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X
- •About the Author
- •Foreword
- •Preface
- •User’s Guide
- •Acknowledgments
- •Brief Contents
- •Expanded Contents
- •Cross Fiber Massage
- •Connective Tissue Techniques
- •Stretching
- •Energy Work
- •The Integrated Deep Tissue Therapy System
- •Swedish Massage
- •Format of the Lessons
- •General Concepts
- •Endangerment sites
- •Conditions
- •Holistic View
- •Postural Evaluation
- •Exercises and Self-Treatment
- •Quick Reference Boxes/Tables
- •Session Impressions
- •Lesson Sequence
- •The Trunk
- •The Upper Extremity
- •The Lower Extremity
- •The Upper Pole—Head and Neck
- •Designing a Session
- •The Interview
- •Client Assessment
- •The Session
- •Homework and Follow-Up
- •Ethics
- •Professionalism
- •Integrity
- •Boundaries
- •Communication
- •Education
- •The Nature of Tension
- •Emotions and Tension
- •What is an Emotional Release?
- •Principles of Conscious Bodywork
- •Step Three: implement the plan
- •Using the Lesson Material
- •Guidelines for Performing the Modalities
- •Energy Work
- •Swedish Massage
- •Cross-Fiber Therapy
- •Connective Tissue Therapy
- •Deep Tissue Therapy
- •Deep Tissue Strokes
- •Neuromuscular Therapy
- •Body Mechanics
- •The Five-Question Checklist
- •Therapist Self-Care
- •Role of Fascia
- •Working with Fascia
- •Connective Tissue Routine
- •Chest
- •Back
- •Foot
- •Calf
- •Anterior Thigh
- •Medial Thigh
- •Lateral Thigh
- •Posterior Thigh
- •Posterior Hip
- •Abdomen
- •Neck
- •The Chest
- •General Concepts
- •Chest Endangerment Sites
- •Conditions
- •Postural Evaluation
- •Holistic View
- •Chest Routine
- •The Back and Spine
- •General Concepts
- •Sources of Back Problems
- •Spinal Endangerment Sites
- •Conditions
- •Postural Evaluation
- •Holistic View
- •Exercises and Self-Treatment
- •The Shoulder, Arm, and Hand
- •General Concepts
- •Conditions
- •Holistic View
- •Postural Evaluation
- •Exercises and Self-Treatment
- •Scapula Routine
- •Forearm and Hand Routine
- •The Foot, Leg, and Knee
- •General Concepts
- •Conditions
- •Postural Evaluation
- •Holistic View
- •Exercises and Self-Treatment
- •Foot, Leg, and Knee Routine
- •The Thigh and Hip
- •General Concepts
- •Conditions
- •Postural Evaluation
- •Holistic View
- •Exercises and Self-Treatment
- •The Pelvis and Abdomen
- •General Concepts
- •Conditions
- •Holistic View
- •Postural Evaluation
- •Exercises and Self-Treatment
- •Abdominal Muscles Routine
- •Intestines Routine
- •Lateral Thigh
- •Inner Thigh
- •The Neck and Head
- •General Concepts
- •Conditions
- •Holistic View
- •Postural Evaluation
- •Exercises and Self-Treatment
- •The Facial Muscles and Temporomandibular Joint
- •General Concepts
- •Conditions
- •Holistic View
- •Evaluation of the TMJ
- •Exercises and Self-Treatment
- •Head/Face/Jaw Routine
- •Glossary
- •Index

The Lessons
PART
II
75

CHAPTER
an
ac
the e
lelearnene
r
r
App
tissue the
he
py
p
mi
ca
l
fe
at
es
g
e
p
t
op
e rere
co
s
ne
p
tissu
e
t
d
dual clients
dual clients
6
The Fundamentals—Breath and
Support
avi
completed homework, classroom instruction,
is expected to be able to...
t
ly key terms and concepts related to integrated deep
ra
as related to chest, back, and spine
t
Identify anato
ncludin
ony landmarks
uscular and fascial structures
ndangerments or cautionary sites
t
Identify common postural or movement patterns associated
with pain or impaired function of the chest, back, and spin
Use positioning and bolstering strategies that provide
afety and comfort for clients to receive integrated dee
issue therapy to the trunk
of chest, back, and spine,
tice related to Chapter 6 of The Balanced By
Generate within-sc
elevant to the chest, back, a
Safely and effectively perform the integrated dee
herapy routines as described
rganize a single session to address the chest, back, an
spine, using the integrated deep tissue therapy approach,
mized to indivi
t Plan a series of sessions to address whole-body incorpo
ation using the integrated deep tissue therapy approach,
mized to indivi
mmendations for client self-care
The Chest
◗ GENERAL CONCEPTS
The integrated deep tissue therapy series begins with the chest.
Because the overall goal of deep tissue therapy is to bring a
person’s body to a condition of better balance and function,
the logical place to begin is with the breathing mechanism.
It is through the breath that the body receives the oxygen that
is necessary to carry out its vital processes. The first breath we
take marks our entry into this world, and the last breath signals
our departure. How we manage all the breaths in between has
much to do with determining the quality of the lives we lead.
The movement of the breath in and out establishes a
primary rhythm through the body. It represents our general
ability to take in and assimilate, and to give out and let go.
The smooth flow of breath is also crucial to the bodywork
process. During an integrated deep tissue therapy session,
the recipient is called on to accept challenges in stretching
and pressure, to process change, and to let go of stored
tension. If the breath is restricted, this sequence of events is
less effective, and the person cannot derive the full benefits
of the therapy.
Tension in the muscles of the chest inhibits the movement
of the lungs, diminishing the amount of oxygen that is taken
into the body. Decreased access to oxygen affects metabolism
all the way to the cellular level. With less oxygen available,
the body’s connective tissues become thickened: a barrier to
both cellular-level metabolism, and to larger-level muscular
action. Over time, the fascia may constrict our musculature
in a way that limits our interaction with our surrounding environment. Through observation and palpation, the integrated
deep tissue therapist evaluates the patterns of myofascial constriction that limit full breathing capacity, and then focuses
on reducing or eliminating them to allow the unhindered
movement of breath.
The benefits of open, full breathing are many. Contributors
to guarded breathing and muscle resistance often have to do
with the perception of threat. When a person can relinquish
patterns of muscle resistance, overall levels of tension in the
body may subside. At the same time, reducing muscular resistance in breathing allows more access to oxygen, and more
capacity for activity: effort goes down, and energy levels and
endurance may be substantially increased.
76

Chapter 6 The Fundamentals—Breath and Support 77
Free, effortless movement of the breath allows the body to
shed carbon dioxide efficiently, and helps to keep the blood
pressure normalized. The medulla oblongata, a structure in
the brainstem, oversees the size and tone of the blood vessels.
If carbon dioxide is high, the medulla elevates blood pressure
(perhaps with the intended outcome that blood will be delivered
to the lungs more efficiently for the necessary O2–CO2 exchange).
The movement of breath presents a clear picture of how
mood may be reflected in the physical body, and vice-versa,
how a person’s physical state can influence mood or perception of threat. The sense of stress or physical threat raises our
muscle tone, including in the thoracic cavity. Although we are
designed to breathe more deeply when we are under shortterm threat (the better to run away from danger), long-term,
low-grade stress appears to have the opposite effect as the
intercostals become locked, and diaphragm moves more
shallowly, and the scalenes must do more work to raise the
top ribs. This pattern can become ingrained as proprioceptors
interpret it as a normal level of tension. Breathing shallowly
and with resistance then reinforces any sensation of fear or
threat, and the cycle becomes self-fulfilling, even to the point
of hyperventilation and involuntary muscle contractions to
consume dangerously high levels of oxygen in the blood.
By contrast, if a person can drop some of that unnecessary
tension and mindfully expand the thoracic cavity from the
floor (diaphragm), walls (intercostals), and roof (scalenes), the
movement of air in and out becomes more effortless. In this
situation, instead of reinforcing a sense of dread, breathing
can help to create a sense of equilibrium. For this reason, deep
breathing techniques are an important aspect of treatment for
people with anxiety disorders, chronic pain conditions, and for
those with conditions that exacerbate breathing disturbances,
like asthma, chronic bronchitis, and emphysema.
◗ MUSCULOSKELETAL ANATOMY
AND FUNCTION
The chest, or thoracic cage, is one of the three major weight
segments supported by the spine. It consists of 12 pairs of
ribs, the 12 thoracic vertebrae, the costal cartilage, and the
sternum (Essential Anatomy Box 6-1 and Fig. 6-1). The
thoracic portion of the spine is its least moveable segment,
providing a stable attachment for the ribs in the back of the
body. The ribs join the sternum on the anterior side by means
of the costal cartilage. The cylindrical, cage-like design of the
chest forms a protective housing for the heart and lungs. Refer
to Figure 6-1C for an illustration of the bones of the thorax.
The pectoralis major muscle is made up of three overlapping sections that fan across the anterior chest cavity. All
three sections attach on the lateral side of the upper humerus,
on the lateral side of the bicipital groove. The upper section
originates on the medial half of the clavicle and is the most
superficial of the three sections. The middle section attaches
along the sternum. The lower section, which is also the
deepest, attaches to the costal cartilages. The broad, fan-like
arrangement of the pectoralis major fibers allows it to act on
the arm from numerous angles. This design also distributes
force coming from the arm over the entire anterior rib cage,
minimizing impact stress to the thorax.
All three sections of pectoralis major contribute to horizontal
flexion and internal rotation of the arm. In these actions, it
is opposed by the latissimus dorsi, which powerfully extends
the arm. Both muscles work together to adduct the arm, internally rotate at the shoulder, and to lift the thorax toward
the arm in pull-ups. Chronically contracted pectoralis major
muscles are characterized posturally by a collapsed chest, with
the arms drawn forward and rolled inward when hanging at
the sides of the body. The subclavius muscle lies deep to the
clavicular section of the pectoralis major. It attaches on the
first rib and to a groove on the underside of the clavicle. It
fixes the clavicle to the chest wall and depresses it.
Although 46 muscles are involved in the breathing process, the primary breathing muscle is the
dome-shaped muscle is connected to the lower ribs, sternum,
and lumbar spine in a rim around the body. The bases of the
lungs attach to the superior surface of the diaphragm. The
diaphragm forms the floor of the chest cavity and the roof
of the abdominal cavity. The movement of the diaphragm
lowers the floor of the thoracic cavity while other muscles
expand the walls and raise the roof. This causes a vacuum,
and air rushes in to fill the low-pressure area.
diaphragm. This
BOX 6-1 ESSENTIAL ANATOMY | The Chest Routine
MUSCLES
Pectoralis major
Subclavius
Intercostals
Diaphragm
Serratus posterior superior
Serratus posterior inferior
BONES AND LANDMARKS
Ribs
Sternum
Manubrium
Xiphoid process
Sulcus intertubercularis
Locations of vertebrae T1–T3, T11–L2
Clavicle

78 Scheumann’s The Balanced Body: A Guide to the Integrated Deep Tissue Therapy System
Pectoralis major
A
DAR
Subclavius
Pectoralis
minor
External
intercostal
Serratus
posterior
superior
Ribs:
1
2
3
4
5
6
7
8
9
10
s
11
12
DAR
Serratus
posterior
inferior
B
Pectoralis
major
(insertion)
C
5
6
7
8
9
Pectoralis
major (origin)
1
2
3
4
DAR
Manubrium
Xiphoid process
Pectoralis
major (origin)
Sternal
angle
Sternum
FIGURE 6-1 A. Muscles of the chest. B. Posterior
breathingmuscles. C. Muscle attachments on the thorax.
D.The diaphragm.

Central
tendon
Diaphragm
Esophageal
hiatus
Aortic hiatus
Chapter 6 The Fundamentals—Breath and Support 79
Aorta
D
FIGURE 6-1 (continued)
The diaphragm has two main portions (Fig. 6-1D). The
central tendon, which is noncontractile connective tissue,
forms the central roof of the dome and blends with the
pericardium. The central tendon helps the diaphragm to
maintain its shape parachute-like shape.
Surrounding the central tendon are muscular fibers that
are arranged in a radial design like spokes on a wheel. This
muscular portion of the diaphragm consists of two sections,
the crural part and the costal part. The crural portion forms a
muscular extension of the diaphragm that runs in two sections
down the anterior surface of the lumbar spine, attaching on
the vertebral bodies and discs of L1–L3 and on the aponeurotic
arcuate ligament. The crura blend with superior fibers from
the psoas, and form a connection for the breathing apparatus
between the upper and lower spine.
When the diaphragm contracts during the inhalation phase
of breathing, the fibers pull the central tendon downward
toward the crura. As the diaphragm descends, the abdominal
contents are pushed downward and outward; the phrase,
“breathe into your belly” refers to this sense of distension.
The
external intercostal
muscles also contract during inhalation, elevating the ribs—the walls of the thoracic cavity—and
causing the lower portion of the rib cage to lift and expand
laterally. The intercostal muscles attach to adjacent ribs all
the way around the circumference of the rib cage. They are
extensions of the abdominal oblique muscles into the chest
cavity. The fibers of the external intercostals angle obliquely
downward and inward, in the same direction as the external
abdominal oblique muscles.
serratus posterior superior works with the external
The
intercostals to expand the ribcage during inhalation. It lies
deep to the rhomboids in the upper back. Serratus posterior
superior connects the C7–T3 vertebrae and ribs 2–5 at a 45°
downward angle. When the serratus posterior superior contracts,
it lifts the upper ribs, also expanding the walls of the chest.
This muscle can be strained when a person engages in too
much forceful, high chest breathing without incorporating
the abdominal muscles.
The
scalenes
are the final contributors to inhalation: they
pull up on the top ribs, raising the “roof” of the thoracic cavity.
They are relatively minor contributors to healthy breathing,
however, and they will be addressed in Chapter 10, Balancing
the Upper Pole.
When inhalation has reached its peak and comes to a
pause, those muscles relax and the elastin in the lungs pulls
the thoracic cavity back to its original shape. The lungs are
compressed, and air rushes out. To take exhalation even further than the normal passive process, the
internal intercostals

80 Scheumann’s The Balanced Body: A Guide to the Integrated Deep Tissue Therapy System
Left lung
During inspiration
the diaphragm
presses the
abdominal organs
downward and
forward.
During expiration
the diaphragm
rises and recoils
to the resting
position.
contract, causing the ribs to move downward and inward
and assisting in diminishing the size of the lungs. Refer to
Figure 6-2 for a visual representation of the breathing process
(see Box 6-2 The Mechanics of Breathing).
The
serratus posterior inferior
muscle attaches to the
T11 and T12 and the L1 and L2 vertebrae. Its fibers angle
upward at about a 45° angle, mirroring the serratus posterior
superior, to attach to ribs 8–12. It stabilizes the lower ribs,
and it assists in exhalation. Serratus posterior inferior can be
strained during lifting, twisting, and reaching actions, such as
stretching to grasp an item located on a high shelf. Figure 61A and B illustrates the muscles of the chest.
As mentioned previously, many other muscles are involved in the breathing process, assisting in the essential
movements and stabilizing muscles and bones. Full, unrestricted breathing is a full-body phenomenon. The breath
is experienced as a pressure wave moving throughout the
entire body. Watching a small baby breathe demonstrates
this effect beautifully. The deep tissue massage therapist
should be aware of how the client’s body is moving as he
or she breathes, and where the breath is inhibited. The
restoration of full-body breathing is an important goal of
integrated deep tissue therapy.
◗ CHEST ENDANGERMENT SITES
r The xyphoid process is a bony prominence at the inferior
end of the sternum. It overhangs the liver, and any sharp,
downward pressure at this site may cause a bone fracture
and liver damage.
r The floating ribs are not connected to the rest of the rib
cage by way of costal cartilage. Careless massage may
Left lung
FIGURE 6-2 Mechanics of normal breathing:
during inhalation the diaphragm pushes
the abdominal contents downward, while
the external intercostals, serratus posterior
superior, and scalenes lift and expand the
ribcage. During exhalation, the diaphragm
relaxes and rises, while the ribcage returns to
its original shape.
create an uncomfortable sensation by pinning soft tissues
on the points of the floating ribs (see Fig. 6-3).
BOX 6-2 | The Mechanics of Breathing
Breathing is a vital and complex activity that
involves not only all the bones and muscles of
the chest area but also accessory muscles in the
abdomen, shoulder girdle, and neck. These muscles must be free to do the coordinated actions
necessary to achieve full breathing with minimal
resistance.
The act of inhalation is carried out primarily by
the diaphragm, the external intercostal muscles
with the serratus posterior superior, and the scalenes. The act of exhalation is mostly a function
of the elastin fibers that permeate the lungs:
when the inhalation pauses, they recoil and bring
the lungs (and the attached walls of the thoracic
cavity) back into their original size. Extra exhalation, beyond this passive recoiling mechanism, is
a function of the internal intercostals, transversus
abdominus and serratus posterior inferior.
The breathing mechanism is so efficient that
a healthy person at rest invests only 5% of his
or her energy into the act of providing enough
oxygen for the needs of every cell in the body.
But when we develop resistance in the system
through disease or inefficient muscular patterns, then the act of breathing claims a much
larger portion of our resting energy.

Chapter 6 The Fundamentals—Breath and Support 81
◗ CONDITIONS
1.
Asthma is a respiratory disorder that is characterized
by episodes of difficulty in breathing accompanied by
coughing and a build-up of mucus secretion. Asthma
involves permanent inflammation of the bronchial tubes
and excess mucus production, and transient attacks are
triggered by allergens, strenuous exertion, a sudden
change in temperature, or emotional factors. Massage
may be beneficial if the client is comfortable; be sure
to use hypoallergenic lubricant and avoid any scents or
perfumes in the treatment room. Massage therapy may
help to expel excess mucus (with tapotement on the
ANTERIOR TRUNK
Common
carotid
artery
Internal
jugular vein
2.
Thyroid cartilage
Thyroid gland
Trachea
thorax), reduce tension in the chest muscles, and reduce
stresses that may contribute to attacks.
Chronic obstructive pulmonary disease (COPD) is a
condition in which the lungs are damaged due to genetic
predisposition, or long-term exposure to irritants. This
condition is often, but not always, related to smoking.
COPD has two main components: chronic bronchitis
and emphysema. In chronic bronchitis the tiny bron-
chioles that lead into the alveoli are irritated and filled
with mucus. In emphysema, the alveoli are over-inflated.
They may fuse together into larger bubbles, called
bullae. Emphysema interferes with breathing because
these bullae reduce surface area in the lungs, so less
Liver
Ascending
colon
Sigmoid
flexure
Xiphoid
process
Spleen
Floating
rib
Descending
colon
Anterior superior
iliac crest
Inguinal
ligament
FIGURE 6-3 Endangerment sites of
the chest.

82 Scheumann’s The Balanced Body: A Guide to the Integrated Deep Tissue Therapy System
oxygen can enter the blood, and less carbon dioxide
can leave. Breathing exercises and massage that focuses
on reducing resistance in the breathing muscles may
be helpful for people with COPD, if the condition is
not too advanced.
3.
Acute bronchitis is an inflammation of the tubes leading
from the trachea to the lungs in the upper respiratory
tract. It is usually a bacterial infection that arises as
a complication of cold or flu. It is typically short in
duration, but can be severe. It is accompanied by
coughing and heavy mucus production, along with a
low-grade fever and constriction behind the sternum.
Because it is an infection, it contraindicates massage
until the symptoms subside and the patient starts to
expel built-up mucus.
4.
Pneumonia is any infection of the lungs. It can be caused
by viruses, bacteria, or other agents. Pneumonia can be
contagious, and in some cases it can be life-threatening:
it is the leading cause of death by infection in the United
States. It contraindicates massage therapy until the patient
is in recovery, at which point they may benefit from any
work that helps to restore strength and vitality.
5.
Pleurisy is inflammation of the pleurae, the membranes
covering the lungs. It causes the visceral and parietal
layers of the pleurae to stick together, which drastically
limits movement within the thoracic cavity. It causes
difficulty in breathing and sharp pain under the ribs and
extending into the abdomen. Pleurisy contraindicates
massage therapy until the contributing factors have
been resolved.
6. Rib fractures are broken bones, and best left alone until
the bones have healed. They usually heal easily, but
taping is sometimes required.
See Appendix A for more information on these conditions.
◗ POSTURAL EVALUATION
1.
Describe the general shape of the chest (see Fig. 6-4A–C).
r Do the right and left halves match?
r Are the upper and lower portions symmetric?
2. Check the position of the sternum.
r Is it lifted?
r Is it depressed?
3. Observe the position of the ribs.
r Where do the ribs appear to be squeezed together?
r Where are the spaces between the ribs expanded?
4. Observe the breathing pattern.
r Which phase of breath (inhalation or exhalation) is
favored, if any?
r
Which portions of the chest appear to move easily
with the breath?
r Which portions of the chest appear to be rigid and
not moving with the breath?
5. Look at the region of the diaphragm, at the level of the
lower ribs.
r Are the lower ribs spread apart and pulled up?
r Do the lower ribs appear to be relaxed and hanging
downward?
r Are the lower ribs squeezed or drawn together?
Refer to Table 6-1 for a description of common distortions
of the chest and possible muscles involved.
◗ EXERCISES AND
SELF-TREATMENT
1.
Stretch for the Pectoralis Major Muscles. Stand in a
doorway with your arms spread apart and your hands
or forearms resting against the sides of the door frame
HOLISTIC VIEW
“I need to get something off
my chest”
he chest serves as a container for the heart, and we
identify the heart with feeling, especially with our ca-
T
pacity to experience and radiate love. Love is considered
to be a warm emotion. It is often associated with fire.
We feel the fires of passion burning, or the warm glow
of a smoldering ember in our chest when we are in love.
When the chest is open, our feeling expands outward to
others and is returned to nourish our heart center.
A chest that is tight, closed, and shut off squeezes
the heart, and reduces its capacity to produce warm,
loving emotions. The fire has died, and we are left with
the experience of cold-heartedness: the absence of both
happiness and sadness.
When we let go of chronic tightness in the muscles of
the chest cavity, we often feel an energizing of the heartfelt emotions. Tears may accompany the reconnection to
the capacity for joy, sadness, affection, and intimacy.
The outward, expansive movement of the body that
accompanies inhalation represents our capacity to give
outwardly of ourselves, to share. The inward, contractive
movement of expiration denotes our ability to receive, to
surrender, to take in.
Balance of the mind/body system is reflected in a full,
integrated breathing rhythm that allows us to shift easily
between these two phases. The rib cage and abdomen
are mobile, with the ability to change shape and size
easily.
¢

A CB
FIGURE 6-4 Postural evaluation: anterior chest.
Chapter 6 The Fundamentals—Breath and Support 83
TABLE 6-1 | Body Reading for the Chest
Muscles That May Be
Postural Patterns
Overexpanded chest—the
sternum is lifted, ribs are
expanded, shoulders drawn
back
Hollow chest—the sternum
is depressed, upper ribs are
compressed, shoulders are
pulled forward
Shortened
Scalenes
External intercostals
Rhomboids
Pectoralis major
Pectoralis minor
Subclavius
Internal intercostals
Anterior deltoid
Diaphragm
Rectus abdominus
(Fig. 6-5). Shifting your weight forward from your pelvis,
allow the back to arch slightly and the chest to lift and
stretch. Breathe deeply. Positioning the arms higher or
lower along the sides of the door frame will alter the
muscle fibers being stretched.
2. Stretch for the Chest and Abdomen. Lie on your back
across a bed with your midthoracic spine on the side
edge of the mattress so that your upper body can hang
down toward the floor, with the arms extended. Take
deep breaths. Alternative surfaces are an exercise ball
(Fig. 6-6), the arm of a large couch, or several blankets
rolled up tightly into the shape of a cylinder at least
18 inches in diameter and fastened with belts or rope.
3.
Self-Massage for the Contracted Diaphragm and Serratus
Posterior Muscles. Lie on your back on the floor. Place
FIGURE 6-5 Using a door frame to stretch the pectoral muscles.

84 Scheumann’s The Balanced Body: A Guide to the Integrated Deep Tissue Therapy System
two tennis balls on either side of the low back, at the level
of the 12th rib. Slowly allow your weight to sink into the
balls as you relax, and breathe fully.
◗ CHEST ROUTINE
FIGURE 6-6 Stretching the chest
and abdominal muscles.
Objectives
r To restore the chest cavity to its full volume
r To resolve inhibiting factors in the breathing muscles
r To integrate effective breathing patterns
r To realign the shoulders and ribs
Energy
POSITION
r
The client is lying supine on the table, with a bolster
under the knees.
r The therapist is standing at the side of the table next to
the client’s chest.
POLARITY
The left palm is placed over the manubrium, and the right
palm slides under the back and is positioned between the
shoulder blades. Envisioning the smooth, pump-like motion
of the lungs, the therapist’s hands move in accordance with
the rising and sinking of the client’s thorax with each breath.
The position is held for at least 1 minute, allowing the client
time to relax and focus on the breath.
SHIATSU
Moving to the head of the table, the therapist presses
the finger pads into the intercostal spaces on both sides
of the upper chest simultaneously to stimulate points on
the lung, stomach, and kidney channels (Fig. 6-7). The
fingers move to different spaces, covering the upper chest
DAR
FIGURE 6-7 Fingertip compressions of the intercostal spaces.
area thoroughly. Each set of fingertip compressions is held
for the length of the client’s exhalation and is released as
the client inhales.
Swedish/Cross-Fiber Massage
1.
Shingles Stroke on the Pectoralis Major Muscles. The
therapist stands on the side of the table at the client’s
shoulder level. One hand is placed on the opposite side
of the upper chest from the side on which the therapist
is standing, with the heel of the hand against the sternum
and the fingers facing the client’s shoulder. Perform short,
alternate strokes with the palms across the chest to the
client’s shoulder. Repeat several times.
2.
Petrissage Strokes on the Pectoralis Major Muscles. Each
side of the chest may be worked individually, or both
sides may be worked simultaneously.
3.
Fingertip Raking Across the Upper Chest Muscles. Slide the
fingers in both directions perpendicular to the direction
Соседние файлы в папке Библиотека им академика М.И. Перельмана
