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Class Outline :


 


Mosby’s  Essential Sciences for Therapeutic Massage,  Anatomy, Physiology, Biomechanics and Pathology.


Second Edition


Day 1


Section one


Chapter one


Body as a Whole


 


Anatomy and Physiology


Characteristics of Life


Organization of Body Structure


             Chemical Level


              Organelle Level


              Cellular Level


              Tissue Level


              Organ Level


              System Level


              Organism Level: The Body as a Whole


Activity and Workbook


 


Day 2


 


Chapter two


Mechanisms of Health and Disease


 


Homeostasis


1.       Feedback Loop


2.       Body Rhythms


3.       Mechanisms of Disease:  Pathology


Causes of Disease


Tissue Repair


Inflammatory Disease


Risk Factors


       


4.       Pain


Pain sensations


Referred Pain 


Activity and Workbook


 


 


         Chapter Three


         Day 3


 


         Medical Terminology


 


1.       Language of Science and Medicine


Prefixes


                 Roots


                 Suffixes


                 Abbreviations


 


2.       Clinical Reasoning and Charting


3.       General  Structural Plan of the Body


Regions of the Body and Surface Anatomy


Abdominal Quadrants and Regions


 Positions of the Body


Body Planes and Movements


 


4.       Ancient Healing Practices


Points and Meridians


Traditional Terminology


Organ Relationships


 


 Day 4 Study and test three chapters


 


 


Chapter 4 Section II


Day 5 & 6


 


Nervous System Basics


    Nerve cell structure


    Nerve functions


    Synapses and Neurotransmitters


    Body chemistry and Behavior and Pain


 


Day 7 & 8


Central Nervous System


      Brain


      Spinal cord


     


 


Day 9


Study and test on days 9 thru 12


 


Day 10-12


Pathology


   Cerebrovascular  Accidents/Strokes


   Cerebrovascular  Disease


   Aneurysm


   Central Nervous System Trauma


 


Day 13 study and test


 


Day 14-16


Seizure


Tumors


Degenerative Disorders


Amyotrophic Lateral Sclerosis


Study time and Test


 


Day 17


Schizophrenia


Depression


Tremors


Day 18


Infectious Disease


Headache


Spinal cord Injury


Study and Test


 


Day 19-21


Basics of the Peripheral Nervous System


Nerves


Nerve Plexuses


Injury


Dermatomes


Myotomes


Reflex Mechanisms


Sensory Arc


 


Day 22


Autonomic Nervous System


Sympathetic Structure and Function


Parasympathetic Structure and Function


Medications That Affect the Autonomic Nervous


System


 


Day 23


Study and chapter test


 


 


 


 


 


Day 24 & 25


Endocrine System


Hormones


Primary Mechanisms of Endocrine Disease


     Hypersecretion


     Hyposecretion


     Three Additional Types of Disorders of the Endocrine


      System


Hypothalamus


Endocrine Glands, Tissues, and Hormones


     Pituitary Gland


     Thyroid Gland


     Parathyroid Glands


     Pancreas


     Adrenal Glands


     Testes and Ovaries


     Pineal Gland


     Thymus


     Other Endocrine Tissues


 


Day 26


 Study and Test


 


Day 27


Support, Movement and Biomechanics


Skeletal System


 


Skeletal System Basics


     Main Functions of the Skeletal System


     Bones


     Classification of Bones


     Bone Growth and Repair


     Skeletal Changes Caused by Aging


     Bony Landmarks


     Divisions of the Skeleton


 


Day 28


Study and Test


 


Day 28-30


Individual Bony Framework by Region


     Bones of the Axial Skeleton


     Bones of the Thorax


     Bones of the Appendicular Skeleton


 


Pathologic Conditions


      Developmental Problems


      Bone Demineralization Disorders


      Necrosis


      Growth-related Diseases


      Infectious Diseases


      Tumors


       Nutritional Disorders


       Disorders Caused by Trauma and Repetitive Use (Microtrauma)


 


 Summary


 


Day 31


Study and Test


 


Day 31-33


Joint Overview


       Connective Tissue and Joint Structure


       Joint Categories


       Forces and Stress


 


Joint Motion


       Arthrokinematics


       Joint Play


       Joint Positions and Stability


  


       Osteokinematics; Range of Motion


       Movements of Joints


       Kinematic Chains


 


Day 34


Study and Test


 


Day 34-36


Identification and Palpation of Specific Joints


        Joints of the Skull


        Joints of the Shoulder


        Joints of the Elbow


        Joints of the Wrist and Hand


        Joints of the Pelvis and Hip


        Joints of the Knee


        Joints of the Ankle and Foot


        Joints of the Spine and Thorax


  


  Pathology of Joints


        Generalized Joint Disorders


        Specific Disorders


Summary


     Day 37


Study and Test


 


Day 37 and 38


Muscles


 


Muscle Structure and Function


         Muscle Tissue and the Whole Body


         Types of muscle Contraction


         Anatomy and Physiology of Muscle Fibers


         Pathologic Connective Tissue Changes


         Myotatic Units (Functional Muscle Groups)


         Proprioceptors and Reflexes


         Muscle Firing Patterns


         Function of Cardiac and Smooth Muscle Tissue


 


Day 39


Study and Test


 


Day 39 and 42


 Muscles


         How Muscles Are Named


         How to Palpate Muscles


         Activity Explanation


         Muscles of the Face and Head


         Muscles of the Neck


         Deep Muscles of the Back and Posterior Back


         Muscles of the Torso


         Muscles of the Gluteal Region


         Muscles of the Anterior and Lateral Leg


         Muscles of the Posterior Leg


         Intrinsic Muscles of the Foot


         Muscles of the Scapular Stabilization


         Muscles of the Musculotendinous (Rotator) Cuff


         Muscles of the Elbow and Radioulnar Joints


         Muscles of the Wrist and Hand Joints


         Intrinsic Muscles of the Hand


Pathologic Conditions


          Mechanisms of Disease


          Specifics Disorders


 Summary


 


Day 42


Study and Test


 


 


 


 


 


Day 42-45


Biomechanics


          Center of Gravity


          Force


          Levers and Fulcrums


          Mechanics Advantage and Disadvantage


          Balance, Equilibrium and stability


          Walking/Gait


 


Kinetic Chain


          Inner Unit


          Outer Unit


Sitting, Standing, and Bending


Muscle Firing Patterns


Biomechanical Dysfunction


           Neuromuscular-related Dysfunction


           Myofascial –related Dysfunction


           Joint-related Dysfunction


Biomechanical Assessment


                  Regional Biomechanical Assessment


                  General Guidelines to Assist the Clinical Reasoning


                  Process


Biomechanics by Region


                   Trunk and Thorax


                    Shoulder region


                    Elbow Region


                    Wrist and Hand Region


                    Pelvic Girdle and Hip Joint Region


                    Knee Region


                    Other Major Knee Components


                    Ankle and Foot Region


Summary


 


Day 46


Study and Test


 


Day 47-50


 


Integumentary, Cardiovascular, Lymphatic and Immune Systems


 


Integumentary System


                       


                      Physiology of Touch


                      Structure of the Integumentary


                      Pathologic Conditions


Cardiovascular System


                      Heart


                      Vascular System


                      Blood


                      Pathologic Conditions


 Lymphatic System


                       Lymph


                       Lymph Vessels, Nodes and Organs


                       Pathologic Conditions


Immune System


                Nonspecific Defenses


                Specific Immunity


                Immune System Dysfunction


                Hypersensitivity


                Mind/Body Connection


                Pathologic Conditions


Summary


 


Day 51


Study and Test


 


Day 52-54


Respiratory, Digestive, Urinary and Reproductive Systems


Respiratory System


                          Organs of the Respiratory System


                      


            Nerves and Vessels of the Lungs and Respiratory Muscles


                          Mechanics of Breathing


                          Pathologic Conditions


Digestive System


                          Organs and Structures of the Digestive System


                           Digestion


                           Nutrition


                           Pathologic Conditions


 Urinary System and Fluid Electrolyte Balances


                            Functions of the Urinary System


                            Organs of the Urinary System


                            Water Balance


                            Pathologic Conditions


 Reproductive System


                             Male Reproductive System


                             Female Reproductive System


                             Pathologic Conditions


                            


 


 


 


 


Day 55


Review proceeding chapters and test.


 


Day 56


Fundamentals of Therapeutic Massage


Chapter 1


Foundations of Therapeutic Applications of Touch


Professional Touch


                                  Touch


                                  Touch as Communication


                                  Professional Classifications of Touch


                                  The Uniqueness of Touch


Historical Perspectives


                                  The History of Massage


                                  Recent Trends


                                  The Future of Massage: 2003 and Beyond


 Objectives:


 Describe professional touch


 Identify personal interpretations of touch and their influence on professional interactions


 Explain the rich heritage and history of therapeutic massage.


 Explain the influence of the historical events on the current development of therapeutic massage.


 


Day 57


Study and Test


 


Day 58-61


Professionalism and Legal Issues


Professionalism and Therapeutic Massage


Finding a Name


The Definition of Therapeutic Massage


                                  Defining Massage


Scope of Practice


                                  The Unique Scope of Practice Parameters for Therapeutic Massage


                                  The Limits of Practice


Ethics and Standards of Practice


                                  Ethics


                                  Standards of Practice


                                  Code of Ethics and Standard of Practice for Therapeutic Massage


Informed Consent


                                  Intake Procedures


                                  Needs Assessment and the Initial Treatment Plan


Confidentiality


Professional Boundaries


                                  Needs and Wants


                                  Right of Refusal


The Therapeutic Relationship


                                  Transference


                                  Countertransference


                                


                                  Managing Transference and Countertransference


                                  Dual or Multiple Roles


                                  Massage Therapy and Intimacy


                                  Maintaining the Professional Environment


Ethical Decision Making


                                  The Problem Solving Approach to Ethical Decision Making


Communications Skills


                                  Preferred Communication Patterns


                                  Listening


                                  Delivering Information with I-messages


                                  Conflict and Conflict Resolution


                                  Relationship Conflicts


                                  Data Conflicts


                                  Interest Conflicts


                                  Value Conflicts


                                  Ways of Dealing with Conflict


                                  Communicating During Dilemmas


                                  Barriers to Effective Communication


Credentials and Licensing


                                  Credentials


                                  Laws and Legislation


 


Dealing with Suspected Unethical of Illegal Behavior of Fellow Therapeutic


Massage Professionals


                                  Self Reflection


                                  Mentoring and Peer Support


                                  Talking with Those Involved


                                  Formal Reporting


Health Insurance Portability and Accountability Act (HIPAA) of 1996


                                  What is HIPAA?


                                  What Does HIPAA Cover?


                                  For More Information on HIPAA


Summary


 


Objectives


                                  Define professionalism


                                  Define therapeutic massage


                                  Define scope of practice for therapeutic massage


                                  Develop and explain a code of ethics and the standards of practice for therapeutic massage


                                  Complete an informal consent process


                                  Take ethics into consideration in maintaining professional boundaries and the therapeutic relationship


                                  Use basic communication skills to listen effectively and deliver and I-message


                                  Identify legal and credentialing concerns of the massage professionals


                                  Identify and report unethical conduct of colleagues


                                  Become familiar with HIPAA and its procedures


 


Day 62


Study and Test


 


Day 62-64


Medical Terminology


                                  Fundamental Word Elements


                                  Abbreviations


                                  Terms Related to Diagnosis and Diseases


                                  Terminology of Location and Position


                                  Structure of the Body


                                  The Skeletal System


                                  The Articular System


                                  The Muscular System


                                  The Nervous System


                                  The Cardiovascular


                                  The Lymphatic System


                                  The Immune System


                                  The Respiratory System


                                  The Digestive System


                                  The Endocrine System


                                  The Integumentary System


                                  Terminology as an Ongoing Study


 


 


Record Keeping 


                                  Clinical Reasoning and Charting


Summary


 


Objectives


                                  Identify the three word elements used in medical terms


                                  Combine word elements into medicals terms


                                  Comprehend unfamiliar medical terms


                                  Identify pertinent abbreviations used in health care and their meanings


                                  Relay relevant anatomy and physiology terminology


                                  Combine this information to be used for effective professional record keeping


 


Day 65


Study and Test


 


 


 


Day 65-67


The Scientific Art of Therapeutic Massage


Valid Research


Current Research


Why Message Is Effective


                                  Physiologic Effects


                                  The Nervous/Neuroendocrine System


                                  The Autonomic Nervous System (ANS)


                                  Somatic Influences


                                  Circulation


                                  Connective Tissue


                                  Energy Systems (Biofield)


Summary


Objectives


                                  Cite current research that validates therapeutic massage’s underlying physiologic mechanisms


                                  Classify massage methods into basic concepts


                                  Explain the effects of therapeutic massage in physiologic terms


 


 


Day 68


Study and Test


 


Day 68 & 69


Indications and Contraindications for Therapeutic Massage


Indications for Massage


Approaches to Care


                                  Therapeutic Change


                                  Condition Management


                                  Palliative Care


Pathology, Health, and Therapeutic Massage


                                  Peak Performance


                                  Functioning Limits


                                  Development of Pathology


                                  Pathologic Conditions and Indications for Massage


Contraindications to Massage Therapy


                                  Tumors and Cancer


                                  Medications


                                  Endangerment Sites


                                  Referrals


Summary


 


Objectives


                                  Define indication and contraindication


                                  Define therapeutic change, condition management and palliative care as a therapeutic                       approach


                                  Use a clinical reasoning model to determine the appropriate intervention process


                                  Develop a basic understanding of pathology and its connection to contraindications to massage


                                  Explain the stress response, inflammatory response, and pain response


                                  Identify indications for massage therapy and justify those indications


                                  Understand when to refer clients to licensed medical professionals


 


 


 


 


Day 70


Study and Test


 


Day 70-71


Hygiene, Sanitation, and Safely


Personal, Health, Hygiene, and Appearance


                                  Smoking


                                  Alcohol and Drugs


                                  Hygiene


Sanitation     


                                  Pathogenic Organisms


                                  Disease Prevention and Control


                                  Indications for the Use of Standard Precautions for the Massage Professional


 Preventing the Transmission of HIV, Hepatitis, and Tuberculosis


                                  The Mechanics of Transmission


                                  Hepatitis


                                  Tuberculosis


Premise and Fire Safety


                                 


                                  Severe Acute Respiratory Syndrome


Summary


Objectives


                                  Identify good health and personal hygiene


                                  Explain the major disease-causing agents


                                  Describe methods for preventing and controlling disease