14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the...
-
Upload
gabriel-harmon -
Category
Documents
-
view
214 -
download
0
Transcript of 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the...
![Page 1: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/1.jpg)
14-1
Kinesiology for Manual Therapies
Chapter 14
The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 2: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/2.jpg)
14-2
Learning Outcomes
o 14-1 Define key terms.o 14-2 Explore on a partner the origins and insertions of the muscles of the head and neck specific to this chapter.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 3: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/3.jpg)
14-3
Learning Outcomes (cont.)
14-3 Organize and list the agonists and antagonists that produce and oppose the movements of the head and neck.
14-4 Review general pathologies and conditions of the muscles of the head and neck.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights © 2011 by The McGraw-Hill Companies, Inc. All rights reservedreserved
![Page 4: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/4.jpg)
14-4
Learning Outcomes (cont.)
14-5 Discuss a treatment protocol for conditions of torticollis, stiff neck, whiplash, and tension headache.
14-6 Demonstrate safe body mechanics.
14-7 Practice specific techniques on the head and neck muscles.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights © 2011 by The McGraw-Hill Companies, Inc. All rights reservedreserved
![Page 5: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/5.jpg)
14-5
Learning Outcomes (cont.)
14-8 Incorporate dimensional massage therapy techniques in a regular routine or use them when needed.
14-9 Determine safe treatment protocols and refer clients to other health professionals when necessary.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights © 2011 by The McGraw-Hill Companies, Inc. All rights reservedreserved
![Page 6: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/6.jpg)
14-6
Introduction
This chapter offers a close look at the structure and movement of the head and neck, specific information on pertinent muscles, injuries and overuse syndromes, and nerve complaints. Treatment protocol and dimensional massage techniques for individuals with tension headaches are outlined for practice.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 7: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/7.jpg)
14-7
Structural Perspectives of the Head and Neck
The head weighs 10-13 pounds and perches on 7 cervical vertebrae and is supported by muscles, tendons, and ligaments. Head and neck actions are complicated by the weight of the head and gravity.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 8: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/8.jpg)
14-8
Structural Perspectives of the Head and Neck (cont.)
The posterior cervical muscles work hard to combat and oppose flexion in extension. The muscles of the head and neck are in constant states of concentric and eccentric contraction depending on the position of the head.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 9: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/9.jpg)
14-9
Structural Perspectives of the Head and Neck (cont.)
Analyzing the actions of the muscles, the agonists, synergists, antagonists, and stabilizers are important to taking a dimensional approach to the head and neck region.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 10: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/10.jpg)
14-10
The Muscles
Muscles listed are involved in tension headaches, stiff necks, and postural problems. Refer to Chapter 4 and review the muscles of the shoulder girdle.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 11: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/11.jpg)
14-11
The Muscles (cont.)Trapezius
The upper and lower trapezius acts as its own agonist and antagonist. It provides a connection between the thoracic region and the head and works to bilaterally extend the head. The weight of the extremities pulls on the trapezius.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 12: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/12.jpg)
14-12
The Muscles (cont.)Levator Scapulae
The levator scapulae elevates the scapula. Repetitive action of elevating the scapula could result in a pull on the cervical vertebrae affecting the curve. The muscle’s hypertonicity could contribute to tension headaches and stiff necks.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 13: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/13.jpg)
14-13
The Muscles (cont.)Rhomboids
Rhomboids lengthen with rounded shoulders and head-forward postures. This posture puts a lot of stress on the posterior cervical muscles leading often to tension headaches.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 14: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/14.jpg)
14-14
The Muscles (cont.)Splenius Capitis and Splenius Cervicis
These muscles work both bilaterally and unilaterally. Splenius capitis rotates the head to the same side and assists the SCM in lateral flexion. Both muscles extend the head bilaterally.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 15: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/15.jpg)
14-15
The Muscles (cont.)Splenius Capitis and Splenius Cervicis
Splenius cervicis torques on the cervical spine. These muscles have the unique ability to rotate the head while other side extends the neck. Both muscles are involved in whiplash injuries, tension headaches, and stiff necks. McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 16: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/16.jpg)
14-16
The Muscles (cont.)Longissimus Capitis
The longissimus capitis is part of the erector spinae network. It bilaterally extends the head and unilaterally flexes and rotates the head to the same side. It is layered beneath the splenius capitis and SCM making a tender area near the occipital bone.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 17: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/17.jpg)
14-17
The Muscles (cont.)Semispinalis Capitis and Cervicis
The semispinalis capitis cushions the trapezius and together they both support the head with extension. The semispinalis capitis can entrap the greater occipital nerve as it travels to the scalp.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 18: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/18.jpg)
14-18
The Muscles (cont.)Rotatores and Multifidi
The rotatores and multifidi are deep paraspinal muscles. Bilaterally they help extend the spine and unilaterally they help rotate the spine to the opposite side. The multifidi contribute to lateral flexion.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 19: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/19.jpg)
14-19
The Muscles (cont.)Suboccipitals
The suboccipitals provide support for the 1st and 2nd cervical vertebrae and are the deepest layer of muscles in the posterior neck. Rectus capitis posterior minor extends the head bilaterally and is often a source of tension and soreness.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 20: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/20.jpg)
14-20
The Muscles (cont.)Occipitofrontalis
The occipitofrontalis is a combination of the frontalis and occipitalis. The posterior cervical muscles affect the tension of the occipitofrontalis through the connection at the occiput.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 21: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/21.jpg)
14-21
The Muscles (cont.)Temporalis
The temporalis is shaped like a shell and covers the side of the head extending superiorly above the ears. It can develop trigger points in individuals with tension headaches and those who suffer from temporomandibular joint (TMJ) syndrome.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 22: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/22.jpg)
14-22
The Muscles (cont.)Sternocleidomastoid
SCM bilaterally flexes the head, laterally flexes to the same side, and rotates to the opposite side. It extends the head bilaterally at the atlanto-occipital joint. It shares the accessory nerve with the trapezius.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 23: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/23.jpg)
14-23
Injuries and Overuse SyndromesWhiplash
Whiplash is an injury resulting from a sudden impact that causes a violent hyperextension of the head and neck followed by hyperflexion and perhaps an additional hyperextention. Muscles involved may include the SCM, scalenes, longus colli, suboccipitals, splenis capitis and cervicis, levator scapulae, and many posterior cervical muscles.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 24: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/24.jpg)
14-24
Injuries and Overuse Syndromes (cont.)Torticollis
Torticollis or wry neck refers to a spasmodic contraction of the neck muscles mostly the trapezius and sternocleidomastoid, as they both share the spinal accessory nerve. Clients with torticollis need a diagnosis and it may or may not be contraindicated for massage therapy.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 25: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/25.jpg)
14-25
Injuries and Overuse Syndromes (cont.)Headaches
A headache is defined as a diffuse pain in various areas of the head where the pain is not confined to the distribution of a nerve. There are 13 different classifications of headaches and two basic categories that physicians use for diagnosis.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 26: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/26.jpg)
14-26
Injuries and Overuse Syndromes (cont.)Headaches
The primary category includes classifications of migraine, tension-type, and cluster headaches. The secondary category includes headaches associated with structural lesions, trauma, vascular disorders, nonvascular intracranial disorders, substances or withdrawal from them, metabolic disorder, facial and cranial pain, and cranial neuralgias.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 27: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/27.jpg)
14-27
Injuries and Overuse Syndromes (cont.)Headaches
Tension headaches can be caused by shoulder tension as a result of repetitive action and/or posture. The Touch Research Institute has shown that massage between headache episodes can reduce the number of headaches, decrease pain intensity, lower stress hormone levels, increase regular sleep patterns, and increase serotonin levels.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 28: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/28.jpg)
14-28
Other Soft-Tissue IssuesStiff Neck
The stiff neck is a catchall for limitations in neck movements. Causes include: sleep positions, posture, repetitive actions, compensatory changes from other injuries, and postoperative and viral infections.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 29: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/29.jpg)
14-29
Nerve ComplaintsOccipital Nerve Entrapment
Occipital nerve entrapment occurs when the greater occipital nerve becomes entrapped by semispinalis capitis and subsequently the trapezius. Sufferers complain of numbness, pain, and tingling in the back of the head.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 30: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/30.jpg)
14-30
Nerve ComplaintsScalenes
Scalenes are anterior cervical muscles that insert into the 1st and 2nd ribs. The are synergists to the SCM and are involved in respiration. They also surround the brachial plexus and are capable of entrapping the plexus.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 31: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/31.jpg)
14-31
Arthritis, Osteoarthritis, Degenerative Disk Disease, and Cervical Subluxations
Pain, numbness, and tingling with passive movement may help distinguish a problem in the cervical region. If a cervical involvement is suspected it is appropriate to refer.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 32: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/32.jpg)
14-32
Unwinding the Muscles of the Head and Neck
Relieving the tension in the head, neck, and shoulders helps to balance the head on the neck, assists with appropriate postural alignment, supports chiropractic adjustments, increases range of motion, and reduces pain and/or soreness.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 33: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/33.jpg)
14-33
Unwinding the Muscles of the Head and Neck (cont.)
Use the headache questionnaire in the Appendix for individuals complaining of tension headaches. Do not treat a client who is experiencing a migraine during treatment time. Refer clients who present with a headache and high blood pressure.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 34: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/34.jpg)
14-34
Unwinding the Muscles of the Head and Neck (cont.)
Do not work with a new client who is experiencing a headache - reschedule. Successfully working with clients with headaches requires a careful approach, complete information, good observation skills, critical thinking, excellent palpations, and appropriate techniques. Review Treatment Protocol.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 35: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/35.jpg)
14-35
Sequence for a Tension Headache
No heavy smells or scented lubrications Use a fairly dark unlit room No music Leave time for the client to rest Use a cervical roll at the end of the treatment Support the client with comfort and appropriate bolster
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 36: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/36.jpg)
14-36
Dimensional Massage Therapy for the Muscles of the Head and Neck
Center yourself well Wash your hands well Start supine Begin with soft soothing strokes on the face Check the shoulders for roundness, palpate hypertonic tissue, passively shorten muscles
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 37: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/37.jpg)
14-37Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension HeadacheCircular Friction on the Frontalis
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 38: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/38.jpg)
14-38Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension HeadacheCircular Friction on the Temporalis
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 39: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/39.jpg)
14-39Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension HeadacheHolding Techniques
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 40: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/40.jpg)
14-40Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension HeadacheHolding Techniques
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 41: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/41.jpg)
14-41
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension HeadacheCircular Friction on the Occipitofrontalis and Scalp
Muscles
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 42: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/42.jpg)
14-42
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension HeadacheCircular Friction on the Occipital Ridge
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 43: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/43.jpg)
14-43
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension Headache Alternating-Hands Neck Stretch
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 44: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/44.jpg)
14-44
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension Headache Hands Under the Back
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 45: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/45.jpg)
14-45
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension Headache Hands Under the Back
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 46: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/46.jpg)
14-46
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension Headache Edging the Upper Trapezius
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 47: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/47.jpg)
14-47
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension Headache Effleurage Around the Shoulders
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 48: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/48.jpg)
14-48
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension HeadachePetrissage of the Trapezius
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 49: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/49.jpg)
14-49
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension HeadacheOpposite-side Petrissage of the Trapezius
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 50: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/50.jpg)
14-50
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension HeadacheClosed-Palm Shaping
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 51: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/51.jpg)
14-51
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension HeadacheCervical Work
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 52: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/52.jpg)
14-52
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension HeadacheNeck Stretch to Side
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 53: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/53.jpg)
14-53
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension HeadacheThe Neck Rock
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 54: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/54.jpg)
14-54
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension HeadacheTreating the Sternocleidomastoid
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 55: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/55.jpg)
14-55
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension HeadacheStripping the Scalenes Starting Position
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 56: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/56.jpg)
14-56
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension HeadacheStripping the Scalenes End Stroke
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 57: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/57.jpg)
14-57
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension HeadacheTreating the Deeper Posterior Cervical Muscles
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 58: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/58.jpg)
14-58
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension Headache
Treat the rectus capitis posterior minor and major and other suboccipitals. Finish with effleurage around the client’s shoulders. Place a cold cloth over the eyes and a cervical roll under the neck. Allow the client to rest for a period of time.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 59: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/59.jpg)
14-59
Dimensional Massage Therapy for the Muscles of the Head and Neck (cont.)
Techniques During a Tension HeadacheCervical Roll
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 60: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/60.jpg)
14-60
Chapter Summary
This chapter discussed the structural perspectives of the head and neck and discussed specific muscles that should be treated for soft-tissue problems. Injuries and overuse syndromes including whiplash, torticollis, and tension headaches was discussed.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 61: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/61.jpg)
14-61
Chapter Summary (cont.)
Soft-tissue issues and nerve complaints were explored. Arthritis, osteoarthritis, degenerative disk disease, and cervical subluxations were reviewed.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 62: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/62.jpg)
14-62
Chapter Summary (cont.)
Treatment protocol and sequence of the muscles of the head and neck areas were outlined for unwinding these muscles.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 63: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/63.jpg)
14-63
Chapter Summary (cont.)
Dimensional Massage Therapy techniques for the muscles of the head and neck were depicted for the supine position.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 64: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/64.jpg)
14-64
Chapter Review
The Chapter Review is divided into true and false, short answers, and multiple choice questions. The questions are designed for the students to test their knowledge.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 65: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/65.jpg)
14-65
Explore and Practice
Activities in this section are for practice and demonstration. Every opportunity should be utilized to locate muscular attachments on as many different bodies as possible to support kinesthetic learning.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved
![Page 66: 14-1 Kinesiology for Manual Therapies Chapter 14 The Balancing Act: Structural Perspectives of the Head and Neck and Dimensional Massage Techniques McGraw-Hill.](https://reader035.fdocuments.us/reader035/viewer/2022062517/56649f255503460f94c3bf43/html5/thumbnails/66.jpg)
14-66
Explore and Practice
Use the muscle cards and book in technique classes, for log hours, or for case studies for reference purposes.
McGraw-Hill McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc. All rights reserved© 2011 by The McGraw-Hill Companies, Inc. All rights reserved