Clinical Reflection – 8/11/18

Date Location Total Amount of Hours Overview of Session
 

8/11/18

Marjon Sports Clinic  

2

On the 8th of November I did hours at the Marjon University commercial clinic practicing effleurage and petrissage on the upper body.

 

2x 1hour massage and 1hour anatomy practice with the skeleton and notes.

Reflective Summary                   Areas for further Improvement plus action plan
I started with effleurage on the whole surface of the back and took particular effort around the medial border of the scapula to warm the tissues up for the following techniques.

 

For most of the hour, I focused on the scapula as the client complained of tightness and trigger points around this area. To do this I asked the client to place their hand in the centre of their back and relax their elbow (whilst they laid on their front) to raise their scapula. This gave me more access to the myofascial trigger points under the scapula. I began with effleurage along the medial border of the scapula to warm up the tissues, increase blow flow and improve lymphatic flow. Once the tissues were warm I targeted the trigger points using neuromuscular techniques to deactivate the myofascial trigger point and enhance drainage. I followed this with more effleurage to reduce any pain or sensitivity.

This was a quick, effective method which I will use again to reduce trigger points and tightness.

 

Second client complaining of tight quadriceps following a gym session. I started off with effleurage to warm up the tissues and get the client used to touch. I then moved onto petrissage and tapotement to realign muscle fibers and increase blood flow. I mainly used hacking and cupping as I felt these were most effective and the client’s favourite method.

 

For the final two hours I focused on revision of the main muscle groups, bony points on the lower limb and the origins and insertions of the quadriceps muscles as I felt like during my treatment I was not massaging the entire length of the muscle. Knowing the location of the muscle and where it originates and inserts will allow me to ensure I target the whole muscle. I then looked at the location of each rotator cuff muscle to help me remember where each one sits and the actions of each.

I must ensure that I always check for any contraindications as sometimes I forget to do this if the client is someone I have previously worked on and asked. It is important that I do this every time to ensure the safety of the client, as contraindications can arise between treatments.

 

To allow me to improve in this area and focus on professionalism I am going to make myself a prompt sheet.  On this I will write a list of the initial steps I must carry out before working on the patient as well as all contraindications, to ensure I am always certain that the client is able to receive a massage.

 

Continue revision of the lower limb muscle groups and the origins and insertions to improve knowledge.

 

Returning to reflections at a later date
I have been practicing origins insertions a lot since and I feel I am a lot more confident now and know the majority of the muscles within each main muscle group. This has really helped my massage technique as I am able to stretch and massage the entire muscle for the most effective treatment.

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