Issue link: https://www.massageandbodyworkdigital.com/i/867515
82 m a s s a g e & b o d y w o r k s e p t e m b e r / o c t o b e r 2 0 1 7 Remember that weakened areas may not be able to handle more conventional methods of massage; make sure to utilize unorthodox techniques like shaking, tapping, and elevation to get maximum circulation, and don't forget the power of subtle movements, too. This has direct, positive effects on every single bodily function for your client. Find what movement is possible with your client, no matter how small, and use it. Utilize Water Massage therapy and exercise in the water are crucial for clients with limited movement. The benefits of underwater work for the partially paralyzed are much greater than land work, as movement is easier when you're not fighting gravity. This freedom of movement reduces tension and inflammation, and, more importantly, empowers these clients. The client can use the water to exercise gently or vigorously, for aerobic exercise, for recovery and relaxation, and to play freely—whether the client is a child or an adult. Water is always indicated, and should be used as much as is reasonably possible, whether in a tub or a pool. The specifics are different for each case, but the principle that water is a healer is the point. Increase Body Awareness Body awareness is critical for this client. The client needs to learn what is right for their body at any given time. After each session, whether with or without you, the client should rest, eat, or take a nap. Then, they can take inventory of their body. If they feel more tired than before the session, they did too much. If they feel lighter and more refreshed, things are just right. Be sure to check in with your client with paralysis just as frequently, if not more so, as your other clients. Deep Breathing and Specific Visualizations Deep, conscious breathing is integral to improvement, and breathing exercises and practices can help manage the mental battle and improve recovery speeds. Self-affirmations and customized visualizations break the mind's habit of assuming can't instead of can, and sometimes that's half the battle. In many ways, the mind becomes paralyzed along with the body for these clients. One of our main goals is to help undo this mental paralysis and help the client regain their self-confidence. Working in the water is a key therapeutic tool for paralyzed clients. Here, the author works with his client Kathy.