My bad

Well I guess it's pretty obvious that I kinda gave up keeping notes and posting them....sorry -Jesse

3-19-12 Monday

Body Awareness 2
Well that was fun!!
Homework has something to do with journaling about what we are doing being relevant to class, what you are learning/exp. and how it's helpful to massage training.
Read Frye chap5
practice Tai chi and centering
Bring sheets and blindfold

Psych 2
Again, can't say much.
Any question, consult the syllabus.

NMT
neuromuscular therapy (nmt): utilization of static pressure on a MFTrP (myofacial trigger point) to relieve pain restore function; **it must affect CNS**
as in the clients recognition of the pain subsiding

Trp: area of hyper irritability within a taut band that refers pain upon palaption
-active: actively referred pain
-latent: don't know its there until its touched
-satellite: aka secondary TrP, gets set up because of an unresolved TrP; far from origin, will refer
TrP travels
tender points don't

P. 59- origin of Traps (typically refers up)
O: external occipital protuberance, lig nuche, sp of C7-T12
I: spine scapula, acromion, lat third of clavicle
A:
Fiber direction: in is toward the midline, out is away from midline
with taut band
review mm fiber direction, action, bones it moves
P.21

SCM (typically refer up)
O: clavicular head, sternal head
I: mastoid process and lat half superior nuchal line
a:
Levator scap
O: tp of c1-4, attached by slips (tendonous, attach mm to tp)
I: medial boarder scap, superior angle (just above scap spine)
this is a twist

scalenes refer down

2-29-12 Wednesday

ENERGETICS
didn't take notes

CLINIC ORIENTATION
received enough papers to not take notes
But way excited to have Renee as the supervisor!

2-27-12 Monday

ASSESSMENT

carpal tunnel syndrome: retinaculum and wrist bones
rarely refers up to the neck
carpal ligament = flexor retinaculum
9 flexor tendons and veins, art, nerves
fit b/w bones
median nerve most superficial and most affected
thumb/1st two fingers
Phalen's test
Tinel sign
over flexion- inflame tendon; with sheath, tendosynovitis
motor nerve are deeper
deeper is more serious


TOS- discomfort can refer down to wrist
entrapment site
3 areas of nerve entrapment:
scalenes- adson, allen
pec minor- wrights
clavicular- military

Test stuff
cervical spine
apex c5/c6
forward head, excessive nerve compression
most common neck pain
close intervert. space
compress nerve and facets
wear down cartilage
early degeneration disc

c1/c2 rotation
c5-c8/t1
c5-c8/t1- brachial plexus comes from

know knee stuff
tests
everything
review end feels

PROM- jt
inert and contractial tissue
overlengthen mm weakens
tendon stuff

2-24-12 Friday

WE FINISHED PHYS/PATH!!!!!!!!!!!!!!!!!!!

ASSESSMENT:

do the 4 assessments

Review:
traumatic injury
HOPRS
TOS test: adson, allens, wright, military
arom, rom, mrt
dermatomes
myatomes
p.27 end feel types; resistance barriers-empty, spasm, bony, springy block, soft tissue approximation, stretch
stuff with neck
other arm tests; rotator cuff

Today-
knee: flexion and extension in sagital plane
genu valgum: knocked knees
genu varum: bow legged
valgum: pronated/everted feet; MCL is lengthened--tight adductors
varum: supinated/inverted feet; tight lateral rotators and IT band

2-22-12 Wednesday

PATH

Reproduction
3 glands for men
prostate
seminal vesicle
bulbourethral (Cowper) gland

Seminiferous tubules: inside testes; sperm is being made

**LH (Luteinizing hormone): from pituitary to produce sperm
FSH: primary pusher of sperm? divide?
p.383

epidiymis: one tube folded many time; sperm mature, holding till ejaculation
sperm: acrosome (helmet)- lysomones? (digestive enzymes) to get into egg
mitochondria- ATP energy to swim
Vas deferens: smooth mm
*seminal vesicle-provide food for sperm
*prostate- marines; alkaline for neutralising acid in vagina
cowper gland: greasing- keep things moving (like goblet cells)

ejaculation: point and shoot- parasympathetic (erection); sympathetic (ejaculation)
corpor cavernosa: blood supply (pinched for erection)
corpus spongiosum: no pinching because stuff still needs to come out (urethra)

Ovaries-eggs
ovarian ligament
fallopian tube- fimbriae (hair like things to catch egg)
cuboidal cells move egg
uterus
cervix; neck b/w vagina and uterus
vagina

Hormones p.388
high FSH, LH (negative feed back)
**first half of cycle is estrogen based
1st part: follicular phase (ovary)
proliferative phase (uterus)
LH spike; folicle pops and get egg out

2nd part: Luteal phase (ovary)- progesterone high
Secretory phase (uterus)- mucus gets sticky

Stuff happens to keep hormones going if egg gets fertalised

Path

Abortion, spontaneous and elective
third of all pregnancy; 50% before even recognised
not anyone's fault: genetics didn't take
risk: smoking, infection, toxins, nutritional, etc
Fibroids: masses growing in uterus
miscarriage usually within 14 weeks
after 20 weeks it is called a still birth
comp: hemorrhage, depression
Tx: TLC

Cervical Cancer
HPV strand 16 and 18
dysplasia- precancerous changes
men are common carriers of HPV
Dx: colposcopy, pap smear

Dysmenorrhea: painful menstrual period
limiting activity, very common
secondary from infection
S&S: ache to cramping
Dx: could be more serious
reduce fats

Endometriosis: endometrial tissue est. elsewhere (tour)
will respond to menstral periods
spread through circulatory and lymph
can lead to infertility
adhere to other areas

Fibroid tumors: aka: leiomyoma- benign tumor in/around uterine wall
small to very large
estrogen stimulates growth

Uterine Cancer: 40yrs plus, average age 60, after/during menopause
too much estrogen is prob
adenocarcinoma=glandular

Breast Cancer
tail of breast goes up to axilla
*1st sings: small painless lump in breast tissue or axilla; asymmetrical
risk of spread
getting older, estrogen, drinking, chest radiation
Tx: surgery and radiation, triple negative?

Ovarian cancer: usually 60 or older

Ovarian Cysts: fluid masses on ovaries
can interfere with ovulation
women still in reproductive phase
aka Stein-leventhal syndrome
may have increase testosterone giving men characteristics

Benign prostatic hyperplasia: swelling of prostate
*Dihydrotestosterone- too much of this

Prostate Cancer: slow growing tumor, all men will get this if they live long enough

Prostatitis: inflammation of prostate

Testicular cancer: up to age 35 and after 60
feels like rice

Menopause: normal stage of life
S&S are worse with depleated adrenals
Massage is great!

Pregnancy

Premenstrual syndrome: pms

STD (STI's)
gonorrhea
clamidia
fungal infection
syphilis- painless white lesions

GOOD LUCK ALL ON THE COMPREHENSIVE FINAL FRIDAY!!!

2-20-12 Monday

ASSESSMENT

AROM test contractibility of afflicted mm; person is active in motion; this is why we test in Single Planes: isolate mms

PROM assesses inert tissue: lig, jt. capsule, bursa
what you feel for is End Feel: bony, soft tissue approximation, tissue stretch (sloppy), spasm, springy block, empty (p.27)

test good side first
any acute injury is 6 wks heal time (generally speaking)

H-history
O-observation
P-palpation
R-resistive testing
S-special tests

habitual posture- upper cross syndrome is most common (I don't remember what this is about)
creates excessive nerve compression C5 and C6 (known as apex of cervical spine)

**Brachial plexus- C5-C8 (8?): radial/ulnar/media nerve

posture influenced by 3 things (for us): heredity, injury (acute/chronic), habit

FHP: foward head posture
c-spine into extension

Dermatome: area of skin that is supplied by sensory nerve
myoto: mm by motor nerve

sensory vs. motor nerves

Thoracic Outlet Syndrome TOS
possible areas for impingement/ nerve entrapment (not all for TOS)
1 level of spine- arthritis or disc structural
2 scalenes
3 clavical, 1 and 2 ribs
4 pec minor
5 deltoids
6 elbow: supinators/pronators, anconious, distal triceps
7 carpal tunnel

Adson test: anterior scalene
Allen test: middle scalene
Military test: 1st rib and clavicle
Wright abduction: pec minor (white hand sign)

pulse can be said to diminish

Empty can
Hawking-Kennedy (multi-plane passive test)
Flexion
Abduction 45 and 90 degree
cross over test: A/C jt.

CHAIR MASSAGE

address main complaint of client
show client how to get in and out of chair
**1st thing you do is adjust height of the seat

Finishing strokes: nerve strokes are up for energy
tie body in with arm

5 topics
main c/o (focus)
tender
trigger
when does it feel better
pressure

areas to try chair massages:
school functions
mall
airports
farmers' market
sports events
main st. functions
banks, etc.

contact person gets freebie