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does anyone have any good advice about a spinal stroke clients
Replies to This Discussion
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Permalink Reply by Chance Ryan on
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U may need to expand a bit on this, are u refering to a physical technique stroke? Or are u referencing a client whose had a stroke?
If refer to a physical stroke again it will possibly depend on the pressure the client desires mostly, but one technique I learned some years ago that will not only benefit the client but also help save your hands and career is using the heck out of your forearms, long fluid forearm strokes up and down the entire back give the client a feeling of fullness, and since the forearm covers such a large area vs a singular point then the bodies nervous system is unable to fully focus on multiple areas so it instead shuts down which ultimately allows for the body and effected area to relax.
IMHO forearm strokes and their use has no match, well maybe except for Thai.
JUST MHO! :)=
Chance
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Permalink Reply by Jeanne Riley on
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I have no experience with this, (also called spinal cord infarction) but your question made me very curious so I searched around and found the attached writeup helpful and straightforward (i.e. not over my head). http://emedicine.medscape.com/article/1164217-overview.
So, paresthesia and paralysis are major concerns which contraindicate mechanical types of massage but this depends on the amount of damage caused by the stroke, was it ischemic or hemorragic, where in the spinal cord the stroke happened and how quickly it was diagnosed and treated (generally not quickly since this is so rare). The writup also mentioned that anticoagulant drugs are usually prescribed which would also contraindicate all but the most gentle massage options.
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Permalink Reply by Lorri J. Medaugh on
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Jeanne Riley said:I have no experience with this, (also called spinal cord infarction) but your question made me very curious so I searched around and found the attached writeup helpful and straightforward (i.e. not over my head). http://emedicine.medscape.com/article/1164217-overview.
So, paresthesia and paralysis are major concerns which contraindicate mechanical types of massage but this depends on the amount of damage caused by the stroke, was it ischemic or hemorragic, where in the spinal cord the stroke happened and how quickly it was diagnosed and treated (generally not quickly since this is so rare). The writup also mentioned that anticoagulant drugs are usually prescribed which would also contraindicate all but the most gentle massage options.
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the stroke occurred in t11 they think during a gallbladder surgery. Has some paralysis in lower body. Just happened within 2 months . working hard to regain sensation and is slowly. They The Dr.s are not sure how much will return.
His right quad and right foot moves . I have recieved word that his right hip will move now as well.
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W/ a Patient such as this it's more than likely outside an MT's scope, unless that is the MT is working in a physical therapy / medical setting w/ specific expertise regarding this mode of TX.
In my medical experience most PT's which suffer paralysis still get ROM work performed, just it's usually done by a physical therapist, it's the only way to avoid muscular degeneration to keep both the nervious system and vascular system flowing and open.
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