be
high- eat as needed.You may: go to the bathroomat any point, open/closethe window, get
Psychotropic substances that dehactfrom your capacityto behaveandthink in a
consclousmannerare contraindicated prior to participationin this class.Disclosureto course
instructorof medicallyprescribedpain-killersor similarpsychoactivematerialsis required.

I agree to share from the first person, when sharing feelings,needs,and experiences.First
personsharinginvolvesusing "I" statements. We will be coachingyou on your communication
skills. If your sharingincludesjudgment,criticism,advice,secondpersonstatements (vou feel...),
analysis,interpretationor is tangentialto the topic at hand,we wili reflectwhat we hear. If your
sharinglastsmore then 2 or 3 minutes,we may ask you to pauseand checkin with your feelings
andbody sensations.As a padicipant,we encourage you to be directin expressing
your needs.

I agreeto hold a therapeutic intent during trades and exercises.Holding a therapeuticintont

involvesaligningyour intentwith the statedintentof the techniquei.e. pushingfluids, or relaxinga
tight muscle.

I agreeto honorthe boundariesof eachmemberof this group,Honoringtheboundaries of each

memberof this groupmeansstoppingwhen someoneasksyou to stop,keepingany sharingsfrom
this class anonymousand appropriateif sharedoutside of this class and practicinguniversal
boundarieswithin the contextof all bodyrvorkexchanges.This classincludes:fellow students,
andSBBTI administrativestaff.
' I agree to be responsible for my well-being. Being responsiblefor your well-being includes
asserting your boundaries and recognizing your limits. If when performing a technique, you
experiencepain in your body, stop what you are doing and ask for coaching from an instructor. If
your table is the wrong height, stop the massageand corect the height. Ifyou receive a techniqueor
sensean intention behind a techniquethat feels uncomfortable,ask your paftner to stop and discuss
what is and isn't working for you. Ifyou are unable to get a satisfactoryresponsefrom your partner,
it is advised to terminate the massageor decline working with your partner at the onset of a trade

' I agree to coach and be coachabte.Coaching and being coachedmeansgiving and receiving direct
in the moment feedback during partner trades with an intention to assist whenever possible the
leaming processof your fellow students.Topics pertinent to coaching and being coachableinclude
presence, focus, pace, pressure, duration, flow, precrsion, contact, temperature, bolstering,
alignment ofjoints, rate of stretch,duration of stretch,draping, tl.rerapeuticintent.

Anchoring is the practiceof connectinga body movementor sensationwith a word or phrase.Choosea

movementto accompanyyour name. As we go aroundthe room ald introduce ourselvesby name,
accompanyyour name wrth your chosenmovement. As a group we will reflect back your name and
body movement. Each succeedingname introducedwill include all the movementsand namesthat

Hygieneand Safety
Read Introduction to MassaseTherapy pages355-361
Hygiene within the context of massageincludespersonalhabits ofcleanliness and selfcare, as well as
the care and use of tools that you bring to the session. We ask you to use the following guidelinesfor all
bodyr,vorkexchangesperformed at SBBTI. Theseguidelinesare specific for preventingthe transmission
of blood-bome pathogens,common infectious diseases,fungus and assortedskin condiiions.

Universal precautions
Wash your handsthoroughly before and after eachmassage.Use hot water and soapto kill the germs.
Follow with cold water to clear the energyexchangewith client. Check the surfaceofyour hands
thoroughly if there are any cuts avoid direct contactwith any cuts or open wounds on your client. In
order to do this you must cover the surfaceof all rashes,open wounds with a band-aid,finger cot or
glove. Theseare available in the classroomwater areashelfor in the first aid kit within the kitchen.
With whom do we useuniversalprecautions? Everyone! Precautionsare universal. Treat every client
as a potential carrier for a blood-bome pathogen. Blood-bome pathogensare passedonly through
contactbetweenbodily fluids; therefore,avoid having your body fluids make contactwith the body
fluids of another(i.e.; open wound touching open wound, semen,or saliva with blood).

Cleaning and caring for tables

Following eachbodlr,vork sessionwe ask that you wipe down your table. There are bottles of cleaner
and papertowels in the classroom.

As a new practitioner in massage,it is advisedto work on basically healthy people.The techniques
offered in this classare designedto activatethe relaxation responseand increasecirculation in basically
healthypeople.Contraindications to circulatorymassage, specificto pathologieswill be covered
progressivelythroughoutthe courseas we study eachbody systemand prepareto work with the general
public in the clinic setting.Until that time, be advisedto work with basicallyhealthypeople,reference
the Appendix of the Introduction to MassageTherapy text pages 561-599or seekthe advice of your

Bodywork Theory and Practice

Adjusting table height
Our basic rule of thumb is to standwith legs hip distanceapart,kneesslightly bent, arms at sides,wrists
flexed. Adjust the table height so that it comesto just undemeathyour palms. If your client is wider or
larger than averageyolt will needto lower the table a notch. Finding your ideal height may changewith
time and style of bodyr,vork.Settingyour table too high decreasestl'le amount ofleverage you have in
bearing weight with clients. However, setting the table too low can be fatiguing to the legs or back. A
low table position requiressustaineddeepknee bending,or undesirablebending in the back. Improper
table height can lead to incorect body alignment and possibleinjury. Ifyou forget to set the table to the
correctheight and notice mid-sessionthat your body is compromisedin anylvay, SBBTI's policy
requlresyou to: stop the massage,have your partnerget off the table and correct the height.

Connectingwith the inner physician. Making contactwith the innerphysicianin anotheris a beingto
being acknowledgement. It is an acknowledgement that eachofus hasall that we needto heal
completely and flully. It is an understandingthat there is a creative intelligencebeing expressedthrough
the light in someone'seyes,the essence beneaththe physicalform anclsurfacepersonality.Holding that
understanding and focusfor anotl.rer is a hugegift in itselfand will initiatethe healingprocessbefore

1 8-
anytouchtechniques areapplied.Learningto listento the innerphysicianin another,relievesthe
practitionerfrom trying to figureout whatis neededor takeresponsibilityfor thehealing.The
opporhrnityfor self responsibilityandempowerment ariseswhentheimer physiciaais placedin charge
of the session.Connectingwith the innerphysicianbeginswith thestateof beingthatwe bring to the
massage. Becomingpresentwith ourselvesandextendingthatpresence to anotherlaysthe foundation
for sharedreport,trustandrelaxation.Our Level I agreements andpracticeof the essentialmethodscan
providea frameworkfor attendingto the stateofbeing duringthe contextofmassage.The following
partnerexchangeexercisefocuseson carryingthe agrcements andthe essentialmethodsinto our
massage anddeepening the levelof connectionbetweenbothparties.

' Presence:beginwith focusingyour attentionon connectingyour breath:in breathflowing into out
breath,out breathflowing into in breath.Let thebreathbe continuous.Onceyour thoughtssettle,let
your attentionflow thebreaththroughoutyour body.Onceyou feel connected to your body and
focusedin your thoughts,bring your attentionto your partner'sbreath.Noticethequalityof the
breath.Noticehow deepor shallow.Noticeanyirregularities.Scanyour partner'sbodyandchoose
an areaof contactthatdrawsyour attention.Placeyour handsat your partner'sbody. Beginfeeling
your parbrer'sin flow andoutflow of breaththroughyour handsastheir lungsexpandandcontract,
initiatingmovementin thebones,musclesandfasciathroughoutthe body.

' Boundaries:noticethedistinctionsbetweenyour breathandyour partner'sbreath.Noticethe

distinctionsbetweenyour handsandyourpartner'sskin andyour skin,your partner'sbody
temperature andyour bodytemperature,
yourpartner'sbloodpulseandyour bloodpulse,your
thoughtsandyour partner'sthoughts.

Therapeutic Intent: align your breathwith your partner'sbreath.Follow the rhythm ofyour breath
with the rhythm of their breath.Meld your hand to your partner's body, such that your muscles
release,proprioceptiveawareness,body temperatureseemsto blend with the body part of your
pafiner that you are touching. Align your intent in touching your partner with the desireto enhance
your partner'srelaxationresponse,

Responsibility: acknowledgeyour padner's selfhealing capacity.Acknowledge the healerwithin

this partner exchangelies within you and within your partner.Scanyour body to assessthe easeand
postural alignment within your own body. Adjust your stanceifnecessary to allow for greaterease
within vour bodv.

' Sharing: sharewhat sensations or feelingsyou noticewhile contactingyour partner.Ask your

partner to sharewhat sensationsor feelings they notice in their body as well.

' Coaching: Ask your partner to let you know what felt particularly enjoyable and if therewas any
parl where their attentiondrifted or wanted somethingdifferent.

Gentle Movement: Exploregentlemovementwith your partner. Begin by rockingtheir body, hip to

shoulderor shoulderto hip, up and down the body. Explorelifting body partsand gentlymoving back
and fot1h. Exploregentlejointmovement,combiningrockingand articulatingjoints at the feet,ankles,
klees, hips,spine,hands,wrists,elbows.

Compressionstrokeswith centerlinemovement Make contactwith the feet,legs,buttocksand back-

Apply pressure90 degreesto the surlacearea. Be sureyour vectorofforce movesthroughthe straight
- to-
line ofyourjoints. Allow your handsto be soft.A11owthe forceto comethroughyour bodyratherthan
your handsor arms. Compression strokesincreasebloodflow to thetissuesandinitiatea relaxation
response in thenervoussystemandmuscles.Beginningat the feethelpsto groundthe mentalenergyso
the clientcanbe morereceptiveto feelingandsensingtheirbody.

Guided relaxation Clientswhosemindstendto wanderwith chattingor negativethinkingcanbe

guidedto feel theirbodiesandbecomeawareof the sensations within their bodies.If yourparhreris
talkingor appearsto be lost in thoughts,askthemto resttheir attentionon whereyour handsare
touching.Feelthe areabeingtouched;feel your handfully. Feelthe supporlof your hand. Move your
contactto undemeaththeir body. Ask themto resttheir attentionon their posteriorbody,feel your hand
ful1y,feel the supportof your handandof thetab1e.Move your contactto their anteriorbody and
repeat.Repeateachof thesestepswith contactat theirhead,andright andleft sidesof thebody.Place
handson theright andleft of theheadanddirectenergybetweeneachhanduntil you feel a balance
betweenthe right andleft sides.

Sharing/Coaching:Receiversgive feedbackon whattheynoticein their bodyastheyreceivemassage

from their fellow studentandinstructor.Ifat any time thetechniqueapplicationfeelsuncomfortable
missingthemark in someway, thereceiveris advisedto offer a suggestion of how they couldimprove.
Ifthe receiveris unclearwhat is neededto improvethetechnique,thereceiveris advisedto askthe giver
to stopthetechniqueandget coachingfrom the instructoror an assistant.

session,thoroughlywashyour hands.

Checkin and reflection:Ask your partnerto sharewhattheynoticein theirbodyafterhavingreceived

the session.Reflectanythingyou haveobserwed thathaschangedin your parher, i.e.their breathing,

' Reading:Eachclasslectureandbody'r.vork sessionis supportedby readingassignments from the
notebook.Optionalreadingassignments areofferedfrom the Introductionto MassageTherapv,The
ColoringGuideto theHumanBody andThe HealerWithin. We highly recommendthatyou
purchaseonetwo or threeof the bookswe haveselectedin supportof this curriculum.Basedon
your learningstyleeachhasuniquesupportto offer adjunctiveto this curriculum.We also
recommend the following:
. Qigong:practiceqigongon a dailybasisoutsideofclass
' Massage: practiceeachmassage skill learnedin classat leastonceor twiceoutsideofclasson a
friendor family member.

Openingthe Joints/ArticularSystem
Optional: read pages127-136337-380,411 Introduction to MassaseTherapv
Opening the joints enhancesmovementof slmovial fluid, helps to maintainjoint health, increasesrange
of motion, postural alignment and the movement of qi within the body.

Qi Gong moves through all the tissuelayers of the body. The following exercisesbreakuprestrictionsin
the fasciabinding the joints and allow the qi to flow more fully in the body. They are called purging

Spinal Twist Wide stance,with kneesbent. Twist at the waist and swing arr1rsto the side. Inhale
through the nose and exhale out the mouth. Coordinateeachexhalewith fuIl twist to the side. Repeat.

Vibrating through the joints Standwith anklestouching. Gently bounce on heels. Focus the bounce
into the joints as you sequentiallyalign eachjoint, beginning with the ankles,knees,hips, stacking all
the joints up to the first cervical spine. Lift up on the balls of the leet and drop with a thud onto the
heels Pauseand allow the qi to rise through the body. Repeat.

Full body shake Begin shakingthe wrists, elbows, shoulders. Move sequentiallythrough the body,
until all the bonesare shaking,then tremor the spine in a top to bottom shake.Pauseand allow the qi to
risethroughthe body.Repeat.

Centering Maintaining your personalcenterand calm presenceis a fundamentalskill integral to all

other bodylvork techniques. Contactyour centerline. Align your body such that your vertebral column
extendsbetweenheavenand earth. Begin your sessionat the head of the table contactingyour personal
centerline. Contact your hara center. Breatheprana or electromagneticenergyinto your hara center.
Direct the electromagneticenergyup to the thymus center,acrossthe shoulders,down the ams and into
the hands. Collect a ball of energyin the hands. Rest 50% of your attention in your body and within
thesespatial stmcturesas you move into your sessionand the applicationsoftechniques.

Contacting and Initiating Movement from the Hara Center The hara centeris localed21/zjnches
below the naval, inside the body in front of the sacrum. It is the physical centerof gravity, as well as a
multidimensional structurewithin the subtle anatomy. Initiating movement from the hara centerbegins
with focusing your attentionon the space2'/' inchesbelow the naval. Allow the kneesto be slightiy
bent, and tail tucked. Begin shifting your weight from one leg to the other. Allow your movementsto
begin in the pelvis,poweredby the legs. Allow the upperbody to follow the largermovementsof the
lower body. Allow the shouldersand arms to follow the movementsof the torso.

Moving through the Joints Extendyour vectorol forcethroughthe heel ofthe back leg. Allowa
straight line of the vector offorce to flow through your body beginning with the heel, to the leg, hip,
torso, through the shoulder. Allow the movementsof the handsto follow the whole body movement.
Simulatekneading stroke or long stroke, or criss-crossstroke as full body swinging, flowing motions.
Allow the chi gong form to imbuethe tiniestmotion in the hands.

Anatomy and Physiology
Planesof Movement: Locatethe sagittal,frontal,andtransverse

Directionsand Positions: Locatethe superior,inferiol posterior,anterior,medial,lateral,distal,


Spatial terminology
Proximal:nearesta specifiedareaor attachment
Distal: awayfrom a specifiedareaor attachment

Joint movement
Performthemovementsof flexion,extension,hyperextension,

Typesof Joints:
Synovialjoints:containajoint capsule.It allowsthe greatestamountof movement.
Cartilaginousjoints: containcartllage,allowinglimited movement.
Fibrousjoints: characterized by union of fibroustissue.A1lowsfor minisculemovement.Westem
sciencehascharacterized fibrousjoints within suturesasfusedor immovable.However,the fibrous
joints of thecraniosacralsystemareengagedin a rhythmicmovementpattemroughly6-12timesper

Safetyand Hygiene
Choosing an appropriate table width
Tables come in assoftedshapes,weights, materialsand quality of construction. We encourageyou to
begin evaluatingwhat type oftable works best for you, consideringyour size, strengthand intended
usage. We have both narrow and wide tablesranging from 24 inchesfor shorterstudentsto 34 inches
for taller students. Narrower tablesare easieron the back (ifyou are shorter)becausethey do not
require that you lean as far over your work. Wider tablesrequire you to lean into the table to support
your back. Choosing a table width appropriatefor your body is a primary consideration. Wider tables
are more difficult to carrl' and are heavier,but allow more room for the client. Weight is another
primary considerationwhen choosinga table. Metal tablesare lighter and easierto transportfor outcall
clients. Wood tablesareheavierand tend to be lessexpensive.Qualityof constructionvanes
considerablywith manufacturers. Cheaply made and priced tables(Costco brand: made in China) are
not designedfor professionaluse. They aredesignedfor occasionaluseand areproneto breakage.
Ordering a table from a reputablemanufacturergives you the benefit ofrepair and wanantee protection
ifyou have any problems. Pricesrange from $400-$600. For further information pleasetalk with office

Bodywork Theory and Practice

Checkin and reflection
Beforeyou beginyour session,askyour parhrerifthere is anythingthatyou shouldknow abouttheir
bodyandspecificallytheirjoints.Ask your partnerto sharewhat theynoticeastheyreceivetheir
anysensations ofhigh intensityor anysignificantreleases,
or shiftsin temperature.

Positioningthe receiverproneposition
Whenappropriate usebolsters
to supporttheanldes,lumbarspineor chest.
An anklebolsteris recommendedfor all clientswith tight tibialis anteriormuscle.This canbe visually
by spaceundemeathfront of the ankle.Whena clienthasa subluxationof the lumbarsoine
lowerbacka pillow is recommendedundemeath the hips.

Positioningthe receiversupineposition
Kneebolstersarerecommended for all clients,to supportelongationof lowerbackmuscles.Neck
bolstersarerecommended for all clientswith a forwardcurvatureof theneck. This canbe visually
determined by observingif the chinrestshigherthanthe forehead.Neckbolstersarepositionedunder
the occiputor theneck,dependingon how muchsupportis needed.

Arliculatingjoints involvestakinga joint throughits mngeof motion. This canbedoneon all synovial
joints andevento somedegreeon cartilaginous joints. It is a highly eflectiveway to releasemuscles
relatedtojoints. Simplytakinga joint throughits rangeof motion,slowly andresponsively- pausing
wherethereis restrictionandallow themusclesto release,cangreatlyenhancethe clientsrangeof
motion.With your partnerproneexploretheirrangeof motionfor the ankles,knees,hips,shoulders,
elbowsandspinalcolumn.With your partnersupineexploretheirrangeof motionon the ankles,knees,
hips,ribs, stemum,shoulder,elbow,wrists,fingersandneck.

Passivejoint stretches
Stretchinga joint involveslengtheningagonistmusclesandshorteningantagonist
muscles.With your
partnersupine,applya passivestretchto themusclesofyour partner'slegs,andshoulders.
With your
partnersupine,applya passivestretchto themusclesofyour partner'slegs,shoulders,

Checkin midsession
Ask your partnerto sharewhattheynoticein their bodyaftertheytum overhavingreceivedthe first
half of thesession.Reflectanlthing you haveobseruedthathaschangedin your partner;i.e. breathing,

Checkin and refleclion postsession

Ask your partnerto sharewhat theynoticein theirbody afterthe session.Reflectanythingyou have
observedthathaschangedin your partner,i.e. their breathing,their facialrelaxation,etc.
Optional: read pages83-86,166-167Introduction to MassaeeTherapy pagesg3-112,The Healer
The relaxation responseis the shift in the autonomicnervoussystemfrom s;nnpatheticdominanceto
paras;nnpatheticdominance.In the stateofparasympatheticdominancea host ofphysiological changes
occur that allow the body to heal and regenerate.It is a leamedresponsethat can be cultivated through
the practice of the essentialmethodsofgentle movement,deepbreathing,massageand deeprelaxation.

Kinesiology is the study of movement.The essentialskills we cultivate in the practice of chi gong have
a direct application to our practice of massageand the movementwe employ as we administerall the
massagetechniques.Leaming to activateour relaxation responsethrough movementprofoundly affects
the effectivenessof Swedishmassage.Developing the quality of a big mitt in your touch requiresa srate
ofrelaxation not only in your handsbut in all the major skeletalmusclesas well as internal smooth
musclessunounding your vital organs.Often the tonus level of the body is habitually tight, especiallyat
the core. lntemrpting long term habits ofbreathing and holding oneselfrequiresbreiking up pattems of
movement and non-movementor holding.

The relaxation responseactivatesa myriad ofphysiological changes,including decreasein heart rate

and breathingrate,dilationofcapillarieswhich allows a greatervolumeofoxygen to migrateto sites
wherehealingis needed,activationof digestivejuices that allow digestiouto occur. The relaxation
responseis a leamedresponse.Our educationbegins with the modeling we receive from our parents
and primary caretakers,listening to and observingtheir breathing,muscular tone, tone ofvoice, lacial
expresslons.As a child we learn through demonstration.As an adult we can leam new responses
through repetition and attention. The relaxationresponseis one we car cultivate.

Consciously connected breathing is a direct approachto activating the relaxation responsewithin daily
life and can be activatedin any situation. Connectedbreathingcan make any activity more easeful.
Connectedbreathingis a natural and effortlessway to breathe. As infants, we innately breatheddeeply
and slowly with few repetitionsper minute. Shallow, fast breathingis a leamed response,modeled from
our prlmary caretakersand the stimulation and paceof our environment. Shallow, fast breathingcreates
imbalancein the acid/alkalinepH of the body and the oxygen/carbondioxide balanceof the blood.
Slow, connectedbreathingestablishes balance.The practiceofall the Swedishmassagestrokescanbe
greatly enhancedand energizedthrough consciouslyconnectedbreathing.

Opening the Diaphragm

The diaphragm,like eachjoint, is a horizontal structurethat can impede or support the flow of energyup
and down the body. Diaphragmaticbreathingis a profound tool for activating the flow of qi throughoui
the body. Diaphragmaticbreathingcreatesa wave of motion in the abdominal cavity and the fascia
throughoutthe body, and is our natural mode of breathingfrom birth. Fright or perceivedthreat can
causea grippingor holdingthe breath;ongoingstressor perceivedthreatcan leadto a chronicstateof
muscular contractionin the diaphragmand intercostalmuscles. Accessinga deepdiaphragmaticbreath
may require releasein the tonal pattemsof the diaphragmand intercostalmuscles.

Muscular action in diaphragmatic breathing

on the inl.ralationthe diaphragmcontracts,which lowers ar.rdflattensthe muscle and pulls the lungs
downwald.lhe inlercoslal nrrrscles
nrovetheribs larerlllyas well.wltichexpandsrhelungs.ThJ
increasedvolume of the lungs createsa drop in pressureor a vacuulu effect that draws the air in lrom the
outside. This balancesthe pressuredifferential from the air inside the lungs vs. the air outsidethe lungs.
On exhalationthe diaphragmreleasesits contraction. This lifts the muscle like a bellows and, in tum,
increasesthe pressurein the lungs by decreasingits volume. The air is then expelledto balancethe

Relaxation heightens proprioception

Muscular tension in your hand, arm, and shoulderdiminishesthe sensoryperceptionavailablewhen
touching another. Heightening your kinestheticperceptionbegins with fully relaxing your hands,arms,
shouldersand torso. Tensemusclesinterfere with the nervous systemperceptionor proprioception
availablefor fine sensingof the subtletieswithin the tissues.

Modeling the relaxation response

Relaxationin the therapistmodels relaxation for the client. The strengthand tensionnecessaryfor
massagecomesfrom the musclesof the legs, pelvis and spinal column, rather than the effort of the arms
and hands. A tensehand and atm diminishesthe effectivenessof the relaxation responseyou are trying
to activatein your client. Tension models tension;relaxation models relaxation. Much of the relaxation
responsethat occurs during a massageis achievedthrough entrainmentand modeling rather than force
or overpoweringa muscle.

Squeezeand release
Squeezea body parl and then releasecompletely and let the body parl go 1imp. Begin with the feet.
Work your way up the body. Especially squeezeand releasethe shouldersarms and hands. Scan your
body and notice how it feels now. If you begin to notice tensionretum to your shoulders,arms and
handsin daily life or massage,take a moment to squeezeand release.

Allow your weight to move forward onto the balls of the feet, lifting your heels off the ground. Draw
your anns up overhead,as you bear your weight on your anterior skeletalstructuresofyour body.
Lower your arms as you lower your weight onto your heelsand your posterior skeletalstructure. Repeat
the motion multiple times flowing up and down, anchoringyour awarenessin your body and the
consciouschoice to relax with eachbreath.

FocusedHand Meditation
Focus your attentionin various parts ofyour hand: the centerof the palm, the fingertips, the heel, the
medial and lateral sides. Stiffen your hand into a blade. Soften your hand into a big mitt. Allow your
handsto gently curve around an imaginary ball ofenergy, as though they were big mitts holding a
preciousball betweenthem. Breatheinto eachbig mitt. Breatheinto the ball betweenyour mitts.

Applied Anatomy and Physiology

of thehumananatomy
Thefundamentalbuildingblockof thebodyandsmallest
unitof life is considered
thecell. Groupings
of cellswith similar qualitiesarecalledtissues.Groupingof tissueswith similar functionare called
organs. Grouping of organswith similar functions are called body systems. In this coursewe will be
studying the body through the lens of the body systemsand experiencingthe body systemswithin the
laboratory of our own body. We will be experiencinga variety of ways to enhancethe function of the
body systemsthroughthe practiceof the essentialmethods.We begin our studyof the body systemsby
first leamingto relax our bodies,therebyheighteningour sensitivityto touchand palpatingtissue.
The Autonomic Nervous System is comprisedof nervesthat feed the viscera or vital organs. It is
divided into two branches:the sl.rnpatheticbranch, also called the fight or flight response,aad the
parasympathetic,also called the relaxationresponse.

Parasympathetic Nervous System initiates the rest and relaxation responsein the following processes
. Decreasein heart rate
. Decreasein respiratoryrate
. Muscles relax
' Capillary blood vesselsdilate, thereby more oxygen migratesto sites where
healing is needed
. Blood sugarnormalizes
. Digestion occurs
. Tissuesrepair

The Sympathetic Nervous System initiates the fight or flight response. This responsea11owsthe body
to respondto an emergencyor stressfulsituation. The sy,rnpathetic responseinitiates the following
. The brain becomessuper-alert
. Adrenaline startsto flow
. All the glandsreleaseextra hormones
. The pupils dilate
. The hearl rate increases
' The blood vesselsto the muscles,heart,brain and organsinvolved in fighting
off dangerdilate
. Blood-clotting factor goesup in preparationfor bleeding
. Breathing becomesrapid
. Blood sugarlevel rises
' All the normal processesof the body, such as digestion, are slowed or even stopped,and the body
collects and conselvesall availableenergyfor the perceivedthreat.

Homeostasis is the stateof balancewithin the neruoussystem. It is an ongoing processof adjustment

within the autonomicnervous systembetweenthe part that preparesfor fight or flight and the part that
calms,relaxesand allows tissuerepair. Our capacity to maintain homeostasisarisesfrom the
accumulationofhow we live our daily lives, our stateofalert relaxation and peace,as well as the vital
nutrients we have absorbedinto our body. A primary goal in bodyrvork is to activateour client's
paraslmpatheticnervous systemand the relatedspontaneousmechanismsof healing that are initiated
through this system. This shift in the client's stateof homeostasisis induced through the application of
techniquesand through the client's entrainmentwith our body rhythms.

Safety and Hygiene

Bringsheetsandoil to classdailystartingwith thefourthclass:Nourishing theSkin
A successful
practiceincludesgatheringandbeingresponsiblefor yourtoolsof thetrade.Webeginour
effleuragetraining in oil basedmassage.Oil basedmassagerequiresthe use of sheetsand oil, cream or
lotion. As a classroomparticipantyou will needto bring 2 sheets,a handtowel and oil to classdaily for
the remainderof this course. If you would like to rent sheetsfrorn SBBTI, you can pay a one time fee of
$66 to rent 20 setsof two sheetsand a pillow case. Thesewill be suppliedby an olfice staffpersonat
the beginningofeach classto studentswho haveprepaid. We havea sheetserviceand must plan ahead
for delivery. Studentswho come to classwithout sheets,who have not opted to prepay for sheetsmay:
' Requestthat your trading partner sharetheir sheetswith yt_'u.
' Leaveyour clotheson duringthe pafinerexchangeand lie without sheetsdirectly
on the table.Your
partnerwill havethe opportunityto practicethe techniqueswithout oil.
. Paya onetime, daily rentalfeeof $2.50for sheets

It is highly advisedto carryan extrasetof sheetsso you arenot caughtwithoutsheets.Your supplyfee

includesa bottleof massage oil, which is dishibutedon thefirst day of oil basedmassage.you are
responsible for bringing aboltle/jarof oiI, creamor lotion daily thereafter.We askyou only to bring
jars of semi-solidoils,bottleswith pumpsor smallopeningsthatyou carryon a hip holsterto avoid
spillageandstainson the floors.

BodyworkTheoryand Practice
Check in and reflection: Before you begin your session,ask your partner ifthere is anything that you
should know about their body and specifically their j oints. Ask your partner to sharewhat they notice as
they receive their session,any sensationsofhigh intensity or any significant releases,or shifts in
temperature.Invite their feedbackand participation.

Repeatwhat you have leamed thus far and add:

Steady,dry, warm hands
Offering steady,dry and watm handsto your client is an essentialskill for any massagetherapist. If
your handsare not steady,dry or warm at any point in the massage,be it the initial handshake,the first
contacton the body or the last, then working on yourselfbecomesprimary prior to working on another.
Generally,the lack ofsteady, dry or warm handsmay indicate a fear responseor imbalancern your
nervoussystem.Before making contactwith your partner,take some slow deepbreathsto steady
yourself. Focus your attentionon your hara center. Bring your attentionfully into your legs and feet. If
your handsare shaking,allow your body to swing gently side to side in chi gong rhythmic movements
pouring weight from one leg to the other to steadyand ground yourself. If you are unable to steadyyour
hand then minimize or avoid work on more sensitiveareassuch as head and neck. Increaseyour pace
and pressureto diminish the effects of your shake. If your handsare cold and./orclammy, take some
time before your sessionto relax and focus your attentionin your hara center.Be sure you have eaten
somewarming foods recently for your blood sugar.If your handsare still cold and clammy, then make
your initial contactthrough the sheetand begin to work your partner's body so that your handswarm up
and dry through the activity. Do not make direct skin contactuntil your handsare dry and warm.

The relaxation responseenhancesthe healing effect ofany body.worktechnique.The majority of

bodlryork techniquesare intendedto initiate the relaxation response.However, clients vary in how they
respondto eachtechniqueand as well as how the techniqueis applied. Thereforeit is essentialthat we
learn to observethe relaxation responsein another,before, during and after the application of

The big mitt is a relaxed, steadyhand that emanateswannth and energybeyond the physical boundaries
of the hand. A relaxedhand is a hand where the fingers are lightly spread;where the energy cenrer
within the palm of the hand is open and flowing. When the fingers are rigidly held togetheror far apart
this createsa tight hand. Tight handsare appropriatefor specific deeptissue strokes,but inappropriate
lbr the majority of Swedishmassagetechniques. Tight handsare prone to injury and fatigue; therefore
developing a relaxed big mitt hand is a primary goal within this course.Work towards cultivating a
relaxedhand such that you and your partner cannot tell where your hand and their body ends.

Reflexins on the feet

with your partner prone, apply your big mitt handsto the bottoms of their feet. Apply rhythmic,
altemating pressureto your partner's feet. Work the whole foot in three lines of points, both feet at
once. Then grip eachfoot separatelyusing all four fingers wrapping aroundthe undersideof the foot
and pressingupwards betweenthe metatarsalspaces.Shearthe metatarsalsback and forth. Apply a fast
pacedvibration motion with the palms to the arch of eachfoot, until the surfacewarms. Complite the
foot work contactingthe arch of the foot at the line betweenthe arch and ball of the foot with your
fingertips. Breatheand visualize rivers of energyflowing through the whole body to the bottoms of the
feet. Hold until you get a steadypulse at the feet.

Polarity Balance at Occipital Baseand Sacrum

Apply firm pressureto the baseof the occiput with your fingertips while spreadingpalms acrossthe
occiput with the fu1l hand. Work the whole occipital baseand neck thoroughly. Apply acupressureto
the sacmm as well all around the boney edgesas well as the bone itself. Placeyour left hand at the
occiput and your right hand on the sacmm, hold and balance,visualizing the rivers of energynow
flowing up the body from the feet to the head,and making a circuit with your body, flowing from your
right hand up the spine and from their head to your left hand and back through your body to your right
hand, ending at the sacrum.Hold until both areasfeel like they are "breathing": you can feel the
movement of their respirationand even of their bonesas the bonesflex and extend through the rhvthm
of the craniosacralsystem.

Compressionson the long musclesof the back and lamina groove Placeyou big mitt handon the
long musclesofyout partnersback on the other side of the spine. Gently compressthe musclesand
apply a rocking spreadingmotion to the back. Work up and down the back rocking and compressrng.

Rocking compressionson the sternum and in betweenthe ribs

Place your palm and or thumbs over the stemum. Apply a rocking compressivemotion, gently
articulating the joints betweenthe ribs and sternum. Apply pressurewith fingertipsjust past the sternum
in the intercostalspaces. Move hand contactto the humeral head with the north facing hand (hand
towards the head), counterbalancedwith hand at the stemum. Continuerocking betweenthe two hands.
Move north hand to the stemum and south hand to the ribs and apply rocking motion to the ribs.

Diaphragm opener on the torso

Place handson the ribs and begin rocking the ribs forward and back and massaginginto the spaces
betweenthe ribs and on the undersideof the ribs. Make contact on the diaphragmmuscle on the
undersideof the ribs. Presstowards the muscle on the undersideof the ribs. Counterbalancethat contact
with a releasepoint for the lungsjustbelow thejunctureof the clavicleand the humerous.This
acupressurepoint is referred to as Lung I or "Letting Go". Pressand hold.

Check in midsession
Ask your partner to sharewhat they notice in their body after they tum over having receivedthe first
halfofthe session.Reflectanythingyou haveobservedthat haschangedin your partner,i.e. their
breathing,their facialrelaxation....

Check in and reflection post session:Ask your partnerwl.ratthey noticein their body regardingtheir
stateofrelaxation.Reflectwhat you noticeregardingtl.reirstateofrelaxation.

Nourishingthe Skin

Applied Kinesiology
Enhancing Protective Qi
There is a protective layer ofqi (Wei qi) on the surfaceof the skin which can get depleteddue to lack of
fresh air and negativeion exposureas well as excessivetime on the computerand oiher EMF exposures.
The protective qi can also get cloggedwith negativeenergy from exchangeswith others and assorted
influences.It is good to periodically sweepoff the protective layer on the surfaceof the skin.

Sweeping the Channels

Sweepdown the arms on the white skin. Shakeoff. Sweepup the arms on the red skin. Sweepover the
back of the head and down back side ofbody. Shakeoff. Sweepup the white skin ofthe legs.Repeat

Maintaining your personalcenterand calm presenceis a fundamentalskill essentialto all bodpvork
techniques. Contactyour centerline. Align your body so your vertebral column extendsbetween
heavenand earth. Begin your sessionat the head of the table contactingyour hara center and breathe
prana or electromagneticenergyinto your hara center. Direct the electromagneticenergyup to the
thymus center,acrossthe shoulders,down the arms and into the hands. Collect a ball of energy in the
hands. Rest 500%ofyour attentionin your body as you move into the application oftechniques.

Anatomy and Physiology

Cells are the fundamentalbuilding blocks of all living things. Healthy cells replicatemore healthy cells.
Mutated cells replicatemutatedcells. Our cells are replicating themselvescontinuously:the lining of the
stomachrenews itself every week, the skin replicatesitself once a month, liver cells replicate themselves
within 6 weeks.The whole body is regeneratedevery 5 years.The human cell is a mirror image of the
human body containing all the samebody systems.The functions of: digestion,respiration,excretion
and reproductionall occur on the cellular level. The cell membranefunctions as skeleton,skin and brain.

Tissues are grouping ofcells that sharecommon qualities. Types oftissue include nerwe,muscle ancl
connectivetissue.Connectivetissueis categorizedas hard (bone), medium (fascia) and soft (blood).

Organs are grouping oftissues which sharea common function. Types of organsinclude the liver, gall
bladder and stomach.

Systemsare grouping oforgans that sharea common purpose;i.e. the liver, gall bladder and stomach
are all digestivesystemorgans.WestemSciencehasdividedthe body into 11 body systemswhich
includes:respiratory,nerwous,integumentary,muscular,skeletal,circulatory, lymphatic, endocrine,
urinary, reproductiveand digestivesystems. Eacl'rsystemcan be palpatedthrough sensitivetouch.

The Skin or Integumentary Systemservesmultiple functions:

. protection from the outsideenvironment
. conselation of heat,helpingto maintainbody temperature
. absorptionof nutrients
. elimination of intemal waste
. sensoryperception

Clinical Pathologies
SomeclientshaveconditionswhereSwedishmassageis indicated(considered safeand beneficial),
however,the amountof tirne,depthof pressure
or pacemustbe modifiedto reducethe potential
unpleasant effectsthatincreasedcirculationandtissuecleansingmight induce.It is prudentto advise
your clientthatthemassago may evokea cleansingreactionor somesoreness in thebody. Thepractice
of self-caremeasures followingthe massage, areadvisedto minimizesucha response.

Skin Conditionsto that contraindicatethe practice of massageuntil the conditionheals

Ring worm, lice or any contagious
rashessuchaschickenpox or poisonoak.

Skin Conditionsto be avoid local contactin the practiceof massage

Openwounds,oozingrashes,boils,cuts,severeacne,athlete'sfoot or any conditionwherebody fluids
arebeingreleasedto the outsidesurface

Skin Conditionsto be cautiousof whenpracticingof massage

If the conditiondoesnot involvetheleakageoffluids proceedwith cautionasin psoriasisor eczema.

Self Care Measures:

It is importantto hydratethebodyfor thehealthof all the cellsandbody systems.Within the contextof
receivinga massage, watersupportsthe bodyin flushingtoxinsandmetabolicwastesthatmay have
beenreleasedfrom the tissueinto the lymphatics.Hydrationincludesdrinkingamplewaterandavoiding
dehydratingliquidssuchasalcohol,coffee,soda,diuretics,andheavysalt. Increased sunexposurealso

If a client exhibits low energyit is important to eat mindfully following a massage.Some foods and
food combinationstake a lot ofenergy to digest and this will detractfrom tl.reenergyneededfor
it is advisedto allow time to assimilatethe effects of the massage.Rest is advisedif one feels tired
or sedated. Spendingalone time, such as a walk on the beachor time out from daily routine is also
advisedfor busy clients.
If additional detoxification support seemsappropriatedue to deepwork or immune challenges,this
can be assistedthrough a salt and sodabath, exerciseto a light sweat,or sauna.
Rebooking a follow-up massageifnecessary.
If emotional contentwas stirred, follow-up measuresmight includejoumaling, active listening with
a friend, or an appointmentwith a counselor.

Safetyand Hygiene
Hand washing and hygiene
Wash your handsthoroughly before and after eachsession.We ask all studentsto batherezularlv and
before classif you have exercisedheavily that day.

Fingernail hygiene
The practice of massageentails touching lots of bodies. Avoiding contactwith germs carried within the
generalpublic is unlikely. Thereforepersonalhygiene is essential.Be advisedto clean undemeathyour
fingemails and keep your nails trimmed short and filed. Germs tend to collect undemeaththe nails.
Clippers and files are available in the classroomor office.

Avoid cutting your hands

When possible,avoid activities prone to getting cuts in the skin of your handsand forearms. If you have
a break in the skin on a surfacethat will come in contactwith your massagerecipient, protection is
essential:band-aid,finger cot or gloves.
_jo -
Cleanfloor hygiene
Upon enteringthe classroomwe askthatyou removeyour shoesandplacethemandyour belongingson
the classroomshoerack.Clean,barefeetarewelcome.We askyou to wearsockson your feetif they
areuncleanor if you havean intemalfirngus.Feelfreeto usethe sink to cleanyour feetbeforeenteiing
the classroom.Followingmassages donewith oil, we will cleanour client'sfeetto removeany oil
beforesteppingon thematt. We wantto keepour flooringandbodiescleanby avoidinga build-upof
oil dirt nr firnmtc

BodyworkTheoryand Practice
Massageas a practice in cultivating sensoryawareness
Massagecan be used as a tool to heightenthe felt sensefor both giver and receiver. Giver should
maintain 500%of attentionon your body sensations,feelings and responsesand 50% ofyour attentionon
the sensationsin your handswhile applying effleuragestrokesto your partner. For the receiver,the
experienceof massageis greatly enhancedby bringing full attentionto the sensationsofreceiving touch
and to the sensationsofthe body parls being touched. To support your partner's body awarenesswhile
receiving, verbally guide your parher through the experienceoffeeling the body part being touched and
of surrenderingtheir weight to the table. Give your partner verbal instruction as you moves to eachnew
part of the body. This can serveas a gentle reminder to stay presentin the massageand to be an active
participant in their processofhealing.

Client Intake: It is imporlant to spendthe time to inquire into your classmateor client's condition,
before beginning any session. Standardopeningquestionsto your client may include: "How are you
today?" "Anything I need to know about your body?" "Have you receivedmassagebefore?" "what
would you like to get out of this massage?""lntroduction to MassageTherapy" offers a detailed
appendix,alphabetizedby condition of common pathologies,citing indications and contraindicationsto
massage.As eachbody systemis introducedwithin this coursecuriculum, contraindicationsspecific to
the body systembeing studiedwill be covered.

Maintaining body heat and honoring modesty

Oil basedmassagenecessitatesthat body parts be uncoveredfor the application of oil and various
techniques. As the receiver of massageyou may chosehow much of your body you wish to have
uncovered. As a giver of massageit is your responsibility to honor your partner's modestyand
temperatureneeds,and to cover private pafis and thosenot being massaged.An additional blanket or
heatingpad may be required to maintain your partner'swarmth. Getting lrom fully clothed to unclothed
andunderthe sheetis most frequentlydonein the classroomsettingby undressingtlown to one's
underwear,getting undemeaththe sheetand removing underwearwhile draped. If you desire a more
modesttransition, your partner can hold the sheetup to provide a barrier, or you can createa dressing
room behind the classroomdividers, undress,wrap yourselfin a sheetand return to your table for the
massage.In the clinic or professionalsetting you can ask your client to disrobeto the degreethey feel
comfortable and to get undemeaththe sheet,while you wasl.ryour hands.

Lubricant considerations
What you put on your skin can directly impact the health of you and your partner.Highly sensitive
recipientscan be affectediu one application.Lesssensitiverecipientscanbe affectedby repeated
applications.Petroleumbasedoils will clog the poresof your skin. Be advisedthat what you put on

your skin endsup beingabsorbed andprocessed by your lymphaticsystemandliver, andoils can
becomerancidovertime. The oils SBBTI sellsarecreatedwith ingredientscompatiblewith the
functionof your intemalbodysystemsonceabsorbed. You canalsomakeyour own oil combinations
from cold processed vegetableoils. Many massage crdmesandoils alsocontainessentialoils. Essential
oils havenumeroustherapeutic propertiesthatpreservethe oil or crdmeusedandenhancethe effectsof
themassage. Essentialoils arethe subtlevolatileliquidsdistilledfrom plants,shrubs,flowers,trees,
roots, herbs,fruits,grasses
andseeds.Essentialoils areantimicrobial,antifungal,andantiviral.
Occasionally a clientmay havean allergicreactionto anessentialoil, thereforeit is advisedto inform
your clientwhenusingan essentialoil andgive themthe chanceto declineif theydislikethe smellor
areconcerned aboutan allersicreaction.


Are you aware that most home and personaluse products sold today contain unhealthy agents? The following is an overview
ofthe top unhealthy ingredientscommonly found in many home, dental, and skin and hair conditioning products and their
possible side effects so that you can take inventory ofwhat you and your family is being exposedto.

1. ACETONE: is a solvent which can affect the neryous system and respiratorysystem,is used in nail polish remover and
many homecleaningproducts.
2. BUTYLATE HYDROXYTOLUENE: is found in lipsticks, baby oil, eyelinersand soaps. It is known to causecancer
in animals and is suspectedto causebirth defects.r
3. QHLORINE: is a bleaching and sterilizing agent. Exposurecan come from tap water, showers,pools, laundry products,
cleaning agents,food processing,sewagesystems,etc. Chlorine kills offthe beneficial flora ofour skin and digestivetract.
Chlorine can affect your health by contdbuting to asthma,^hayfever, anemia,bronchitis, stomach,heart disease,high blood
pressuleand nausea. Itisalso a possiblecauseofcancer.2 Even though you will not seeChlodne on personalcare product
labels,it is important for yoll to be aware ofthe needto protect yourselfwhen bathing, washing, swimming and coniuming
water. Consumeaddedprobiotics to re-colonizeyour digestive traot with beneficial flora periodically if being exposedto
chlorine water.
4' FD&C COLOR PIGMENTS: Many color pigments causeskin sensitivity and initation. Absorption of certain colors
can causedepletion ofoxygen in the body and even death.l Many colors that can be used in foods, drugs and cosmeticsare
made from coal ta. There is a gleat deal ofcontuoversy about their use becaLlseanimal studieshave shown almost all of
them to be carcinogenic.' Sornechcmical color pigments have been linked to hyperactivity in children.
5. FRAGRANCES: Chemical fragranceis presentin most deodorants,shampoos,sunscreens,skin care,body care and
body products. Some ofthe chemical compoundsin fragrancesare allergenic or otherwise toxic. The tenn fragranceon a
label can iudicate the presenceofup to 4,000 separateingredients. Most or ail of them are synthetic. Symptomsrepofied to
the FDA have included headaches,dizziness,rashes,skin discoloration,and violent coughing, vomiting and allergic skin
in'itation. Clirtical observationby medical doctors have shown that exposurcto chemical fragrancescan affect the central
nervous system,causingdepression,hyperactivity, irritability, inability to cope and other behavioralchanges.
6. FORMALDEHDYE: is an ernbalming,disinfectantand deodorantagent. Commonly r.rsedin deodorants,
antiperspirants,shampoos,mouthwashes,toothpastes,skin, body and hair care products,nail polish, after-shavelotion,
perfumes and householdcleaning products. Fonnaldehydeis a known carcinogenin animals and a suspectedone in humans.
It can also causedermatitjsreactionsin sensitiveindividuals. Exposureto formaldehydemay causejoint pain, allergies,
depression,headaches,chestpains, ear infections, chronic fatigue, dizzinessand loss ofsleep. It can also aggfavatecoughs,
colds and trigger asthma. It may iritate the respiratory system,causeskin reactions,and trigger palpitationi.r
7. ISOPROPYL ALCOHOL: is a solvent and denaturant(substancethat changesanothersubstance'snatural qualities).
This is a petroleun-derived substancealso used in antifieeze and as a solvent in shellac. Isopropyl alcohol is found in hair
color rinses,body rubs, hand iotions, after-shavelotions, fi'agrancesand rnany other cosmetics. Inhalation or ingestion ofthe
vapor may causeheadaches,flnshing, dizziness,mental depression,nausea,votriting, uarcosisand coma.
8. METHYLENE CHLORIDE: A solventthat can stiil be found in many cosmeticseventhoughin 1985the FDA
recommendedthat it be rcmoved from hairspraybecauseit conclusively causedcancerin laboratory animals.
9' MINERAL OIL: is a commonly usedpetroleum ingredient that coats the skin like a plastic wrap. The skin's natural
immune barrier is disrupted,as this coating inhibits the skin's ability to breatheand absorbnatural moisturo and nutrition
(referred to as the Skin's Natural Moisture Factor). The skin's ability to rcleasetoxins is also impeded by this coating, which
can promote acne and other skin disorders. This processslows down skin function and normal cell developmentcausingthe
skin to age prematurely. Baby oil is 100% nrineral oil and many moisturizing lotions and creamshave a high mineral oil
10. PG (Propvlene Glvcol): is a "surfactant" or wetting agcnt and solvent. This ingredient is actually the acuve componenr
in antifreeze. There is no difference betweenPG used in industry and the PG used in personalcare pr.oducts.It is used in
industry to break down protein and cellular structure(what the skin ins made o0, yet it is found in most lorns ofmake-up,
hair products,lotions, after-shavc,deodomnts,mouthwashesand toothpaste. It is also used in fooclprocessing. Becauseil
its ability to quickly penetratethe skin, the EPA requiresworkers to wear protective gloves, clothing and goggleswhen
working with this toxic substance.The material safety data sheetswam againstskin contact,as PG has sysremic
conscquences, suchas brain,livcr and kidney abnormalities.Consumersare not protectadnoris thereawarning inmost
non-industrialapplications anclwhen utilizcdin personalcareproducts.

- 33
11. SLS (Sodium Laurvl Sulfate) and SLES (Sodium Laureth Sulfate): is used as a detergentand surfactant. These
closely r€lated compoundsare found in car wash soaps,garagefloor cleanersand engine degreasers.Yet both SLS and
SLES are used more widely as one ofthe major ingredientsin cosmetic,toothpaste,hair conditioner and about 90% ofall
shampoosand products that foam. In tests,animals that were exposedto SLS experiencedeye damage,depression,labored
breathing,diarrhea,severeskin irritation and conosion and death.6 According to the American College ofToxicology, "both
SLS artd SLES can causemalformation in children's eyes." Other researchhas indicated SLS may be damaging to the
immune system,especiallywithin the skin. Skin layers may separateand become inflamed due to its protein denatudng
properties. It is possibly the most dangerousofall ingredientsin personalcare products. Researchhas shown that SLS,
when combinedwith some other specific chemicals,has the capacityto be transformedinto nitrosamines,a potent class of
carcinogens,which causesthe body to absorbnitrates at higher levels than eating nitrate contaminatedfood. And according
to an Amedcan College of Toxicity report, "SLS staysin the body for up to five days..." Other studieshave indicated SLS
can easily penetratethrough the skin, enter and maintain residual levels in the healt, lungs, liver and brain. This posesvery
seriousquestionsregardingthe potential health threat createdwhen SLS or SLES is included in the lormulation ofpersonal
care products as shampoos,cleansersand toothpaste.

What should you do to protectyour family?

Check carefully the content listing ofall your shampoos,skin care products,toothpastes,liqr.ridsoaps,body gels, and other
body care products for theseharmful ingredients,even if the label says "natural". Avoid as much contactwith products
containing theseingredientsas is feasible,or ideally avoid all contactwith the chemicals. Ifyou have children, make sure
they are using skin careproducts, shampoo,toothpasteor other products containing any ofthese harmful ingredients.
Children under 6 are especiallyvulnerable.

REPLACE PRODUCTS that contain any ofthese ingredientswith safer products. Ifthey can't be ayoided,protect
yourself: wash off immediately and do not soak or have skin contact for extended time frames without the protection
ofgloyes, etc. Read product labels and educate yourself!
L NancySokolcrcer. PoisoninsOtuChil.he"
2. DorisJ. Rapp,t../,.D.,lsThisyort Child s Wa d?
3. ConsutnetaDictior.tyofcosheticlllAre.lients
4. Debn LyDn Dadd,Hone Sal. IIotne
5. M a y oC l i n i c
6- Mark learcr, arlicle;n Daryenut Ba4tt),

l. Clayionel. Al. FD, Chen.Tox. 1985 2. Br. J. Benratol 1992 Sep

3. ContactDennariris, July 1992 4 ,\.s Dein Vcn. e. (S'.clhr lool, lo92
5. Acts DermVenercolsuppl(Stockb)1992 -lhe
6. l - a i c e r ,F e b . 3 . 1 9 9 0
7. ConracrDermatkis9/92,2/93,3193,9t93 8. JN. Toxicology Cur. Ocular Tox., 1992
9. ToxicologyleueN,Col.26, 1985 I0. Toxicology, Pathology 1992
i l- Govt.RptAnnouncemenN & Irdex 1993 12. Dept.ofDerimrology,Copenbagen
Il. aull Environ.Conram.Toxicology.l/1987 14. J . P h r f l n B e l g .N o v . - D e c .1 9 8 9
15. Am. J OtolaryDgol, Jan-Feb1990 10. \ c r s O , . l d y l g o l { S r u c k h rJ l y - A L E -1 0 8 4
17. P h r . mr e s . 9 / 1 9 8 9 18. J . P a r e n t eS r c i T c c h n o l o g yJ u l y - A u g 1 9 8 9
19. Hum Reprod2/1990 20. Dennrtolclint/1990
21. conraclDennatilis7/1987 22. Denn Be.ufumweis Jul,Arg. 1988
23. Posrgrud Med J. 9/1988 24. r , e d i a t r i c sA,p r i l 2 9 , 1 9 8 7
25. Pharin.cology 1989 26. l-.b livest. l/1990

is givento pbotocopywilh no changes or additio s. This writenp is providedfor informationp ryosesonly. 11is not intendedfor prescriptive
ofdiagnosticpurposes,or is it intendedto rcplacetheseruices of a physicianor qualificdhealdlcareprofessional.
ThesestatemeDts navenor oeen
evaluatedby the Food and Drug Administrahor). Nntrivention 1999 8/99
Tactile and Visual Assessment:
Check to seethat your partner's skin is intact before direct skin contact.If there are any open wounds,
avoid direct skin contact on affectedtissue.

Warm your Hands

Before making contacton your client's body, be sure your hands are warm. you may run them under
hot water to warm them or begin working through the sheetor work on a lesstemperature-sensitive
of the body such as the buttocks, head or feet.

The Big Mitt

Allow your handsto rest on the sidesof your client's head. Let the periphery of your hand extend
beyond the skin and physical structure. Let your handsbecomelike a big baseballmitt. Allow the hand
to meld with the tissuesof the head as though the two were one.

Effleurage is one of the five basic strokesof Swedishmassage.Effleurage is a big mitt in flowing,
rhythmic motion. Effleurage is the basic Swedishtechniquefor applying oil, pushing fluids, calming the
nerr'oussystemand releasingneurotransmitters.The application of effleurageon eachbody parl
establishesrhy'thm,pace, and depth for the work ahead. Effleurage is skillful touch that heightens
sensoryawareness.Effleurage invites the recipient to feel their body more deeply and perceivethe
comectlons betweenvarious parts as an integral whole.

Effleurage is performed with soft hand contact,slow steadypacing, rhlthmic strokesand flowing
motion. Apply oil to your handsand contactyour client's back. In general,oil is applied proximal to
distal on extremities. Avoid pulling hairs with male clients. Apply gentle strokesup and down the body
paft you are working. Effleurage stroke is usedto calm, establishtrust and rapport,provide nurturance,
and increaseawarenessin the body. Light effleuragestroke moves lymphatic fluids and calms the
nerves. Medium depth effleuragestroke stimulatesthe movement of blood. The benefits of body
awarenessare increasedifyour client participatesin the process. You can guide them into feeling their
body by encouragingyour client to bdng their fuIl attentionto where you are touching. Ask them to feel
their body part (i.e., feel your back, legs, etc.) as you make contact. After thoroughly stroking the area,
ask what they notice in terms of feeling sensationsin the body part. Comparethe sensationswith
anotherbody part that has not been stroked.

Fan Stroke
Fan stroke is ideal fbr applying oil and spreadingevenly. Place your handsalong the centerlineofyour
client's body. Apply effleuragestroke towards the hips, when standingat the head. After traveling a
few inchesdown the back let your handsfan out to the sides. Stroke your handsup the sidesand retum
to your startingpoint. Return to your fan down the center,adding a few more inches and a fan back.
Continue down the back in three or four fans. This stroke can also be performed from the hip working
your way up the shouldersor from the anklesworking your way up the legs. Keep your anns and wrists
straight. Avoid angling your wrists in or out. Over time angling at the wrist can createstressand injury
in the wrist.

Long Stroke
Long strokesare the most basic effleuragestrokesused to push fluids, calm nervesand createjoint-to-
joint sensoryawareness.Strokesare applied with big mitts down the centerline,fanning out to the sides,
gliding lightly back alongthe sidesof the limb or torso,back to startingpoint. When working on the
back,the retum strokesglidesacrossthe senatusanteriormusclebetweenthe breasttissueand the
scapula.Be mindful to avoid contactwith thebreasttissue.The sensoryawareness and muscle
applyingthe strokebelowandaboveeachjoint,bridgingtwo or more
joints from eachlimb or bodypart.

Push Stroke
Let onehandleadandonehandfollow. After the leadinghandhastraveleda few inches,it shiftsits
positionto becomethe followinghand. Continuehandoverhanduntil you havecoveredthe limb or

Pull Stroke
Reachacrossyour client'sbackor limb, dragyour handsfrom thesideof thebodyto the center.Let the
forceofthe draggently1iftthe sideofyour client'sbody. Repeatthemotionaltematinghandafter

Brush Stroke
Light brushingcanbe appliedasa way of completingcontactwith an area. Light brushingis primarily a

Foot Scrub
Upon completionof your massage, usespraybottleto wet your handtowel andscrubclient'sfeetwith a
handtowelto thoroughlyremoveoil from your partner'sfeet. This procedureis alsoinvigoratingto the
recelverto supporttheir transitionto activityandpresenttime focus. You may leavethetowel for your
paftnerto wipe off any oil residueon bodybeforedressing.

Receiversgive feedbackon whattheynoticein theirbody astheyreceiveeachof the techniques
their fellow studentandinstructor.

' Read IMT text assignmentlisted under classheading.We requestthat you come to classhaving
read the notebook overview for eachclassand the textbook readins.
. Keep your nails clipped and clean.
. Purchasesheets,hand towels or pillow cases.
. Bring two sheetsand one hand towel/pillow caseto every classbeginning next class.
. Bring your oil to every classbeginningnext class.
' Practiceessentialmethodsdaily: gentle movement,consciouslyconnectedbreathing,selfmassage
and deeprelaxation
' Practicethe techniquesleamedwith eachclasson at least one personbefore the next classto anchor
the skill within your muscle memory.
. Contactyour coachonce coachingassignmenthas been given by your instructor,to bcgrn
schedulingtime together.

Activatingthe Whole Brain State/Nervous
Readpages159-165, 405-407,Introductionto MassaqeTherapv
The stateof wholebrainintegrationis a stateof optimalleamingandfunction. This integratedstate
allowsclearcommunication betweentherationalandinfuitivesidesof thebrain. Wholebrain
integrationaisoincludesthe ability to focusandcenter.Focusis expressed asclearthinkingandone
pointedattention.Centeringis expressed asa balancedstateof attentionwithin thebody.This session
explorescontributingfactorsthatgive riseto wholebrainintegration.

Infant Stagesof Movement
The stagesof movementthat every infant is designedto masteron their way towards upright walking
are: rol1ing,crawling and creeping. Thesesamemovementsbuild neural pathwaysin the brain that
allow for higher leaming skills, coordination,and the ability to integmterational and intuitive thought.
Thesepathwaysdevelopedin infancy createthe foundation for our ability to read,write, memorize, spell
and leam in later years. As an adult we can still createtheseneural pathwaysthat may have not been
made as an infant due to parentingpracticesfocused on containmentrather than movement and
exploration (excessivetime spentin crib, walker, electric swing or car seatdiminishesbrain
developmenttime spenton the floor exploring movement). Simulating the infant movement stages
begins with rolling. Lie down, backsideon the floor. Begin rolling side to side and over. Move to
crawling. Push one leg and the oppositearm forward drag your hips and torso forward a few inches.
Push the oppositeleg and oppositeatm forward. Drag your hips and torso anotherfew inches forward.
Continue as able. Move to creeping. Lifting your hips and torso in the air, continueyour forward
motionusingoppositearm with oppositeleg.

Getting in Pace
Leaming massageinvolves many skills. We are most able to take in information when we have access
to our whole brain function. The following exercisesare designedto createa receptivestatein the
nervoussystemwhere all parts of the brain are able to communicateand receive infomation and proper
nourishmentfrorr the body. They are taken from a body of work called Brain Gym or Educational
Kinesiologydevelopedby Dr. PaulDenison.

Step 1: Water - Water makesup 70% of our body. It is utilized for every biological process,chen.rical
reaction and mechanicalaction that occurs in the body. It is a large part of the blood, through which
oxygen is delivered to every cell of the body. It canies away waste productsthrough the ly'rnphatic
system.It allows electricalactivity acrossall the membranes.It allowsus to move ourjoints, digest
food and utilize protein. Drink ample water during classand throughoutthe day. During leaming, water
allows for the proper developmentofnerve networks, henceit is essentialfor effective leamrng.

Step 2: Cross-Crawl- Marching in place,touch the right elbow to the left knee and then the left elbow
to the right knee. Do this severaltimes. Benefit: this activatesboth brain hemispheressimultaneously
and engagesthe brain for coordinatingvisual, auditory and kinestheticabilities such as improvrng
listening,reading,writing and memory.

Step3: Brain Buttons- Restonehand overnavel;the otherhandholdsboth sidesof the sternum,below

the collarbone.Rub vigorously. Benefit:stimulatesthe carotidarteriesto increasesupplyoffresh
oxygenatedblood to the brain. lmproves tl.recapacity to focus and receive directional messagesfrom
the body to the brain.
Step4: Cook'sHook-Up- ln a standingpositioncrosslegs,extendarmsout in front of body,cross
atms,join handspalmto palm andinterlacefingers,bringhandsto chestby tumingupward. Breathe
deeply.Follow with joining fingertipson bothhands.Breathe.Disconriectandswitchcross-overof
legsandatms. Benefits:centering,calming,andincreases circulationwithin themeridiansystem.

. Ask, "Is this systemin pace?"
. Muscletestthedeltoidmuscle.
. If the response is no, repeatsteps1 - 4.

Applied Anatomyand Physiology

The Central Nervous System maintains control and communicationbetweenvarious body parls. It
originatesand coordinatesreactionsto the environment. It maintainshomeostasiswithin opposingpafis.
The CNS (central nervous system)is made up of the brain and spinal cord. This is the core of th" body.
The Brain functions are
. Right hemisphere(intuitive thought)
. Left hemisphere(rational thought)
. Forebrain (memory,judgment, reasoning,speech)
. Midbrain (visceral or involuntary activities, vision)
' Hindbrain/reptilian brain (coordinatesmuscular activity, can keep musclesin
a stateofcontraction)
' Medulla oblongata(controls activity of the respiratory,digestive organs,heart and glands)

Clinical Pathology
Benefits of movementand bodywork in addressinginability to focus and sustainattention
Movement gives rise to neural pathways as discussedabove. Movement including aerobicexercise,
stretchesand inversionsalso give rise to greatercirculation and oxygenationofblood to the brain.
Body"workcan also greatly enhanceblood circulation to the brain. There are a variety of effective styles
involving light to deep levels ofpressure. Subtle styles such as craniosacraltherapy and polarity
therapy,as well as heaviermodalities such as acupressure,Swedish,lymphatic drainageand deep tissue
can all help to relieve blockagesin the flow ofblood, lymph and chi. Releasingblockagesin the flow of
fluid and energy, is essentialfor clear, focusedattention.

Benelits ofbalanced nutrition in addressinginability to focus and sustain attention: Dietary

measuresare essentialin maintaining a balancedneural chemistry. The chemistry of the brain and
ner-voussystemis highly influencedby the food that we eat, assimilateand eliminate that make up the
quality of the blood that is fed to the brain. Mental flinction and nerve force can be deeply impaciedby
eliminatingallergens,cleansingthe body oftoxins, and providingqualitynourishmentto providea
sustainedblood sugarlevel. Caffeine and sugarshift the neruoussystemtowards the "fight or flight"
response.Cultivating a stateofclarity and calm includes daily intake ofbalanced nutrition, drawing
from a wide array of whole foods rich in minerals, vitamins, phytonutrientsand enzymes. Nutritional
programsare many and dietary needsare influencedby many factors such as geography,blood type,
genetics,and allergies;therefore,determining your needsis an individual process. The capacityto
fbcus, think clearly, maintain a calm presenceand offer a steadyhand, are essentialqualities for the
practiceofmassage.Ifthese qualitiesarenot availableto you at will afterregularpracticeof the
essentialmethods,we recommendthat you begin noticing the effects food and substancesare having on
your physiology. One such approachis to take your pulse at tl,e wrist after ingestingthe food or
substance in question.If the substance significantlyraisesyour pulse,than it indicatesyou may be

allergicor intolerantto the substanceor your bodyis havinga hardtime digestingit. Anotherapproach
is supplementing your diet with superfoodsandwild-craftedbotanicalsthat give your bodytheminerals
andenzymesyour body deeplyneeds;thereby,reducingcravingsfor allergenicor "foodless"food.

Brain HemisphereDominance.Left -braindominancemanifestsaslinear,sequential, rational

thinking.Left braindominanceis moreconduciveto doinglineartasks.Right braindominanceis more
conduciveto receivingnew ideas,andintuitivethought.ln a wholebrainstateofbalancewe have
accessto both sidesof thebrain.Ideally,we arein a wholebrainstateduringthepracticeofmassage.
Cell phonesandhomo-lateralmovementpattemsor right handdominantmovementcanswitchoff
accessto theright brainandshift oneinto a left- braindominantstate.

Chronic hypertonicity in the neck muscles This condition is also known as guarding. It is one of the
defensivemechanismsof the sympatheticnewous system,when dangeris sensed.Often the guarding
pattem remains long after the threathas passedand becomesa chronic tonal pattem. Relaxing the neck
musclesis essentialin facilitating the relaxationresponsein the intemal organs.The vagus nerve runs
through the neck and sendsthe messageto the smoothmuscleslining the vital organsand glands within
the thorax and abdomento shift into parasympatheticresponse.Chronic hypertonicity in the neck can
prevent the messageto relax from getting to its destination.

Tactile Assessmentof neck: Notice the muscletone or tonusin your partner'sneck muscles.Notice
their ability to surrendertheir head into your hands.Notice when they begin to guard/contracttheir neck
musclesas you make slight rotations in their head. Back off when you notice a guarding or contraction
responsewhich may indicate client is moving in to a fight or flight responserather than a relaxation

Bodywork Theory and Practice

Whole brain integrationwhile practicing nassageincludes accessingleft brain infonnation (knowledge
of human anatomy,how it functions and how various techniquesaffect the tissuelayers) and right brain
infomation (feel of the tissue,nonverbalcuesof the client.). Performing the bilateral movementsof
centerlinemovementwhile practicing massageenhanceswhole brain function.

Wash your hands before touching the face or hair.

Most clients do not want their hair to get oily during their session(unlessthey are in a spa setting, are at
the end oftheir work day or have accessto a shower afterwards). Clients who are returning to work
want their hair socially presentable.

Partner Exchange:repeat what you have learned thus far' adding:

Relaxing the Reptilian Brain
Begin massagewith your client face up. Make contactwith your client's occiput and underlying tissues
ofyour client's brain - the reptilian brain. Apply soothing circle sttokesto the centerof the occipital
ridge,and then expandcirclesto the whole areabehindthe neck and lower scalp. This techniqueis
effective for getting the mind to relax, the energyto flow betweenthe head and body and become
receptiveto the massage.Notice the sensations that you feel in your hands.What canyou senseabout
the quality of the mentalstressofyour partneras you hold their head?What cuesare you noticing?
After a thorough head and face massage,pick a pacethat matchesthe internal paceyou sensein your
client. This is a rapportestablishingmeasureand canbe usedat any point in the massagewhen your
clientmovesinto defenseor sympatheticnervoussystemstimulation.You may modify the paceonce

your clientbeginsto relaxbasedon the overalleffectyou wantto have. Pacefasterthantheheartrate
tendsto energize,paceslowerthantheheartratetendsto sedate.

Followingthe stimulatingcontactof massaging the chest,neckandhead,onceyou senseyour partner
hasrelaxed,sloweddown in theirbodyrhythmsandis trustingyour touchyou canapplyan energy
balance,to completeyour work on this area.Placingandhandaboveandbelowtheheadon the frontal
andoccipitalbonesis a highly effectivebalancefor releasingemotionalchargeandrelaxingthemind so
thatyour partnercanbe fully presentfor their experience
of massageandtheir daily life following the
massage. Thehandcontactis a relaxedbig mitt, fully supportingtheheadat the occiputandrestingon
the frontalbone.

PositivePointsBalance.Ask your partnerto think aboutwhateveris moststressfulfor themat this

time,while you hold your indexandmiddlefingerlightly on the frontaleminence(abovethe eyebrows
approximately oneinch.).Noticethe therapeutic pulseariseasyou hold thesepoints.Thetherapeutic
pulseis a constantpulse70-72beatsper minutethat occursin the capillarybedof the skin.As your
clientthinksabouttherestressfulsituationthepulsewill increasein intensity.Ask your partnerto look
at their stressfulsituationasthoughthey werelookingat a movie.Whenthepulsesubsides, askyour
padnerto raisetheir indexfingerif they areat peacewith the situation.Completecontact.

Check-inAsk your parlnerwhattheynoticein their bodyregardingtheir stateofrelaxation.Reflect

whatyou noticeregardingtheir stateofrelaxationandspecificallyany changesin theirright left brain

Pressingthe Bones
Readpages117-126Introductinto MassaqeTherapy
The variousbumpsandlandmarksandthick placeson bonesarewheremusclesattach.This is wherethe
musclegetsthin andbecomestendinous.Golgi tendons,sensorymechanisms within themuscleare
locatedwithin themuscleattachments thatareinvolvedin sendingthe message to thenervoussysremro
resetthe tonuslevelwithin themuscle.Peripheralnervesarealsolocatedadjacentto thebones,which
caneffectthe releaseofpain blockingneurotransmittersandendorphins.
Thereforefollowinga muscle
to its attachment
sitegreatlyenhancesthe effectiveness
ofthe massageaswell asthe satisfactionofthe
receiver.when bonesarereadilyavailablefor touchpressure, theybenefitfrom beingpressed.

Balanceand core Strengthening
Exerciseswith gymnasticball and roller
Muscles,bonesandjoints provide the physical framework, which gives rise to form and motion.
Muscles and boneswork togetherin symbiosismuch like a tensegritystrucfuremadeup of cablesand
spacers.Within the physical body the cablesare the musclesand t}re spacersare the bones. It is the
tension level within the musclesthat hold the bonesin place. It is the framework of the bonesthat allow
the musclesto move the body through space.Joints are the functional sites where the skeletaland
muscular systemsinteract. The articulation of two or more bonesis a joint. Aligned poshre is more akin
to the elegantbalancedemonstratedin the Golden Gate Bridge than in a well-stackedbrick wall. The
physical body and the Golden Gate Bridge are both examplesoftensegrity structures.

Alignment is the positioning of the body that allows for greatestease,freedom from tension,and
energyconservation.Alignment includes: form, extensionand positioning ofjoints. Form being the
basicshapeof the body. Extensioninvolvesthe lengtheningof musclesand bones.Positioningofjoints,
beinghow joints line up in relationshipto eachother.Jointspoorly alignedincreasethe weighl bearing
demandsofsupporting musclesand bonesand lascia and increasethe energy expenditureinvolved in
holding the body upright. Within the context of massage,alignment includes the positioning of the
musculoskeletalsystem,as well as the pattems of movement through which the techniquesare

Anatomy and Physiology

provides the framework of the body
protectsthe vital organs
provides attachmentsites for the [ruscles
storagesite for minerals
red and white blood cells manufachrredwithin the bones
Locatethe following bonesand boneylandmarks:
(Bones) (Landmarks on bones)

Coccyx Spinousprocess
Sacrum Transverse
Lumbar Vertebrae

Ribs Xyphoidprocess

Clavicle Veftebral border
Scapula Spine of scapula
Humerus Acromion process
Radius Coracoidprocess
UIna Oiecranonprocessof the ulna

Pelvis PSIS (posteriorsuperior iliac spine)
Illium Iliac crest
Ischium ASIS (anterior superioriliac spine)
Pubis Ischial tuberosity

Fibula Medial maleolus
Tibia Lateral maleolus
Patella Greatertrochanterof the femur

Phalanges Headof theMetatarsals
Frontal Orbitiorbitalridge
Temporal Mastoidprocessof temporalbone
Parietal Occipitalridge

Clinical Pathology
Exercisecautionwhen the following conditionsare present(seetext):
Osteoporosis:Bonesarelulnerableto pressure, particularlytheribs. Avoid moderateto deepprossure,
particularlyin therib area. Clientmay not know theyhavethe condition.Exercisecautionin working
with sedentary, elderly,or clientsexhibitingpronouncedpathologies.

BodyworkTheoryand Practice
Deep circular friction; deep friction involves applying pressureto the deep fibers of the musclesand
tendons.It is often applied aroundjoints where the musclesattachor directly on bonesthat are near the
surfacesuch as the sactum, fingers or toes.Friction is a powerful form ofdetailing a massagestroke, at
the beginning middle of end of a long stroke ftiction can be applied around the joints for which the
effleuragestroke begins or ends.

Partner Exchange: Apply techniquesleamed thus far adding, lriction aroundthe joints and focus
attentionon massagingeachbone and naming the bone as you contactit.

Check in: with your partner following the session.Massagingthe bonesoften supporlsdeeper
embodiment.The sensationof embodimentcan feel like one has becomevery heavy, like one is coming
into gravity on a much deeperlevel.
Increasing Circulation/CirculatorySystem
Swedishmassage is specificto improvingthe flow ofblood to thetissuesanddrainageof waste
productsfrom thetissuesbackto thevenousreturnandlymphaticsystem.Swedishmassage if also
refenedto asCirculatoryMassage.

Cloud Hands
Root your feet, wide parallel stance,transferringforce betweenone leg and then the other. Push off the
back left 1egwhile pivoting the torso to the dght. Extend the 1eftarm, hand facing down towards the
earth. Extend the right arm on a horizontal piane at chestheight in front of torso, in a gently curved
embracefrom hearl to shoulder,to elbow, to wrist, to open palm. Once the torso has fully twisted to tlre
right and the weight is transferredto the right hip, lower the right palm to the earlh and the left arm
floats up in front ofthe chest. Repeatthe motion, now pivoting to the left. Extend the power ofthe
movement tluough the line up ofjoints in the back leg and arm pressingtowards the ear1h.

Cultivating the Energy Ball

Allow the upper body to be relaxed and aligned, soft hands,arrns,broad shoulders. Breatheinto the
hara center. Exhale into the chestcenter. Breatheinto the hara center. Exhale into the shouldersand
atms. Breatheinto the hara center. Exhale into the hands. Begin polishing a ball of energybetween
your hands. Let the handsrotateback and forth. Let the handsmove in and out from eachother. Notice
the magneticrepulsion and attractionfrom tl.resemovements.

Tree Pose
Circulate the breathup and down the body and through the magneticlines within the arrnsand legs, and
torso. Standwith legs slightly bent, tail tucked and arms outstretchedas though hugging a tree. Breathe
through the sensationsand fatigue. Root your attentionwithin your body.

Deep Breathing
Take some slow, deep,diaphragmaticbreaths. As your breathingactivatesparasympatheticnelvous
system,your heart rate will begin to slow down. Notice any changesin blood flow to your extremities.
As vasodilatorsare released,they dilate the vesselsthat bring blood to the extremities. As blood flows
to the extremities,the hands,feet and whole body will becomewarm.

Deep Relaxation:
Imaginethe smiling faceof someoneyou love. Imaginetheir smilebeamingat you and filling the space
betweenyour eyebrows. Let that warmth and acceptancesoften and relax your eyesand face. Let the
smile penetrateyour brow and fill the centerof your head. Let the smile travel down and fill the space
of your heart muscle. Let the smile flow into the chambersof your heart and mix with the blood,
nutrients and gases. As you exhale,releaseall the waste productsin the blood out through the lungs. As
you inhale, receivethe acceptanceand warmth of your own inner smile. Let the acceptanceof your
inner smile mix with your blood. Let the inner smile beginto vibrateeachcell of blood as it enterswith
the qualityofacceptance.Sendeachvibratingblood cell out to your tissuesorgansand glandsthrough
all the vesselsof your arteries,a"rteriolesand capillaries. Let every cell receive your vibrating blood
cellsand beginto vibrateas well with acceptance and the warmthof your inner smile. Allow your body
to deeply rest. Rest and restorativepracticesare vital for increasingcore body temperature.

Applied Anatomyand Physiology
Circulatory system:Componentpartsandpathway
' Blood entersvena cava, RightAtrium, PulmonaryArtery,Lungs (co2
released,02 received),
PulmonaryVein, Left Atrium, Left Ventricle,Arleries,Arlerioles,Capillaries,Cel1s,(O2mixei with
carbonin cells,COzcreated),bloodretumsvia Venules,Veins,VenaCava.
' Arteriessendoxygenated bloodto thecellsunderthehigh pressureof theheartpump.
' Veinssenddeoxygenated bloodfrom the cellsbackto theheart. The venousretumoftenflows
againstthe forceof gravity. one-wayvalvespreventthebloodfrom movingbackward.
. Major arleries:aorta,femoral,brachial,carotid
' Goodcirculationis imperativefor healthycells,tissuesandorgans.Exercise,
massage, diet,
emotionalwellbeinganddeeprelaxationall contributeto goodcirculation.

Tactile assessment:Notice your partner's blood pulse rate.Notice your partner's body temperatureat
the core and the periphery.

Body rhythms arise from the interplay of body systems. A heart rate over 80 beatsper minute is
consideredfast. A heart rate between60-80bpm is considerednormal. Below 60 is ionsidered excellent
and may indicate athletic conditioning. The heart rate and breathingrate are controlled by the
autonomicnervoussystem. Reducing the breathingrate can shift the autonomic nervoussystemtoward

Body temperature also arisesfrom the interrelationshipofbody systems. Coolnessin the extremities
or overall temperaturemay indicate an imbalanceand need for ample coveringswith sheet,blanket, or
heating devices. We can often affect an increasein body temperaturein the context ofa bodyr,vork
sessionwith the following areasoffocus:
' Activate the parasympatheticnerwoussystemto releasevasodilators.
All techniquesapply.
' Releaseskeletalmuscletensionto allow easierblood flow to
the affectedbody parts. Apply
kneading,crisscross,and compressionstroke.
' Push fluids back to the heart to increaseblood flow. Apply fan
stroke and push stroke.
' Releasesmooth muscle lining the vital organsto allow more
efficient function and ample trlood
flow to the organs. Apply Meyer stroke,moon half moon and pull stroke.
' Deeply squeeze,lift, twist and vibrate the muscle fibers to allow greater
uptake of nutrient and
oxygenrich blood to the muscles.Apply kneading,crisscross, vibrationand compressionstrokes.

Avoid massageentirely when the lbllowing conditionsare present:

Fever - elevatedbody temperature,achingjoints, aching muscles,swelling, and/or flushed skin indicates
the body is fighting an infection. The body is attemptingto fight the foreign pathogenby overheating
and sweatingthe pathogensout of the body. Applying oil will clog the skin diminiihing this exit
strategyand squeezingtl.retissuewill redirect the pathogensfrom the surfaceto the interior. Massage,
therefore,is counterproductiveto the immune system,sattemptsto fight pathogens.

Avoid the specificarea involved when the following conditionsare present:

Varicoseveins: Painful,raisedor swollenveins. Thereis a possibilityof releasinga blood clot with
no directpressureshouldbe appliedover the vein. Massagemay be applied
aboveand belowrherffectedvein.
Inflammatiou:Includesheat,redness,pain and swelling. Avoid directpressureover inflamedtissue.
Inflammationindicatesan injury or an infection.
Circulatoryor sensation
disorders:Whena client'scapacityto feel is diminisheddueto illnesssuchas
thereis the dangeroftissuedamagebecausetheydo not havethe capacityto give accurate
feedback.The clientmay alsohealslowly andbe proneto infection.

10or morehourplaneflisht within four daysofvisit: Thereis a potentialfor deepvein thrombosis.If

clientis experiencing
an achein their legsor otherbodypart,superficialtouchonly is indicated.Ifclient
expenences no achethenmoderatepressureonly is indicated.

BodyworkTheory and Practice

Petrissageis a basic stroke of Swedishmassagethat involves lifting the tissue off the bonesand
underlying structures.Petrissageincludes various forms ofsqueezing tissueswith alternatehands. The
action of lifting the tissueoffofbone stretchesthe muscle fibers in various directions,separatingmuscle
layers, mobilizing conaectivetissue,releasingadhesionsin the connectivetissue and increasingnuftient
absorptionto the muscle. Petrissagealso assistsin the removal of metabolic waste fiom muscular
activity, thereby alleviating sorenessand muscle fatigue. Petrissageis generally applied at a medium to

Kneading Stroke
Apply a soft hand contactto your client's leg. Let the hand completely wrap aroundthe tissuewith no
spacebetweenyour hand and tissue. Begin pushing off your legs and hips alternatelyrotating the right
hip and then the left forward. As the right hip moves forward, the right shoulderfollows and the power
is transferredthrough your arms and hand into your client's leg twisting the tissueslightly forward,
followed by a squeezelifting the tissue off the bone. Altemate pressureand squeezebetweenright and
left hand powered by the line of force coming from the right and left leg. Push through the center of
your palm. Follow with a squeezeof your fingers and thumbs lifting the flesh within your hand off the
bone. Kneading stroke may be done with a sligl.rtmovementup or down the limb or a slight twist of the
tissue forward and back, along with the outward movement. The movementup or down the body is an
inch or two. Avoid long scoopsup or down the limb, which changethe stroke into an up and down
effleuragerather than a kneading shoke. This stroke is not meant to travel significant distancewithin a
single stroke,but rather within a seriesof strokes. One hand squeezeswhile the other is relaxed,
alternatingactive and passivehand. The two handstravel up and down the limb over a seriesof kneads,
lifting the flesh with eachstroke. The hand relaxeswith eachpalm pressure,betweeneachgrip. Focus
on the relaxation portion of the stroke,while building the strengthofyour grip.

TransverseKneading Stroke
Apply a gliding motion with your handsand forearmsback and forth acrossthe back, lifting the flesh as
your arms cross the spinal column.

Apply wringing stroke. Add a pivot in your body position towards the feet. Allow your forearm to
glide acrossthe distalside ofyour client'sbody, wrappingacrossyour client'sleg or torco. Lift flesh on
your retum stroke acrossthe spine. Twist towards the head applying a wrap with the oppositearm.

Partner exchange:
Observeyour Client's Body Temperature and Heart Rate precedingthe session
During your palpationcheckin, noticedifferencesin body temperature.Notice your client'sheartrate
by countingthe beatsat the wrist. Changesin the cardiovascular
systemcan be directly obserued
throughthe blood pulse.
Repeatwork learnedthus far adding:
. Thighs
. Upperarms
. shoulders
. Pettrissage

Body Mechanics:Apply bodymechanicskills leamedin chi gongto your massage, specifically:

transferringforcethroughshiftingweightbetweenbackandforward1eg,alignmentof the spine,big miu
contact,eyessoft gazing,lookingaheadratherthanat your partner'sbodyparts.

Observeyour Client'sBody Temperatureand Heart Rateand pulsequalityfollowingthe session,

After completingyour session,recheckyour client'stemperature,

Check-inAsk your pafinerwhattheynoticein their bodyregardingtheir stateofrelaxation.Reflect

whatyou noticeregardingtheir stateofrelaxation,specificallyany changesin their circulatorysystem

- 4',7-
FlushingMuscles/Hips and PosteriorLegs
Introductionto MassageTherapy

Trigger point release:Usetheroller andtennisballsto isolatetriggerpointsin the musclesofthe hips

Anatomyand Physiology
Read pages66-74,ll3-137,145-151 Introduction to MassaeeTherapv
Types of muscle:
smooth (line the viscera)
Muscular tr'unction:
moves the bones(skeletal)
fiansportsmaterial (smooth)
suppofis the body's framework (skeletal)
pumps blood (cardiac)
generatesheat (skeletal)
communicatesemotion (skeletal/facialmuscles)
reseloir of energy for the vital organs

Clinical Pathology
Exercisecautionwhenthe followingconditionsare present(seetext):
Musclestrainor spasm

Massageis indicated when the following conditions are present:

Hypertonic muscles
Trigger points

Name and move the bonesand bony landmarks ofthe hips and legs backside:
Illium, ischium, pubis, femur, tibia, fibula, tarsals,metatarsals,phalanges,iliac crest,),posterior superior
iliac spine(PSIS),ischialhrberosity,greatertrochanter,medialmalleolus,lateralmalleolus
Locate the musclesof the hips and legs;
Hamstrings,gluteusmaximus,gluteusmedius,gluteusminimus,piriformis,tensor1'asciae latae,and
iliotibial tract,gastrocnemius,soleus

Bodywork Theory and Practice

Joint articulation is consideredthe sixth Swedishtechnique.It involvesthe movementofjoints, to
increaseflexibility and rangeof motion. Joint articulationcan involve small movementssuchas
betweenthe rib and stemum or big movementsor large movementssuch as bending the knee while
moving it towardsthe chest,or rotatingthe ball and sockethip joint. Joint articulationis beneficialfor
keepingjoints open. It increases the circulationoffluids and hormoneswithin the adjacenttissues.

PassiveStretch lengthenstauntmusclesandstretches joint capsules.Passivestretchreleases
tension,increasesflexibility andbloodflow. Stretchesarehighly effectivewaysto warmup muscles
beforeapplyinghandtechniques aswell asto loosenmusclesthathavebeenstaticfor longperiodssuch
asafterlying on thetablefacedown.

Gluteus maximus, hamstring and joint capsule of the hip stretch

While client is supine,lift one leg at a time with knee bent. Pressthe knee towards the chest.Release.
Stretchagain with slight hip abduction.

Kata on legs and hips backside.

Repeatwork on the back torso add:
The buttocks, legs and feet. (10 minutes)
a. Undrapethe left leg at the calf. Repositionthe leg so that the foot anglesto the outsideedge of
the table. Position the am resting on the table, hand towards the foot.
b. Oil application: spreadoil from hip, leg and off the front and back ofthe foot.
c. Long stroke foot to hip.
d. Kleading stroke gluteal muscleson the diagonal line; on the vertical line.
e. Butt masherto the gluteusmedius.
f. Alternate finger fans on the gluteusmedius.
g. Push stroke on the glutealsfrom greatertrochanterto upper sacrumon the diagonal.
h. Transverseknead the hamstrings.
i. Knead the hamstrings.
j. Fan stroke the hamstrings.
k. Deep forearm stroke on hamshings.
L Push stroke up hamstrings.
m. Transverseknead on the gastrocnemiusand soleus,from knee to ankle, back up to mid-calf.
n. Knead the gastrocnemiusand soleus.
o. Thumb pinch in the distalaspectofthe lateralheadof the gastrocnemius
p. Deep thumb stripping on the lateral soleal line.
q. Deep forearm glide up gastrocnemius,(optional, basedon size ofmuscle).
r. Finger circles around the ankle.
s. Spreadthe boneswith all four fingers shearingbetweenthe metatarsalspaces.
t. Deepknuckleglide archofthe foot.
u. Thumb point pressuredown third metatarsalline, followed by first and fifth metatarsalline.
v. Nerve stroke: medial palm holds the foot, while lateral palm sweepslightly hip to ankle.
w. Repeatstepsa-w on the other hip, leg and foot.
x. Transition client to supine.Remove the bolsters. Ask client to tum over wl.rilelifting the sheetto
shieldtheir body from view.
y. Passivestretchon hamstring. Raiseclient's knee towards hip. Repeatstretchtowards lateral side
of torso.

SqueezingMuscles/Trunkand Shoulders
Optional:readpages212,213,163-167,380-389, 414,415,421 Introductionto MassaseTherapy
Excellentbodymechanics giverise to healthymuscles.Healthybodymechanicsinvolvestheuseof
leverage,body awarenessandstructuralalignment.Aligned,fluid bodymechanicsgivesrise to
effortlessmovement.Aligned,fluid bodymechanicsarisefrom healthyhabits-therepetitionof easeful
movementpattems.Therepetitionof movementpatternscreatesnervetrackswithin the somaticnervous
systemthatbecomehabits.Leaminganynew skill requiresrepetitionwhich createsmusclememory
which thenbecomesa habit.

Triggerpoint release:Usetherollerandtennisballsto isolatetriggerpointsin themuscles

Anatomy and Physiology

Review Bones and Landmarks:
Touch, name and move the bonesand landmarksrelatedto the musclesof the back and shoulders:
scapula,scapularspine, acromion process,verlebral border of the scapula,lateral border of the scapula,
cervical, thoracic, and lumbar vertebrae,transverseprocess,spinousprocess,iliac crest,ribs, sacrum and

Fascia: Fasciais what molds the basicshapeof the body connectingmusclesand bones. Ideally one's
body parts are moved in a variety ofdirections and the fascia staysflexible and lubricated; however,
injury, trauma, lack of movement,and emotional holding can all causethe fascia to becomebound and
restrict the range of movement,severelyrestricting the function, aligrrmentand power availablewithin
that body paft.

Locate musclesof the trunk and shoulders:

trapezius, rhomboids,latissimusdorsi , levator scapulae,deltoid, supraspinahls,infraspinatus,teres
major, teresminor, quadratuslumborum, erectorspinae

The Peripheral Nervous system sendsand receivesmessagesfrom the core to the muscles,skin organs
and giands. The PNS functions are:
. Somatic nervoussystem controls the muscles
' Autonomic nervoussystem controls smooth muscle,cardiacmuscle, intemal organsand glands

Somatic Nervous System

SomaticNS controls the muscles
Neurological memory
Effectsofmassageon the nervoussystem

C l i n i c a lP a t h o l o g y
Visual Assessrnent: Notice yor-lrpartner'ssomaticexpression.Notice their facialexpression. What does
that tell your partner?Notice your partner's body posture.What doesthat tell you about their self-
esteemand level of activity?Notice ifyour partnerclosestheir eyesor leavesthem openon the table-
What doesthat tell you about their stateofdefense or trust? Repeatyour auditory and tactile assessment.

BodyworkTheoryand Practice
Deepeffleurage- Deepeffleurageincreases
nutrientsto the tissues,relaxestheunderlyingmuscles,
in connectivetissue.Whenperformedslowly,it stretches the fascia
of theunderlyingmuscle.

Forearm Glide
The forearmglide is a slow,deepeffleuragestroke.The forearmglide allowsfor thetransferofforce
with relativeease.To performthe shokeon the client'sback,thetechnicianstandsfacingthetablewith
thighsstraddlingthe spacebetweenthe shouldersandhips of the clients. Thetechnician'sshoulderis
aligneddirectlyovertheir elbow. The elbowmakescontactat the client'ssacrumandrolls off onto
muscle.The technicianthenallowstheelbowto sink into thetissueasit glidesforward. The forward
glideis initiatedin thehips andthetechnician'sthigh glidesalongthe edgeof thetableandthe torso,
shouldersandarm follow. This strokeis mostappropriate with densemuscle.Handsaremost
appropriate with lessdensemuscles.

Thumb or finger frictioningoverjoints and attachmentsites

Makesmallcircularor half circularmotionsaroundjoints andattachment siteswith fingersor thumbs.
Sink into the tissueandpressdownto the bonewhenworkingdirectlyon a joint. Whenworkingover
musclesuchasthe laminagroove,placeyour thumbparallelto the spine,thenroll your thumbsacross
thelaminagroove.Let your pressuresinl<into the ffansversospinalis groupmuscleandconnective
tissuelayers.Keepyour thumbon thesameskin surfacewhile movingthe tissuelayersbeneathtowards
theheada fractionof an inch andthenout awayfrom thespine. The motionis like a fan,thumbs
altematingsweepsout from thecenter.Thethumbsthenlift off theskin andmoveup a fractionof an
inch andrepeatthemotionon thenew skin surfaceandunderlyingconnectivetissue.Your fingertips
canalsobe usedto give your thumbsa breakor to avoidstresson a hypermobilejoint. Presswith
fingertipsdownto theboneoverjoints. Whenworkingovermusclessuchasthe laminagroove,place
a1lfour fingertipsin a line restingon the oppositesideof the laminagroove. Let your pressuresink into
the transversospinalisgroupmuscleandconnectivetissuelayers.Keepyour fingertipson the sameskin
surfacewhile movingthe tissuelayersbeneathtowardstheheada fractionofan inch andthenout away
from thespine. Themotionis like anupsidedownJ or a candycane,movingtheunderlyinglayers.
This techniqueis goodfor breakingup adhesions in the connectivetissueandcontracture in themuscle.
It canbe doneup the entirespineinto theneck.


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