CLIENT EXAMINATION AND TREATMENT PLANNING Chapter 1:: Conceptual Frameworks for Outcome-Based Massage / Theories, Conceptual Frameworks, Conceptual Models and their uses / Disablement Models (disease, pathophysiology, impairment, disability, quality of life) / Structure, Process and Outcomes of Care (Donabedian) / Impairment-Oriented versus Functional Outcomes - Oriented approaches / Intelligent touch:: Conceptual model for teaching and practicing therapeutic massage / Framework for Classification of Techniques (based on tissue layers treated and outcomes of technique) Chapter 2:: The Clinical Decision-Making Process / Uses of Clinical Decision-Making Models / The Steps of Clinical Decision-Making for Outcome-Oriented Therapeutic Massage (4 decision flow charts:: Evaluative Phase, Treatment Planning, Treatment and Re-Examination, Discharge) Technical Aspects of Process of Care / Developing Clinical Hypotheses / Selecting Examination Techniques / Analysis of Examination Results / Confirming and Disconfirming Clinical Hypotheses / Developing Clinical Problem Lists / Establishing Relevant Clinical Outcomes for Massage / Selecting Appropriate Massage and Other Treatment Techniques / Developing a Plan of Care / Treatment and Re-Examination Issues / Preparation for Discharge and Discharge Interpersonal Aspects of Process of Care / Client-Clinician interactions in all 4 phases:: Evaluative Phase, Treatment Planning, Treatment and Re-Examination, Discharge / Ethical Issues in Clinical Care / Dealing with Clients Emotional Responses to Treatment / Strategies to Enhance Clients Adherence Chapter 3:: Review of Client Examination Issues for Massage / Overview of the Client Examination for Massage (difference in focus from standard examination) / Relevant Impairments for Massage (summary of relevant impairments that can be treated with massage and possible outcomes of massage techniques) / Using Palpation to Assess Impairments for Massage (detailed discussion of how to perform palpation, anatomy of tissue layers, what is palpated during examination) / Non-Palpatory Approaches to Examining Impairments, Functional Limitations and Disability Issues for Massage (extensive summary of the literature that provides definition and summary of examination techniques for 16 categories of musculoskeletal, neurological, cardiopulmonary and pyschoneuroimmunological impairments. TREATMENT AND DISCHARGE Summary Table of Massage Techniques and the Outcomes they can Achieve Chapter 4:: Preparation and Positioning for Treatmenta / Clinicians Physical Preparation for Treatment / Clinicians Psychological Preparation for Treatment / Clinicians Movement during Treatment / Clinicians Preparation of Materials for Treatment / Positioning and Draping for Treatment Chapter 5:: Superficial Reflex Techniques / Holding/Static Contact / Vibration / Superficial Stroking Chapter 6:: Superficial Fluid Techniques / Superficial Effleurage / Superficial Lymph Drainage Technique Chapter 7:: Neuromuscular Techniques / Broad contact / Petrissage / Stripping / Specific compression Chapter 8:: Connective Tissue Techniques / Skin Rolling / Myofascial stretch / Direct fascial technique / Frictions Chapter 9:: Passive Movement Techniques / Shaking / Rhythmical Mobilization / Rocking Chapter 10:: Percussive Techniques / Percussion (clapping, slapping, pincement, tapping, etc) Chapter 11:: The Treatment Process and Discharge Planning / Steps in the Design of Massage Sequences / Technique Selection (based on clinical findings) / Principles of Stroke Sequencing / Issues in the Design of Regional and Extensive (full-body) Massage Sequences / Progression of Massage Regimens Using an Outcome-Based Approach / Discharge Appendix A / Glossary Appendix B / Selected Soft Tissue Examination Techniques (Measurement of Pain, Posture, Scarring, Trigger Points) and Glossary of Terms