Monday, October 24, 2011

10-24-11 Monday

Swedish
sooooo we have 2 quizzes next class and the belly project as been assigned. Anyway, here's the sequence that was on the board:

1. apply oil and bilat. tree
2. shingles eff.
3. facing head, circle eff.
4. a)circle friction on paraspinals
b)optional pet.
5. knuckle friction between scapula
6. mobilize scapula
7. knead upper traps
8. eff. to traps with fist
9. direct thumb press along traps
10. pet. to whole back
(transfer to LB)
11. circle friction along paraspinals
12. thumb stripping to paraspinals into QL's
13. lift sides of waist and come down medial and inferior, with deep eff.
14. finishing strokes- eff, rake, nerve


Body Awareness
We did trades.
Homework: journal on giving experience and observing/receiving (the whole experience I think). Also read chapter 7 and be prepared to answer questions on the chapter.


Anatomy

Quadratus Lumborum (deepest of the abdomen, not the back, but splits the two)
O: posterior iliac crest
I: last rib (12th) and transverse processes of 1-4 lumbar vertebrae
A: unilat.- laterally tilt (elevate or hike the hip) pelvis
- laterally flex vertebral column to same side
- assist extend vert. column
bilat. fix last rib during forced inhalation and exhalation


Abdominals (4)

Rectus Abdominis
O: pubic crest and pubic symphysis
I: cartilage 5-7th ribs and xiphoid process
A: flex vert column
tilt pelvis posterior (tuck tail bone)

External Oblique
O: external surface of 5-12 rib.
I: anterior part of iliac crest, abdominal aponeurosis to linea alba
A: unilat- laterally flex vert column to same side
- rotate vert column to opposite side
bilat- flex vert column
- compress abdominal contents

Internal Oblique
O: lateral inguinal lig., iliac crest, and thoracolumbar fascia
I: internal surface of lower 3 ribs (10-12), abdominal aponeurosis to linea alba
A: unilat- laterally flex vert column to same side
- rotate vert column
bilat- flex vert column
- compress abdominal content

Transverse Abdominis
O: lateral inguinal lig., iliac crest, and thoracolumbar fascia, and internal surface of lower 6 ribs (7-12).
I: Abdominal aponeurosis to linea alba
A: compress abdominal contents

Pyramidalis (80% of people have it)
O: pubic symphysis
I: linea alba
A: tense linea alba



Diaphragm
O: costal attachment- inner surface of lower six ribs
lumbar attachment- upper two or three lumbar vertebrae
sternal attachment- inner part of xiphoid process
I: central tendon
A: draw down the central tendon of the diaphragm
increase the volume of the thoracic cavity during inhalation
-relaxed it is umbrella shape
-flat when pulling in air (drum head like when lungs are full of air)
-separates upper and lower thoracic cavity

10-21-11 Friday

Anatomy

Erector Spinae Group

Spinalis
O: -spinous processes of the upper lumbar and lower thoracic vertebrae
-ligamentum nuchae, spinous process of c7
I: -spinous processes of upper thoracic
-spinous processes of cervicals, except c1 (it doesn't have a spinous process)
A: unilaterally- laterally flex vertebral column to the same side
bilaterally- extend the vertebral column

Longissimus
O: -common tendon
-transverse processes of uper 5 throacic vertebrae
I: -lower 9 ribs and transverse processes
-transverse processes of cervical vertebrae and mastoid process of temporal bone
A: unilaterally- laterally flex vertebral column to the same side
bilaterally- extend the vertebral column

Iliocostalis
O: -common tendon
-posterior surface of ribs 1-2
I: -transvers processes of lumbar vertebrae 1-3
-posterior surface of ribs 1-6
-transverse processes of lower cervicals

Transversopinalis group

Multifidi
O: sacrum and transverse processes of lumbar through cervical vertebrae
I: spinous processes of lumbar vertebrae through second cervical vertebra (spanning 2 to 4 vertebrae)
A: unilat.- rotate the vertebral column to the opposite side
bilat- extend the vertebral column

Rotatores
O: Transverse processes of lumbar through cervical vertebrae
I: spinous processes of lumbar vertebrae through second cervical vertebra (spanning 1 to 2 vertebrae)
A: unilat- rotate the vertebral column to the opposite side
bilat- extend the vertebral column

Semispinalis Capitis
O: transverse processes of c4 to t5
I: between the superior and inferior nuchal lines of the occiput
A: extend the vertebral column and head

Splenius Capitis
O: inferior one-half of ligamentum nuchae and spinous processes of c7 to t4
I: mastoid process and lateral portion of superior nuchal line
A: unilat.- rotate the head and neck to the same side
- laterally flex the head and neck
bilat.- extend the head and neck

Splenius Cervicis
O: spinous processes of t3 to t6
I: transverse processes of c1 to c3
A: unilat.- rotate the head and neck to the same side
- laterally flex the head and neck
bilat.- extend the head and neck


Suboccipitals

Rectus Capitis Posterior Major
O: spinous process of axis (c2)
I: inferior nuchal line of occiput
A: rock and tilt head back into extension
rotate head same side

Rectus Capitis Posterior Minor
O: tubercle of posterior arch of atlas (c1)
I: inferior nuchal line of occiput
A: rock and tilt head back into extension

Oblique Capitis Superior
O: transverse process of atlas (c1)
I: between nuchal lines of occiput
A: rock and tilt head back into extension
laterally flex head same side

Oblique Capitis Inferior
O: spinous process of c2
I: transverse process c1
A: rotate head same side

10-19-11 Wednesday

Last day of nutrition :(
our food matters!
there are many different things we can do for our health just by eating better/right.
"let medicine by thy food and food thy medicine"
The class was once again filled with great info!


Psychology

Our homework involves text book reading, handout reading (and bring an idea from one of those readings). Also, journal on active listening and how it could be useful in the massage room.


Anatomy
The foot! (2x pressure when walking and 4x when running)

3 arches- lateral longitudinal, medial longitudinal, and transverse

Know muscle action and location over O and I

Extensor Digitorum Brevis
O: Dorsal surface of calcaneus
I: 2-4 toes via extensor digitorum longus tendon
A: extend 2-4 toes

Flexor digitorum Brevis
O: medial process of calcaneus and plantar aponeurosis
I: middle phalanges 2-5 toes
A: flex 2-5

Abductor Hallicus
O: medial process calcaneous and plantar aponeurosis
I: proximal phalanx of 1 toe and sesamoid bone
A: abduct 1 toe
assist flex 1 toe

Abductor Digiti Minimi
O: lateral process of calcaneous and plantar aponeurosis
I: proximal phalanx of 5 toe
A: flex 5 toe
assist abduct 5 toe

Extensor Hallucis Brevis
O: dorsal surface calcaneous
I: proximal phalanx 1 toe
A: extend 1 toe

Flexor Hallucis Brevis
O: Plantar cuboid and lateral cuneiform
I: Medial and lateral surface base of proximal phalanx
A: Flex 1 toe

Adductor Hallucis
O: oblique head- bases of 2-4 metatarsals
transverse head- plantar lig. of 3-5 metatarsophalangeal joint
I: lateral surface of base of proximal phalanx of 1 toe
A: adduct 1 toe
assist to maintain transverse arch
assist flex 1 toe

Flexor Digiti Minimi Brevis
O: base of 5th metatarsal
I: base proximal phalanx of 5th
A: flex 5th toe

Quadratus Plantae
O: medial and lateral sides of plantar surface of calcaneus
I: Posterior lateral aspect of flexor digitorum longus tendon
A: assist flexor digitorum longus to flex 2-5

Plantar Interossei
O: medial surface of 3-5 metatarsals
I: medial surface of proximal phalanges of 3-5
A: adduct 3-5 metatarsophalangeal joints
flex 3-5

Dorsal Interossei
O: adjacent surfaces of all metatarsals
I: first- medial surface of proximal phalanx of 2nd toe
second through fourth- lateral surface of proximal phalanges 2-4
A: abduct 2-4
flex 2-4

Lumbricals of foot
O: tendons of flexor digitorum longus
I: bases of prox. phalanges of 2-5 and extensor digitorum longus tendons (on dorsal surface of toes)
A: flex prox. phalanges 2-5 at metatarsophalangeal toes
extend middle and distal phalanges of 2-5 at interphalangeal joints

Other structures of the Knee and Leg:
ACL
PCL (these two cross)

Unhappy Triad: ACL, MCL, medial meniscus

4 bursae of the knee

most often sprain of the ankle- lateral collateral lig.

Deltoid lig (means 3 but our book names 4 different ones that get called one! whatever that means)

Posterior tibial artery
Plantar Aponeurosis
Dorsalis pedis artery
sesamoid bone
calcaneal burse
retrocalcaneal burse

The Back!

24 bones in vertebral column
-7 cervical (means neck)
-12 thorax (thoracic)
-5 lumbar

and sacrum and coccyx, but not in the 24 count

cervical spine is most mobile and most accessible
thoracic articulate with ribs (includes sternum, rib- costalcartilage)
lumbar supports weight of upper body

ribs 1-7 known as true ribs- attach directly to sternum via costal cart.
ribs 8-12 are false ribs- indirectly through costalcart.
11-12 are floating

C1 and C2 allow rotation of head
c1 has no spinous process. It is know as the ATLAS.
c2 is called AXIS. Know what the odontoid process or dens is!
cervical spine has foramen in transverse process

Sternum has 3 parts
-manubrium
-body
-xiphoid process
(angle of louis) not sure exactly where, I think between manubrium and body

KNOW PAGE 174

lordosis curve
kyphosis curve

Tuesday, October 18, 2011

10-17-11 Monday

Swedish
For friday: bring muscle homework sheet
be ready for a quiz on Contraindications, physiological effects of friction, SOAP, and a vibration question

Mid term will have 3 sections-
1-massage theory:
BOL sequence
strokes and their definitions, variations, physiological effects, purpose
ethics
SOAP
physiological effects of massage page
reading

2-pahtology
contraindications page

3-anatomy
planes, bony landmarks, etc...



Body Awareness
yoga was awesome!
risk factors of MSD
personal-heredity
physical
emotional
in/out of work force


Next week bring sheets, oils. We are doing a massage trade


Anatomy!
p.344 Topographical view
-popliteal fossa
-calcaneal tendon
-lateral/medial malleolus
-bottom of fool

bones and joints

1st digit is thumb or big toe
5th digit is the smallest

hallucis is the big toe

medial cuneiform
middle cuneiform
lateral cuneiform

26 bones in the foot

sesamoid bones (floatin bones) under hallucis

Gastrocnemius
O: condyles of the femur, posterior surfaces
I: calcaneus via calcaneal tendon
A: flex tibiofemoral jt
plantar flex talocrural jt (ankle)

Soleus - ("second heart" and deep to gastrocnemius)
O: soleal line; proximal, posterior surface of tibia and posterior aspect of head of fibula
I: calcaneus via calcaneal tendon
A: plantar flex talocrural jt

Plantaris - (longest tendon in body)
O: lateral supracondylar line of femur
I: calcaneus via calcaneal tendon
A: weak plantar flexion of talocrural jt
weak flexion of tibiofemoral jt

Popliteus - (deepest muscle of posterior knee)
O: lateral condyle of the femur
I: proximal, posterior aspect of tibia
A: medially rotates flexed tibiofemoral jt
flex tibiofemoral jt

Peroneus Longus (fibularis longus)
O: head of fibula and proximal two-thirds of lateral fibula
I: base of the fist metatarsal and medial cuneiform
A: evert foot
assist to plantar flex talocrural jt

Peroneus Brevis (fibularis brevis)
O: distal two-thirds of lateral fibula
I: tuberosity of fifth metatarsal
A: evert foot
assist to plantar flex talocrural jt

Tibialis Anterior
O: lateral condyle of tibia; proximal, lateral surface of tibia and interosseous membrane
I: medial cuneiform and base of the first metatarsal
A: invert the foot
dorsiflex the talocrural jt

Extensor digitorum longus
O: lateral condyle of tibia; proximal, anterior shaft of fibula and interosseous membrane
I: middle and distal phalanges of second through fifth toes
A: extend the second through fifth toes (metatarsophalangeal and interphalangeal jt)
dorsiflex talocrural jt
evert foot

Extensor hallucis longus
O: middle, anterior surface of fibula and interosseous membrane
I: distal phalanx of first toe
A: extend first toe (metatarsophalangeal and interphalangeal jt)
dorsiflex talocrural jt
invert foot

Tibialis Posterior
O: proximal, posterior shafts of tibia and fibula; and interosseous membrane
I: all five tarsal bones and bases of second through fourth metatarsals
A: invert the foot
plantar flex talocrural jt

Flexor digitorum longus
O: middle, posterior surface of tibia
I: distal phalanges of second through fifth toes
A: flex the second through fifth toes (metatarsophalangeal and interphalangeal jts)
weak plantar flexion of talocrural
invert foot

Flexor hallucis longus
O: middle half of posterior fibula
I: distal phalanx of first toe
A: flex the first toe (meatatarsophalangeal and interphalangeal jts)
weak plantar flexion of talocrural
invert foot



for Wednesday: muscles of the foot and structure of the knee

Tuesday, October 11, 2011

10-10-11 Monday

Swedish
Overall we went over some of the pregnancy massage contraindications and added vibration and some gymnastics. Next class is tapotment and sequences. Quiz?

Body Awareness
You can get extra credit if you write a paragraph on another day of watching your breath for a day.
Next class be prepared for yoga!!!

Anatomy
Again, Friday is the test!

Finishing off the Lateral Rotators of the Coxal (deep 6)

Obturator Internus
O: obturator membrane and inferior surface of oturator foramen
I: medial surface of greater torchanter
A: laterally rotate coxal

Obturator Externus
O: Rami (plural of ramus) of pubis and ischium, obturator membrane
I: Trochanteric fossa of the femur
A: laterally rotate coxal

Gemellus Superior
O: ischial spine
I: medial surface of greater trochanter
A: laterally rotate coxal

Gemellus Inferior
O: ischial tuberosity
I: medial surface of greater trochanter
A: laterally rotate coxal


Iliopsoas group

Psoas Major
O: Bodies and transverse processes of lumbar vertebrae
I: lesser trochanter
A: origin fixed-
Flex coxal
laterally rotate coxal (may)
insertion fixed-
flex trunk toward the thigh
tilt pelvis 'anteriorly' as in tucking tail in
unilaterally-
assist to laterally flex lumbar spine

Iliacus
O: iliac fossa
I: lesser trochanter
A: origin fixed-
flex coxal
laterally rotate coxal (may)
insertion fixed-
flex trunk toward thigh
tilt pelvis 'anteriorly' as in tucking tail in

Psoas Minor (only 40% of people have this muscle)
O: body and transverse process of first lumbar vertebrae
I: superior ramus of pubis
A: assist to create lordotic curvature in lumbar spine
tilt pelvis


Other structures of the pelvis and thigh

femoral triangle:
inguinal ligament, sartorius, adductor longus
know its boarders and what is in it.

Visualize the ligaments, texture and fiber, and where they are- the names tell a lot.

p.342 trochateric bursa

normal vs. common.

Sunday, October 9, 2011

10-7-11 Friday

Swedish

Besides the give 4 and receive 1 we need to do the contraindication and skeleton worksheet.
Additional reading- Pregnancy p.454-9
We will have a quiz on petrissage

CAM
Our experience paper is due next class (which is our last CAM class)

Anatomy!!!!

(if you can't tell, this class has the majority of my attention)
Our next test is Friday

Adductor group (5 muscles)

Adductor magnus
O: inferior ramus of pubis, ramus of ischium, ischial tuberosity
I: medial lip of linea aspera and adductor tubercle
A: adduct coxal
medially rotate coxal
assist to flex coxal
posterior fibers - extend coxal

Adductor Longus
O: pubic tubercle
I: medial lip of linea aspera
A adduct coxal
medially rotate coxal
assist to flex coxal

Adductor Brevis
O: inferior ramus of pubis
I: pectineal line and medial lip of linea aspera
A: adduct the coxal
medially rotate coxal
assist to flex coxal

Pectineus
O: superior ramus of pubis
I: pectineal line of femur
A: adduct coxal
medially rotate coxal
assist to flex coxal

Gracilis
O: inferior ramus of pubis
I: proximal, medial shaft of tibia at pes anserinus tendon
A: adduct coxal
medially rotate coxal
flex tibiofemoral joint
medially rotate flexed T/F joint


3 muscle groups cover the four sides of the leg:
quadriceps femoris: anterior and lateral
hamstring: posterior
adductors: medial


Muscles without a group


Tensor Fasciae latae (TFL)
O: iliac crest, posterior ASIS
I: iliotibial tract (IT Band)
A: flex coxal
medially rotate coxal
abduct coxal

Iliotibial Tract (IT Band)-info is on p.324 and even though it doesn't have an O,I,A because it isn't a muscle, we kind of gave it one in class so here's what we went with:
O: tensor fasiciae latae and gluteal fascia
I: tibial tubercle (lateral tibia)
A: stabilize coxal and tibiofemoral joint

Sartorius
O: anterior ASIS
I: proximal, medial shaft of tibia at pes anserinus tendon
A: flex coxal joint
laterally rotate coxal joint
abduct coxal joint
flex tibiofemoral joint
medially rotate flexed tibiofemoral joint

NOTE- for class know the 3 muscles that attach to the pes anserinus, and the tendons of the posterior knee (p.327) sartorius, gracilis, semitendonosis, biceps femoris, iliotibial tract.


Lateral rotators of the hip (The deep six)

Piriformis (typically the only one on top of the sciatic nerve; not palpable)
O: anterior surface of sacrum
I: superior aspect of greater trochanter
A: laterally rotate coxal
abduct coxal when flexed

Quadratus femoris
O: lateral border of iscial tuberosity
I: intertrochanteric crest, between the greater and lesser trochanter
A: laterally rotate the coxal


more to come on the lateral rotators of the hip

Thursday, October 6, 2011

10-5-11 Wednesday

Nutrition
Fat (lipid) is NOT bad
fat=solid (crisco, butter, lard)
oil=liquid (corn oil, olive oil, etc.)

High energy- 9cal/gram (fat has double the calories of carbs)

Body needs fat! It:
makes hormones
stored energy
insulates body/organs; cushions
meylin (covers most nerves)
gives shape to body
shock absorber (esp. for organs

Types of Fat:
1- triglycerides: basically stored energy. You have to consume these and this is the one that matters for heart disease, not cholesterol.
2- phospholipids: transports hormones and fat soluble vitamins (A,D,E,K)
3- Sterols: fat plus alcohol
-HDL, LDL, VLDL (high/low/very low density lipoproteins) HDL is the good one
4- Fatty acids or EFA (essential fatty acids)
-Omega 3 (source is important and it is unsaturated), 6 and 9- we get from diet
-Saturated and unsaturated

Mark McAfee: The Truth About Raw Milk



Psychology

Cathy's group (although I think we all do similar stuff)
Homework: Journal on the class experience (life raft, ennogram, ...), do an enneagram test on the internet, and try and read the 5 handouts



Anatomy
All of this is in Trail Guide p 306-315 (give or take a few)

Quadriceps Femoris Group

Rectus Femoris
O: AIIS
I: Tibial tuberosity via the patella and patellar ligament
A: coxal-flexes
tibiofemoral jt- extends

Vastus Lateralis
O: lateral side of linea aspera, gluteal tuberosity, and greater trochanter
I: Tibial tuberosity via patella and patellar ligament
A: Tibiofemoral jt- extends

Vastus Medialis
O: Medial lip of linea aspera
I: Tibial tuberosity via patella and patellar ligament
A: Tibiofemoral jt- extends

Vastus Intermedius
O: Anterior and lateral shaft of femur
I: Tibial tuberosity via patella and patellar ligament
A: tibiofemoral jt extends


Hamstrings

Biceps femoris
O: long head- ischial tuberosity
short head- lateral lip of linea aspera
I: head of fibia
A: Flex tibiofemoral jt
laterally rotate flexed T/F
long head- extend coxal jt
- assist lateral rotation of coxal jt
tilt pelvis posterior

Semitendinosus
O: ischial tuberosity
I: proximal, medial shaft of the tibia at pes anserinus tendon (goose foot)
A: flex tibiofemoral jt
medially rotate flexed T/F
extend coxal jt
assist medially rotation of coxal jt
tilt pelvis posteriorly

Semimembranosus
O: ischial tuberosity
I: posterior aspect of medial condyle of tibia
A: flex tibiofemoral jt.
medially rotate flexed T/F
extend coxal jt
assist medially rotation of coxal jt
tilt pelvis posteriorly


Gluteals

Gluteus Maximus
O: coccyx
edge of sacrum
posterior iliac crest
sacrotuberous and sacroiliac ligaments
I: upper fibers - iliotibial tract
lower fibers - gluteal tuberosity
A: All fibers
-extend coxal joint
-laterally rotate coxal jt
-abduct coxal jt
lower fibers- adduct coxal jt

Gluteus Medius
O: gluteal surface of ilium b/w posterior and anterior gluteal lines (just below iliac crest)
I: lateral aspect of greater trochanter
A: All fibers- abduct coxal jt
Anterior fibers
- flex coxal jt
- medially rotate coxal jt
Posterior fibers
- extend coxal jt
- laterally rotate coxal jt

Gluteus Minimus
O: Gluteal surface of the ilium b/w anterior and inferior gluteal lines
I: anterior of greater trochanter
A: Abduct coxal jt
medially rotate coxal jt
flex coxal jt

Monday, October 3, 2011

10-3-11 Monday

Swedish
remember to be communicating directly
With the Health Intake interview make sure to direct things and keep away from story time that is relevant (cuts into massage time).
We received an abbreviation/shorthand guideline
Intro to Friction plus some more Effleurage and Petrissage strokes on the back


Anatomy -let the memorization begin again!
Test were handed back
Important Dates to remember:
Oct 14 - Test 2
Oct 28 - Test 3
Nov 14 - Test 4
Dec 5 or 9 - Test 5
Dec 7 - Practical
Dec 14 - Cadaver lab
Dec 16 - Final Exam


From here on out, this class will be using the Trail Guide as our only text

Chap 6 - Pelvis and Thigh
P. 276 topographical landmarks
Iliac crest
Anterior superior iliac spine (ASIS)
Inguinal ligament
Rectus femoris
Patella
Rectus Abdominis
Pubic crest
Adductors
Sartorius
Vastus medialis
Gluteus medius
Greater trochanter
Vastus lateralis
Iliotibial tract
Erector spinae group
Posterior superior iliac spine (PSIS)
Sacrum
Coccyx
Gluteus maximus
Gluteal cleft
Gluteal fold
Hamstrings
Hamstring tendons
Popliteal fossa


Bones of the pelvis and thigh p.278
Pelvis is 3 bones . . . sort of:
Sacrum
Coccyx
Hip bone which is a fusion of 3 bones:
-ilium
-pubis
-ischium

Femur is longest, heaviest, strongest bone in the body
Acetabulum: the fossa where the femur goes (coxal joint)

Tibial/femoral (major knee joint)
as known as a modified hinge joint - when flexed it has medial and lateral rotation

Male and female have different pelvis
know p.276-283 with regards to the names of things (YIKES!!!) and expect a quiz
Next class we'll do palpation and if you want to read ahead 306-314 is what I heard



Body Awareness
the 'core' is from ass to abs
Then we climbed some stairs and took a walk

Homework for Body Awareness includes a paragraph on thoughts/awareness of the walking experience. Also, keep track of breath for 1 day (tally makes for every time you notice it) and write a paragraph on the experience with comments.

Sunday, October 2, 2011

9-30-11 Friday

Swedish
Our quiz will be on the reading for the last week:
Hands Heal ch. 4
Tappen ch. 6 and ch. 7
Ethics of Touch ch. 2
She said the quiz will be over the main points.

We added some petrissage variations and the front of leg and upper pectoral regions too.

Anatomy
We had our test and that was it.

Survey of CAM

Due next week is the 5 local practitioners project plus the speaker synopsis.
Watched a humourous video on the town of Allopathy and their skidmarks disease.
The notes/slide were emailed to us so please see those!

Guest Speaker: Kris Hill - Clinical Herbalist and owner of Hill Botanical

A lot on the history of herbal Medicine

Plants = medicine
In forms of Tea, Capsules, Tinctures (both Singles and Formulas), Bath, Aroma Therapy.

There seriously a lot on the history, if you want all of my notes on it let me know, but the overview:
Evidence in Iraq about 60-80 thousand years about of people buried with flowers.
As civilization grew people moved and shared information and were influenced.
Albert Magnus (1200-1280 CE) and Paracelsus (1493-1541 CE) are big names.
The USA Pharmacy Soda Fountains (1870) - Coca Cola and 7up.

Why herbal medicine is useful in massage: we both use oils from the same plants, aromatic qualities
Kris Hill formulates mixtures for MT or clients.