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ASHA - Swedish Massage, study for mid-term

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Answer
The four components of touch   Sensation, Energy & Emotion, Meaning, & Beliefs  
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professional touch   skilled and done for compensation; done to promote healing  
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casual touch   common everyday touch, both intentional and unintentional  
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Hippocrates   Father of medicine  
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Julius Caesar   used massage to relieve neuralgia and prevent epileptic attacks  
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Ambrose Pare   used massage techniques to promote wound healing after surgery  
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Per Henrick Ling   The Father of Swedish massage.  
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Ray Nimmo, D.C.   taught triggerpoint therapy  
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Ida Rolf   founded the Guild of Structural Integration  
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Dr. Johann Mezger   credited with making massage a functional component of physical rehabilitation  
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Dr. Johann Mezger   introduced the terminology we use for massage today  
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Charles and George Taylor   introduced the Ling System to the United States  
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Dr. Charles Mills   a prominent neurologist and massage advocate in Philadelphia; levied sharp criticism concerning the uneven quality of massage practitioners  
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Paul St. John   studied neuromuscular therapy under Nimmo at Palmer College of Chiro. Later developed NMT as taught at A.S.H.A.  
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Dr. Wilhelm Reich   settled in U.S. considered to be the founder of psychotherapeutic bodywork. Bio energetics is based on his work.  
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Leon Chaitow, D.O.   one of the osteopaths in Europe to develop Muscular Energy Techniques  
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Dr. John Kellogg   founder of Battle Creek Sanitatium; wrote dozens of articles and 2 textbooks on the use of massage and hydrotherapy  
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Dr. Tiffany Field   founded The Touch Research Institute  
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Francis Tappan & Gertrude Beard   Wrote articles & books on massage techniques.  
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Melzak   Proposed a theory on endorphin release and hyper stimulation analgesia  
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Dr. Jim Gabriel   Founded the Academy of Somatic Healing Arts (A.S.H.A.); ASHA's curriculum was the first to include NMT & an in-depth study of three major massage techniques - Swedish, Sports, and NMT.  
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Effleurage - movement   long, gliding strokes using flat palms, fingers, thumbs, forearms or back of hands  
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Effleurage - purpose   Open or close a massage, spread lubricant, warm the tissue, introduce client to therapist's touch, increase circulation, prepare the body for deeper work.  
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Effleureage - effect   Relaxes the nervous system, increases blood and lymph, slow strokes produce a soothing effect, faster strokes produce stimulating effect.  
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Petrissage - movement   kneading, wringing, gentle squeezing of the tissue.  
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Petrissage - purpose   used to reach deeper muscles, milking toxins and stimulating muscle function.  
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Petrissage - effect   stimulates the nervous system, softens fascia, reduces fatigue and muscle tension, increases circulation, improves muscle tone, increases muscular elasticity  
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Friction - movement   small deep circular/back and forth motion which moves the tissue beneath the skin over the muscles to produce heat. Tips of fingers, thumbs, elbows, heel or side of hand are used.  
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Friction - purpose   to stimulate nerve endings, relaxing muscle contraction and spasms; Stimulate scar tissue  
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Friction - effect   breaks down adhesions.  
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Tapotement - movement   Series of brisk blows done rhythmically using alternating hands or wrists relaxed.  
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Tapotement - purpose   Used to illicit a reflective response from the nerve, muscle, tendon joint, or other point in order to stimulate that specific point. To loosen mucus.  
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Vibration - movement   Shaking, trembling, oscillating, and jostling using fingertips or flat palms, either 1 or 2 handed alternating.  
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Vibration - purpose   to dissipate any pain after deep work.  
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Vibration - effect   Stimulate or soothe the nervous system.  
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Joint mobilization - movement   Extending, flexing, taking limb through range of motion. This may be done with client assistance, resistance, or passive participation.  
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Joint mobilization - purpose   To increase range of motion.  
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Joint mobilization - effect   Reduces stiffness in joints, increases freedom in joint, opens energy blockages.  
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Energy - movement   The movement of energy is encourage through the use of focused intent. Therapist places hands over major body centers.  
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Energy - purpose   Creates a connection between therapist and client.  
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Energy - effect   Relaxes, soothes, and calms the psyche.  
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Basic Massage Strokes   Effleurage, Petrissage, Friction, Touch, Vibration, Joint Mobilization, Energy Hold  
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Massage Pressure sequence   light to deep to light  
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Effleurage variations   single hand; double hand; support hand; surrounding grasp; loose fist; single forearm; double forearm  
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Petrissage - variations   wringing; single hand; double hand; compression; fist/hand; double fist  
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Friction - variations   stabilized finger; stablilzed hand; thumb; double thumb; elbow  
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Effleurage - element   water - think of flowing movement as a stream of water, easily flowing around obstacles constantly being shaped by the container  
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Effleurage - pressure   very light to firm; care should be taken to begin lightly and gradually become more firm  
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Petrissage - element   air - think of lifting the muscle up and into the air and giving it room to breathe.  
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Petrissage - pressure   firm pressure is recommended to begin working; progressing to deeper pressure if indicated and client can receive it.  
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Friction - element   fire - think of creating and stimulating the release of the energy of life.  
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Friction - pressure   begin gently and gradually increase until the sensation of heat or slight discomfort is felt.  
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Tapotement - effect   stimulate the nervous system through repetitive, direct nerve response.  
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Tapotement - element   earth - think of sinking deeper and deeper into the earth, being very grounded and feeling more and more in your body.  
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Tapotement - pressure   pressure is determine by speed and frequency. Strong attention to the force of impact and the depth to which you intend to affect. Most important is the softness of the fingers, hands, wrists, and elbows, and the point from which this stroke originates.  
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Tapotement - variations   hacking, cupping, slapping, pounding, tapping, plucking  
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Vibration - variations   finger, palm, lift and shake, traction and shake, rocking  
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Vibration - element   ether - think of dissolving the muscle distress into the ethers, freeing up and creating space within the muscle to move and function more efficiently.  
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Vibration - pressure   determined more in terms of speed, frequency and duration, with emphasis placed on consistent and rhythmic application  
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Joint mobilization - variations   passive - therapist moves limb or joint while the client remains passive with muscles completely relaxed; active - client moves the limb or joint with or without assistance; resistive - either client or therapist resists while the other initiates action  
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Joint mobilization - element   has qualities of all elements, primarily Air and Earth, as it opens and creates space for breath within the joint and so encourages grounding in the joints.  
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Energy - element   ether  
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Energy - pressure   no pressure  
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Draping, reasons for   modesty, comfort, and warmth  
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components of touch   Sensation, Energy and Emotion, Meaning, and Beliefs  
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five types of touch   Casual Touch, Therapeutic Touch, Professional Touch, Appropriate Touch, Inappropriate Touch  
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Casual Touch   common, everyday touch that is either accidental or intentional, but without the intention to heal or affect a healing effect.  
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Therapeutic Touch   touch that has a healing effect whether it is intentional or not, whether it is performed by a professional or not.  
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Professional Touch   touch performed by a professional with the intent to have a healing effect; skilled touch delivered as specific service for which the professional is compensated; honors appropriate personal and professional limits and boundaries.  
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Appropriate Touch   touch that is welcome and/or tolerated and is well-intentioned; touch that is helpful, healing, empowering, comforting, encouraging, or nurturing is always appropriate.  
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Inappropriate Touch   contact that is intentionally or unintentionally harmful, hurtful, disempowering, domineering, or unwanted; can be hostile, aggressive, intentionally erotic, or sexual; Those who know their touch is interpreted as inappropriate should cease the behavior.  
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Healing   the process of the restoration of balance and well-being as well as the elimination of disease.  
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Primary Directives [for health professionals] (The Two D's)   Do no harm; Do positive good  
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Primary Assurances [therapists give their clients]   Confidentiality; Loving Acceptance  
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Primary Principles [of healing]   Loving Attention (being present); intention (how you feel)  
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Transference   occurs when a clients reacts to a therapist as if the therapist were someone from the client's past. The client projects feelings and reactions from the past relationship onto the therapist.  
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Counter Transference   occurs when a therapist reacts to a client as if the client was someone from the therapist's past, with the therapist projecting feelings onto the client.  
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Therapist's Responsibilities   Create a Sacred Space; Understand Your Role; Develop Your Healing Skills; Personal Hygiene  
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Create a Sacred Space   align yourself mentally with God, Source, or your highest values and intentions  
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Understand Your Role   let the energy do the work, be neutral within the context of your loving intention to heal  
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Develop Your Healing Skills   Learn . . .  
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Personal Hygiene   practice lifestyle choices that positively affect your health - proper rest, good stress management, diet, exercise, time management, financial management, emotional health, mental health, and spiritual health  
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Cervical region   the neck (seven cervical vertebrae)  
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Thoracic region   the chest (twelve thoracic vertebrae)  
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Lumbar region   the loin (five lumbar vertebrae)  
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Sacral/Coccyx region   the sacrum and tailbone  
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Flexion   bending that reduces the angle of a joint  
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Extension   straightening or stretching that increases the angle of a joint  
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Abduction   movement away (ab) from the midline  
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Adduction   movement toward (ad) the midline  
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Pronation   turning of the palm downward  
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Supination   turning of the palm upwar  
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Eversion   turning of the sole of the foot away from the midline  
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Inversion   turning of the sole of the foot toward the midline  
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Plantar flexion   bending of the planar surface of the sole of the foot downward  
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Dorsiflexion   bending of the planar surface of the sole of the foot upward  
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Rotation   twisting or turning to the side  
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Circumduction   making a circle, ability to move the limb in a circular manner  
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Protraction   thrusting a part of the body forward  
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Retraction   pulling a part of the body backward  
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Elevation   raising a part of the body  
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Depression   lowering a part of the body  
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Opposition   the act of placing part of the body opposite another, as in placing the tip of the thumb opposite the tips of the fingers  
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Adductor   muscle moving a part toward the midline  
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Abductor   muscle moving a part away from the midline  
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Flexor   muscle that bends a part  
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Extensor   muscle that straightens a part  
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Elevator   muscle that raises a part  
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Depressor   muscle that lowers a part  
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Tensor   muscle that tightens a part  
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Endangerment sites for Swedish, 6 front/3 back   Anterior Neck; Axilla; Medial and Lateral Epicondyles of the Humerus; Umbilicus; Twelfth Rib; Sciatic Notch; Inguinal Triangle; Popliteal Fossa; Genitals and Mammary Tissue  
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Anterior Neck, reason endangerment site   This area on the front of the neck includes the windpipe, the carotid arteries, jugular veins, the vagus nerve, the sternal notch which houses nerves, blood vessels, the thyroid gland and the vagus nerve. All are located deep to the Sternocleidomastoid.  
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Axilla, reason endangerment site   This area of the underarm includes the brachial plexus, axillary veins and arteries and the cephalic vein.  
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Medial and Lateral Epicondyles of the Humerus, reason endangerment site   This area of the "funny bone" includes the ulnar and radial nerves.  
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Umbilicus, reason endangerment site   This area under the navel includes the descending aorta and the abdominal aorta, they are located deep.  
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Twelfth Rib, reason endangerment site   This area on either side of the back waist is the location of the kidneys.  
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Sciatic Notch, reason endangerment site   This area of the upper back thigh includes the sciatic nerve, located deep to the ischial tuberosity.  
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Inguinal Triangle, reason endangerment site   This area where the torso meet the upper front thigh is located lateral and inferior to the pubis, medial to the Sartorius, this area includes the external iliac artery, femoral artery, great saphenous vein, femoral vein and the femoral nerve.  
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Popliteal Fossa, reason endangerment site   This area on the back of the knee includes the popliteal artery and vein, and the tibial nerve.  
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Genitals and Mammary Tissue, reason endangerment site   Although not necessarily a physical endangerment site, the genitals are avoided. Professional massage therapy does not include sexual massage of any kind.  
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Principles of Centering   1) All movement originates and returns to the center as an intergrated, unbroken flow; 2) Allow movement to lengthen and loosen rather than shorten and constrict.; 3) Sink and soften instead of push and harden. Use your body's weight as a tool.  
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Body Position Imagery - Head   Imagine a string from the center, pulling the head straight up and lengthening the neck as if you were a marionette.  
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Body Position Imagery - Elbows   In a soft locked position, straight, but not rigid.  
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Body Position Imagery - Knees   In a soft locked or bent position.  
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Body Position Imagery - Sacrum   Imagine a 5,000 pound weight pulling the sacrum down to the earth.  
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Body Position Imagery - Feet   Imagine your feet extending down into the core of the earth.  
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Body Position Imagery - Hands   Keep your center (hips) behind your hands, allowing for focus in one direction, hands always move in the direction the fingers are pointing.  
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Body Position Imagery - Shoulders   relaxed and squared.  
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Table Height   Lower than your center to allow "sinking" as you move.  
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Sanitation Practices   Clean hands; Clean clothes; Clean, suitable container; Clean sheets; Clean table; Clean room  
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Personal Hygiene - importance   Plays a crucial role in the impression you make on others; Influences the success of a particular session; Clients notice the example you set and respond favorably or unfavorably (you may be able to influence your client to make better choices).  
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Elements of Massage   Comfort and Support; Direction; Pressure; Rate and Rhythm; Changes in Sign and Symptoms; Duration and Frequency; Relaxation  
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Frontal plane   divides the body into front and back sections  
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Transverse plane   divides the body into upper and lower sections  
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Sagittal Plane   divides the body into left and right sections  
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Anatomical position   the stance of the body when it is erect with the arms hanging to the side, palms facing forward  
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Erect position   body vertical in standing position  
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Prone position   body lying horizontally with the face down  
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Supine position   body lying horizontally with the face up  
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Laterally recumbent position   body lying horizontally on either the right or left  
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Anterior   nearer to the front of the body  
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Cephalic   toward the head  
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Cranial   toward the head  
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Caudal   toward the tail  
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Deep   inward from the surface of the body  
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Distal   farther from any point of reference  
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Dorsal   nearer to the back of the body  
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External   situated or occurring outside the body  
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Inferior   below or downward  
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Internal   situated or occurring within the body  
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Lateral   farther from the midline of the body  
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Medial   closer to the midline of the body  
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Peripheral   away from the center  
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Posterior   situated in back of; back  
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Proximal   closer to any point of reference  
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Superior   situated upward or directed upward  
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Superficial   pertaining to or situated near the surface  
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