1. Sports/Deep Tissue Massage for the back
Swedish Technique Class
Sports/Deep Tissue Massage for the back

2. Demo Of The Back
Please get out the written routine for Sports/DT for the back

3. Massage of the Back
Establish contact at the sacrum and occiput, and relax.
Effleurage the whole back to apply oil, warm, and soften (3-6 times).

4. Massage of the Back
While effleuraging down the back, transition to the side, and begin to pull and wring up the opposite side, up to and including the shoulder girdle.
NEW STROKE – Pulling across upper trapezius/levator, uphill hand accentuates the pressure on the upstroke, as the downhill hand simulataneously presses the shoulder girdle to the table and laterally.
Return to the head of the table and effleurage the whole back.
Repeat starting from the opposite side of the table.

5. Massage of the Back
Move to side, face up table and support client’s shoulder girdle with your outside hand. Apply circular effleurage up medial to the scapula, out over the top, and down posterior axilla – also effleurage out the scapula (medial to lateral) – NEW – after warming the muscles on the scapula with effleurage, move arm off the table and use the fist of your inside hand (as you face up the table) to effleurage more deeply out teres minor and infraspinatus, then emphasize the knuckles to strip.

6. Superficial Muscles of the Body, cont'd (p. 489)
Copyright © 2012, 2007, 2003, 1999 by Saunders, an imprint of Elsevier Inc. All rights reserved.

7. Massage of the Back
Apply lubricant to the arms. Facing down the table, knead back of neck and upper trapezius. Facing up the table, knead deltoids and triceps - NEW – while kneading, use the thumbs to friction across the tendons of teres minor and infraspinatus which are deep to the posterior deltoid.

8. Massage of the Back
NEW – Apply brisk compressive effleurage to triceps. Downhill hand grasps gently under bicep to stabilize the shoulder while other hand performs the effleurage.
Return arm to table and full down the arm and squeeze the hand.

9. Massage of the Back
Standing at the head facing down the table, NEW – use inside forearm to stroke up across upper trapezius with firm pressure and up tempo, doing enough repetitions to warm the muscle, then - compress your thumb tips into upper trapezius – move the skin and superficial fascia towards the ceiling, then towards the table, with moderate pressure into the deeper layers. Work your way from base of neck to acromion process – NEW – searching for knots/trigger points/adhesions, and pausing to melt in where called for.

10. Massage of the Back
Using –NEW – fist/knuckles of inside hand, strip out upper trapezius .

11. Massage of the Back
Using –NEW – fist/knuckles of inside hand, strip out upper trapezius .
NEW – using thumb or reinforced fingertips, apply cross fiber friction to the levator scapula insertion, then melt into the insertion.

12. Massage of the Back
With your lateral hand on the skin, covered by your medial hand, apply circular effleurage down the middle, around the bottom, up the side, and across the top of the scapula.

13. Massage of the Back
NEW – Use the fingertips of one hand, backed up by the other, to rake up and down across the rhomboid fibers mixing superficial and deep friction as seems appropriate.

14. Massage of the Back
Strip out the rhomboids, pausing slightly to melt into the insertions at the end of each stroke.
With your lateral hand on the skin, covered by your medial hand, apply circular effleurage again, down the middle, around the bottom, up the side, and across the top of the scapula.

15. Massage of the Back
NEW – Facing down the table, outside hand slides under the head of the humerus to control (retract) the shoulder girdle, while the inside forearm (proximal ulna/elbow) effleurages slowly and deeply along the rhomboid insertions, in the groove between the medial border and the ribs.

16. Massage of the Back
NEW Use brisk superficial friction and wringing to warm mid and low back on this side.

17. Muscles of the Trunk and Vertebral Column (p. 561)
Copyright © 2012, 2007, 2003, 1999 by Saunders, an imprint of Elsevier Inc. All rights reserved.

18. Paraspinals (p. 565)
Paraspinals is the term given to a collection of back muscles.
These can be divided into a deep and superficial set. Deep paraspinals are called transversospinalis and consist of semispinalis, rotatores, and multifidus. Superficial paraspinals are called erector spinae muscles, which consist of spinalis, longissimus, and iliocostalis.
Copyright © 2012, 2007, 2003, 1999 by Saunders, an imprint of Elsevier Inc. All rights reserved.

19. Massage of the Back
NEW - Then, standing at the head, facing down the table, use inside forearm (proximal ulna) to effleurage slowly and deeply down the back in two passes.

20. Massage of the Back
NEW First pass is the more medial, with pressure applied to the erector spinae just lateral to the spinous processes. Forearm stays mostly parallel to the spine on this stroke. It continues down between the PSIS and the sacral spines, as far as the draping will permit.

21. Massage of the Back
NEW - Second pass is more lateral, running just medial to the scapula. Forearm becomes more at a right angle to the spine once it clears the upper trap. This stroke continues down to cover the lateral edge of the lower erectors, and on down across the iliac crest (use the fleshy mass of your flexors to cushion the bones) as far as the draping permits.

22. Quadratus Lumborum (p. 564)
O: Posterior iliac crest
I: Rib 12, transverse processes of L1-L4
Also known as the “hip hiker muscle,” quadratus lumborum (QL) “hikes” the hip.
Actions: Laterally flexes the vertebral column, elevates the hip, extends the lumbar spine, and anteriorly tilts the pelvis.
Copyright © 2012, 2007, 2003, 1999 by Saunders, an imprint of Elsevier Inc. All rights reserved.

23. Massage of the Back
NEW - Facing the table from the side, use the forearm of your upper arm to lean some pressure into and effleurage down (towards the table) across the lateral aspect of the erectors/quadratus lumborum/mutifidus (between the 12th rib and the iliac crest).

24. Massage of the Back
Moving to the side, apply figure 8 stroke over the lumbar area, sacrum and upper gluteals
Full effleurage of the whole back.
Repeat from the beginning on the other side of the back.
End with tapotement and nerve strokes