Massage Assessment

Front 1

Assessment Methods:
History includes:

Back 1

Intake forms and medical clearance recommendations

Front 2

Assessment Methods:

Observation includes

Back 2

Postural analysis, visual cues, watching when your client is not aware so that they do not make modifications

Front 3

Assessment Methods:

Palpation includes

Back 3

Assessment through touch and feel

Front 4

Assessment Methods:

Special tests include

Back 4

Normal ROM and measurements of postural analysis

Front 5

Visual Assessment:

Things to note when observing gait or walking pattern

Back 5

Does the client take one normal step and one small step? Does the client swing only one arm? Is he/she compensating?

Front 6

Visual Assessment:

Things to note when observing posture

Back 6

Is your client internally rotated at the shoulders? Does he/she have a forward head position? Does he/she have sway back?

Front 7

Visual Assessment:

Things to note when observing breathing patterns

Back 7

Is your client using his/her diaphragm to breath or is he/she using shoulder breathing?

Front 8

Visual Assessment:

Things to note when observing sympathetic or parasympathetic

Back 8

Is the client in fight or flight mode or lethargic?

Front 9

Normal ROM of the foot:
1.) Dorsiflexion
2.) Plantar flexion
3.) Inversion
4.) Eversion

Back 9

1.) 20-30 degrees
2.) 30-50 degrees
3.) 50 degrees
4.) 25 degrees

Front 10

Normal ROM of the knee:
1.) Flexion
2.) Extension

Back 10

1.) 160 degrees
2.) 180 degrees

Front 11

Normal ROM of the hip:
1.) Flexion
2.) Extension
3.) Medial/Internal rotation
4.) Lateral/External rotation

Back 11

1.) 90 degrees if knee is extended; 120 degrees if knee is flexed
2.) 20 degrees
3.) 30 degrees
4.) 60 degrees

Front 12

Normal ROM of the hip:
1.) Abduction
2.) Adduction

Back 12

1.) 45 degrees
2.) 30 degrees

Front 13

Normal ROM of the trunk:
1.) Flexion
2.) Extension
3.) Lateral Flexion
4.) Rotation

Back 13

1.) 40-60 degrees
2.) 35 degrees
3.) 15-20 degrees
4.) 10-15 degrees in lumbar spine; 45 degrees in thoracic spine

Front 14

Normal ROM of the neck:
1.) Flexion
2.) Extension
3.) Lateral flexion
4.) Rotation

Back 14

1.) 80 degrees
2.) 60-70 degrees
3.) 35-45 degrees
4.) 80 degrees

Front 15

Normal ROM of the shoulder:
1.) Flexion
2.) Extension
3.) Abduction
4.) Adduction

Back 15

1.) 180 degrees
2.) 45-50 degrees
3.)180 degrees
4.) 30-45 degrees

Front 16

Normal ROM of the shoulder:
1.) Medial/Internal rotation
2.)Lateral/External rotation
3.) Horizontal abduction
4.) Horizontal adduction

Back 16

1.) 30-45 degrees
2.) 80 degrees
3.) 30 degrees
4.) 140 degrees

Front 17

What 7 structures are in the anterior triangle of the neck that cause it to be an endangerment site?

Back 17

-Common carotid arteries - Hyoid bone - Internal jugular vein - Thyroid gland - Trachea - Vagus nerve- Lymph nodes

Front 18

What 6 structures are in the posterior triangle of the neck that cause it to be an endangerment site?

Back 18

-Brachial plexus - External jugular vein -Facial nerve -Subclavian artery - Styloid process -Lymph nodes

Front 19

What 7 structures are in the axillary area that cause it to be an endangerment site?

Back 19

-Axillary arteries and nerves -Brachial arteries and plexus -Median nerves -Musculotaneous nerve -Radial and ulnar nerve - "personal space" -Axillary lymph nodes

Front 20

What 4 structures are in the antecubital area of the elbow that cause it to be an endangerment site?

Back 20

-Brachial artery -Cubital vein -Median nerve -Radial/Ulnar arteries

Front 21

What 4 structures are in the femoral triangle that cause it to be an endangerment site?

Back 21

-Femoral artery & nerve -Great saphenous vein -Obturator nerve -Inguinal lymph nodes

Front 22

What 2 structures are in the low back (ribs 9-12) that cause it to be an area of caution?

Back 22

-Floating ribs -Kidneys

Front 23

What 2 structures are in the oleacronon process area that cause it to be an endangerment site?

Back 23

-Ulnar nerve -Radial nerve

Front 24

What 3 structures are in the popliteal fossa that cause it to be an endangerment site?

Back 24

-Common peroneal nerves -Popliteal arteries -Tibial nerves

Front 25

Which muscles should be considered in the area of concern when performing postural analysis?

Back 25

Above, below & 360 degrees around the area

Front 26

Postural Analysis:

What should be considered when observing the Achilles tendon?

Back 26

Is the foot pronated, supinated. or neutral?

Front 27

Posture Analysis:

What should be considered when observing the arches of the feet?

Back 27

You should be able to fit the distal phalange of the index finger under arch. More = pes cavas Less = pes planus

Front 28

Posture Analysis:

What should be considered when observing the position of the feet?

Back 28

Are the hips medially or laterally rotated?

Front 29

Posture Analysis:

What should be considered when observing the calf area?

Back 29

Is one larger than the other? Are they even?

Front 30

Posture Analysis:

What should be considered when observing the popliteal fold?

Back 30

Is it level? If it's higher on the lateral side of the knee it could indicate a tight IT band and/or anterior pelvic tilt

Front 31

Posture Analysis:

What should be considered when observing the Hips?

Back 31

Are they level? If not level while standing, but level when sitting it is likely below the hips. Is there an ant. or post. tilt? Check level of ASIS vs. PSIS of same side

Front 32

- What does the PSIS being lower than the ASIS indicate?

-What does the ASIS being 5-10 degrees lower than the PSIS indicate?

Back 32

-Posterior pelvic tilt

-Anterior pelvic tilt
*Women can have 5-10 degree ant. pelvic tilt and be considered neutral

Front 33

Posture Analysis:

What should be considered when observing the spine?

Back 33

Is there kyphosis, lordosis, scoliosis? If there are curves, is it due to an anterior or posterior pelvic tilt or a high hip?

Front 34

Posture Analysis:

What should be considered when observing the shoulders/scapula?

Back 34

Are they even? Are they internally rotated?

Front 35

Posture Analysis:

What should be considered when observing the arms?

Back 35

Are the palms positioned to the side of the legs or the front of the thigh (could indicate shoulder rotation)?

Front 36

Posture Analysis:

What should be considered when observing the head?

Back 36

Is it level, tilted to one side, or in a forward position?

Front 37

Postural Abnormalities:

Muscles that are shortened & tight in a posterior pelvic tilt

Back 37

-Gluteus maximus - hamstrings (semitendinosus, semimembranosis, biceps femoris) - Gastronemius - Soleus - Rectus abdominus - Heels of feet may be tender from shifted weight

Front 38

Postural Abnormalities:

Muscles that are shortened & tight in a anterior pelvic tilt

Back 38

- Sartorius - Iliopsoas - Quads (rectus femoris, vastus medialis, intermedius & lateralis) - Quadratus lumborum - ITB & TFL - Tibialis anterior - Balls of feet may be tender from shifted weight

Front 39

Postural Abnormalities:

Muscles that are shortened & tight in internal shoulder rotation

Back 39

- Pectoralis major & minor - Latissimus dorsi - subscapularis - Serratus anterior - SCM - Scalenes