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42 m a s s a g e & b o d y w o r k j u l y / a u g u s t 2 0 1 9 education SOMATIC RESEARCH Massage for Young People with Cystic Fibrosis Dissemination Choices Bring Wider Access By Niki Munk, PhD I had an interesting conversation not too long ago with a mid-program massage student regarding a project for her training. She and her classmates were charged with developing and scripting a treatment protocol for a particular condition of their choice. But, the exercise was to conclude with a treatment application on a classmate who will not have the condition (or symptoms) the treatment protocol has been developed for. We had a lively exchange about the challenge this exercise poses because the instructor wants a very specified, step-by-step stroke progression and application outline—but the instructions do not allow for the real-world treatment progression that tends to occur when working with an actual client with varying needs and treatment goals. Some big takeaways of our conversation dealt with the differences in outlining a general assessment and progression process based on articulated rationale, and then specifically describing various techniques that could/would be used versus a strict listing (for example, "x" many strokes on "x" muscles in "x" order for an "x" amount of time). I have used both protocol approaches as a researcher and clinician, but each role uses treatment protocols in different ways—for distinct purposes.

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