Massage & Bodywork

NOVEMBER | DECEMBER 2015

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42 m a s s a g e & b o d y w o r k n o v e m b e r / d e c e m b e r 2 0 1 5 Palpating the Iliocostalis Positioning: client prone. 1. Standing at the client's side, face the spine and locate the thoracic spinous processes. 2. Slide your fingertips laterally, past the lamina groove onto the erector spinae muscles. 3. Strum laterally across the erector spinae muscles with the fingertips of both of your hands toward the ribs to find the iliocostalis. 4. The client gently lifts the head and extends the trunk to ensure proper location. FUNCTIONAL ANATOMY The overlapping layers of multidirectional muscles characteristic of the erector spinae and transversospinalis groups help stabilize and position the vertebral column through complex movements over great ranges of motion. The iliocostalis, with its long reach and branching strategy, provides the greatest amount of force production and control over the greatest diversity of movement. Balanced strength and mobility in the iliocostalis and the complex network of vertebral muscles is critical in maintaining healthy posture and safely and effectively navigating a wide variety of movements and activities. Reaching, bending, lifting, and even maintaining dynamic equilibrium during walking requires proper function of all of these muscles. Poor posture, improper body mechanics, functional or structural pelvic asymmetry, unilateral muscle tension or weakness, imbalanced utilization of the trunk muscles, and prolonged positioning or overuse of the upper extremities may cause pain and dysfunction in these muscles. Christy Cael is a licensed massage therapist, certified strength and conditioning specialist, and instructor at the Bodymechanics School of Myotherapy & Massage in Olympia, Washington. Her private practice focuses on injury treatment, biomechanical analysis, craniosacral therapy, and massage for clients with neurological issues. She is the author of Functional Anatomy: Musculoskeletal Anatomy, Kinesiology, and Palpation for Manual Therapists (Lippincott Williams & Wilkins, 2009). Contact her at functionalbook@hotmail.com. Editor's note: The Client Homework element in Functional Anatomy is intended as a take-home resource for clients experiencing issues with the profiled muscle. The stretches identified in Functional Anatomy should not be performed within massage sessions or progressed by massage therapists, in order to comply with state laws and maintain scope of practice. Client Homework— Knee to Chest Stretch 1. Lie on your back with your legs together and chin slightly tucked. 2. Bend your knee and lift your leg toward your chest. 3. Grasp your knee with both hands and pull up until you feel a gentle stretch in your low back. 4. Breathe deeply as you relax into the stretch, then repeat with the other leg.

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