4/1/19  Marjon clinic  No. of hours 22

20 year old female who just started to go to the gym 4 times a week after only going around 1 or 2 times a week.

Client came in complaining of tight upper fibres of traps, they explained that it could be due to stress or that they started to take the gym more seriously or that it could have been from a recent seizure. Upon examination their posture showed that they had kyphosis and that the left should was higher then the right. This client in particular suffers from seizures and had recently had one so the tight muscles in the traps could be a result from this. During the massage multiple knots were found in their upper traps on left and right side and neuromuscular techniques were used on them to release the knots and help with the tension. The back of the neck was also massaged as the upper fibres of traps go down the neck as well as the back. Some METs were used to help release tension at the end of the session. METs are used to put the muscle on bind and the hold it there for 10 seconds while the client resists the force this is done a few times.

Before the massage starts a range of movement test needs to be done to see how the techniques used in the session helped with the tension and tightness.