Table 1.
Standardized 60-minute MT Protocol
| Bilaterally: | |
| Gliding (effleurage), general neck/shoulders, spread cream | 2 minutes |
| Head and face – without massage cream Gentle stroking, pressure points, kneading and scalp scrub |
2 minutes |
| Kneading (petrissage); neck/shoulders Friction-gliding Kneading (petrissage); upper trapezius, levator scapula |
2 minutes |
| The following strokes will be done on one side, then the other: Friction – circular; beginning at the occiput, moving lateral to mastoid process Friction – gliding Direct pressure (trigger point); from occiput, moving lateral to mastoid process Friction – circular; from occiput, moving lateral to mastoid process |
5 minutes |
| The following strokes will be done bilaterally: Kneading (petrissage); upper trapezius, levator scapula, scalenes Friction – circular; scalenes Friction – gliding – deep (stripping); scalenes (appropriate pressure used) Direct pressure (trigger point); trapezius, levator scapula, scalene |
5 minutes |
| Gliding (effleurage); general neck/shoulders | 1 minute |
| Arm (left) | |
| Gliding (effleurage), over anterior/posterior arm, spread cream Shaking at the glenohumeral joint Kneading (petrissage); over lower, upper arm and hand |
5 minutes |
| Leg (left, then right) | |
| Gliding (effleurage), over anterior leg, spread cream Kneading (petrissage); over lower, upper leg Gliding, kneading of top of foot, gentle traction of toes and movement of phalanges |
5 minutes |
| Arm (right) | |
| Repeat as above | 5 minutes |
| Leg (right, then left) Gentle compressions of gluteal muscles, and shaking of leg Gliding (effleurage), over posterior leg, spread cream Kneading (petrissage); over lower, upper leg Gliding, kneading of bottom of foot, gentle friction, flex knee, lift leg, rocking of whole |
5 minutes |
| Leg (left) Repeat as above | 5 minutes |
| Back | |
| Gliding (effleurage), over back, spread cream Kneading (petrissage) over back Transverse or circular friction over erector spinae Kneading, and trigger point work as needed around scapula, and along trapezius |
15 minutes |
| Finish – gliding (effeurage), shaking, closure, breathing | 3 minutes |