HLTMSG013 - Perform remedial massage musculoskeletal assessments

Students will also be expected to demonstrate the following knowledge:

• Commonwealth and State or Territory legal and ethical considerations for client assessment:

• codes of conduct
• duty of care
• informed consent
• mandatory reporting
• therapist and client boundaries
• privacy, confidentiality and disclosure
• records management
• work health and safety (WHS)
• work role boundaries:

  working within scope of practice
  presenting symptoms that require referral to a medical practitioner

• referral options for therapists:

• allied health service and other health modalities
• types and availability of further medical testing

• factors and barriers that may impact on remedial massage assessment:

• physical
• psychological
• cultural

• factors that affect individual health status:

• age
• gender
• lifestyle risk factors
• personal and medical history:

  comorbidities
  sequelae and progression of disease
  mental and emotional health

• values, attitudes and beliefs
• balance of rest, activity and sleep
• physical environment
• social environment
• social determinants of health

• client information required for remedial massage assessment and the scope and depth of information needed around:

• client expectations:

  methods to clarify
  managing

• client understanding of current symptoms including pain or health condition
• client history and its components
• client current state of health

• signs and symptoms:

• onset
• duration
• location
• type and severity

• considerations for performing remedial massage assessments:

• environment
• equipment
• client privacy
• client instructions

• remedial treatment planning techniques and considerations
• remedial assessment techniques, how and when they are used:

• discussion
• daily movement tasks
• muscle strength and length tests
• observation including variations of posture
• orthopaedic tests
• palpation of relevant bony landmarks and muscles
• ROM tests including active, passive and resisted

• cautions and contraindications to treatment and possible indications for client referral:

• pregnancy
• weak bone and joint instability
• neurological dysfunction
• vascular disorder
• symptoms outside of scope of practice
• excessive pain and abnormal responses to treatment
• protracted pain
• non-reproducible pain
• fatigue
• circulatory disorder
• inflammation
• lumps and tissue changes
• rashes and changes in the skin
• oedema
• sudden changes in mood
• infection
• changes in appetite, elimination and sleep habits
• bleeding and bruising
• nausea, vomiting and diarrhoea
• recent changes in body temperature

• remedial massage treatment techniques:

• compressive techniques
• deep pressure massage
• friction techniques
• lymphatic massage
• muscle energy techniques
• myofascial techniques without skin penetration
• passive movement at joints
• stretching techniques
• thermotherapy
• trigger point techniques without skin penetration

• anatomy:

• body systems relevant to massage assessment:

  muscle physiology
  nervous system including myotomes, peripheral nerves and nerve impingements including root and peripheral
  integumentary
  skeletal

• muscle origins, insertions and actions including synergistic groups:

• adductor longus
• adductor magnus
• anconeus
• biceps brachii
• brachialis
• brachioradialis
• coracobrachialis
• deltoid
• digastric
• erector spinae
• extensor carpi radialis
• extensor digitorum longus
• extensor hallucis longus
• flexor carpi radialus
• flexor carpi ulnaris
• flexor digitorum longus
• flexor hallucis longus
• frontalis
• gastrocnemius
• gemellus superior and inferior
• gluteus maximus
• gluteus medius
• gluteus minimus
• gracillis
• hamstrings
• iliacus
• infraspinatus
• intercostals
• internal and external obliques
• latissimus dorsi
• levator scapulae
• longus colli
• masseter
• multifidus
• obliquus capitis inferior
• obliquus capitis superior
• obturator internus and externus
• palmaris longus
• pectineus
• pectoralis major
• pectoralis minor
• peroneals
• piriformis
• platysma
• popliteus
• pronator teres
• psoas major
• pterygoids
• quadratus femoris
• quadratus lumborum
• quadriceps
• rectus abdominis
• rectus capitis posterior
• rhomboids
• rotatores
• sartorius
• scalenes including anterior, medial and posterior
• semispinalis
• semi-spinalis capitis
• serratus anterior
• serratus posterior superior
• soleus
• splenius capitis
• splenius cervicis
• sternocleidomastoid
• subscapularis
• supinator
• supraspinatus
• temporalis
• tensor fasciae latae (TFL)
• teres major
• teres minor
• thenar muscle group
• tibialis anterior
• tibialis posterior
• transverse abdominis
• trapezius
• triceps brachii

• skeleton:

• bones of the body
• surface anatomy and palpable bony landmarks
• bone growth and remodelling

• joints:

• classifications including fibrous, cartilaginous and synovial:

  glide
  plane
  ball and socket
  saddle
  hinge
  condyloid
  pivot

• actions
• detailed anatomy for each major joint:

  shoulder
  hip
  sacroiliac
  knee
  ankle and foot
  wrist
  elbow
  acromioclavicular
  sternoclavicular
  costal
  spine
  atlanto-occipital
  temporomandibular

• nervous system
• physiology:

• soft tissue:

  muscle physiology including contraction, reflexes, biochemistry and proprioception
  tendons and ligaments
  fascia

• hard tissue:

  bone growth and development
  abnormal bone growth

• conditions commonly seen by remedial therapists:

• pain:

  muscle and tendon
  joint
  neural

• impact and fall injuries
• headache and migraine
• osteoarthritis
• repetitive strain injuries and overuse syndromes
• sport and activity-related conditions
• stress, anxiety and other mood-related problems

• documentation requirements:

• accurate
• comprehensive
• legible
• in English
• using industry terminology and standard abbreviations.