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Quadriplegia

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Does anyone have experience of massage for clientswithquadriplegia/cerebral palsy? Any tips for massage of someone in their own bed, not height adjustable, would be useful. Thanks
 
imo, sorry I don't have personal experience but I assume we are talking about a client with a degree of paralysis, spacicity, flacidity etc. Ilooked up in Ruth Werner - A Massage Therapists Guide to Pathology - which is a superb bookand always my first place to look.

If I summarize - they are similar, but not the same conditions - Quadriplegia being associated with Spinal Cord Injury, whereas Cerebral Palsy is associated with prenatal, birth or early infancy. They both can respond well to massage - with a strong caveat that there should be nerve sensitivity in the area of massage and good feedback with the therapist to avoid any unintentional damage with massage. Also, especially with SCI you need to be aware of underlying pathologies that may be exacerbated by massage (what caused the SCI - what is the state of healing etc )

As always Ruth Werner is conservative, but I always like to understand the conservative viewpoint before making any treatment decisions. Also typically in either of these cases there will be existing medical care, and it would be good to discuss and get agreement (perhaps written) on massage treatment before starting - again conservative but probably sensible.

Having said that, massage can be hugely beneficial so you need to investigate ways that you can use massage with this client to bring benefits to them. I certainly would not rule out massage just because this sounds like a tricky condition. This sounds like a case where, initially at least, massage should be light and gentle- not deep and strong, perhaps incorporating PMtechniques if you are comfortable with them.

In terms of practicalities - I just think you will need to adapt to the client, and be very careful of your own body mechanics. I would guess that if the client cant move or you cant move the client then its the therapist that will need to change height etc. You might need to sit, kneel (with padding), stand, bend (from the knees) etc.Again no personal experience, but probably good to talk to the care team on that front.

You need to make your own assessment and decisions,and I would also suggest being even more diligent than normal with your treatment notes (just in case).

So, sorry I cant give direct experience, but I hope this helps,

InTouch
 
Please make sure of your 'body mechanics' when treating people in their own beds. I've been in the business for nearly 30 years, and so far have been very lucky in avoiding injury. Some years ago I was invited to treat a client with quadriplegia. I said that I needed to assess the situation first, so went for an initial consultation. There was no way I could have treated himin his own bedwithout doing myself harm. All I could offer was facial massage, which was the only part of him I could 'comfortably' get to. Following the consult, I had a meeting with his doctor andhome care team, and they managed to have a treatment couch supplied, and were able to get him onto this for me, using hoists. I was not able to treat his back, as he had breathing difficulties, sohad to enlist the help of the'crew' to get him sidelying to do spine work when he needed it. I saw him regularly over several years, until I moved out of the area.

I treated a young girl with cerebral palsy - she was the daughter of a friend and an absolute delight. However, she had the concentration span of a fly (her mothers words, not mine!) so all the treatments were extremely short initially - around 10/15 minutes. Over a number of weeks we built up to 45 minutes. She loved any form of touch, and relaxed very easily. She had problems with sinus pain, so I did intra-oral work. After working in her mouth, I would blow up the latex glove and give it to her to play with, while I worked on her abs, and legs! To keep her in place on the couch, I got very creative with the drapes - i am not sure I would have been happy treating her on a static couch- mine is electric, so I was able to keep it quite low, and sit on my stool to treat her - however, she never fell off! I treated her from the age of 5 - 9, then she moved to a different country.
 
Thanks for the replies. I haven't seen the Ruth Werner book, but it sounds useful so I'll have a look for it.
I will be talking to the support team again next week & am due to visit so I can check out the practicalities properly. I think the carers will be glad of any massage that I can give, & I'll certainly be watching out for my posture! Thanks again.
 
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    Full season wellness center: New Young girl pretty face big boobs nice figure deep massage Candy, Young girl pretty face nice figure Thai deep massage Vivian,Young girl big breasted beautiful buttocks charming temperament big boobs Anjoo ,Young girl Big breasted saucy naughty Ella,Enchanting sexy petite deep massage Mary. 2560 Shepard ave Mississauga unit 1 โ˜Ž๏ธ4379857899 ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  40. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ(647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ(437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ๐Ÿ’ฏ๐Ÿ’ฏ - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Julia๐Ÿ˜˜ - A shy new Korean girl waiting
  41. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ(437) 818-8896โ˜Ž๏ธ โ˜Ž๏ธ(416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Suki๐Ÿ˜is beautiful short petite tiny sexy student from Cambodia. Exotic features and model looks, Suki has a nice bum, slim waist, flat stomach and very good massage skills and has a great playful personality. Suki has a beautiful sexy
  42. Endless Joy Spa:
    โœจโœจโœจโœจโœจ[GRAND OPENING]โœจโœจโœจโœจโœจ ๐Ÿ’žEndless Joy Spa๐Ÿ’ž ๐ŸŽ‡ (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565๐ŸŽ‡Slim Sexy Chinese Kiki, Slim Petite Chinede Judy, Tall Slim Sexy Chinese Vicky, Young Sexy Chinese Abie
  43. Red Rose Spa:
    ๐ŸŒธ We have 7 hot brown girls today ๐ŸŒธ ASHA, MALIYA, SANA, AMANDA, LUCY, ANAYA, ANGEL ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  44. Dreaminn:
    THURSDAY at ๐Ÿ’ญDREAM INN WELLNESS SPA๐Ÿ’ญ: LULU, MELODY & SUGAR 10225 Yonge St (North of Major Mackenzie) Richmond Hill, ON โ˜Ž๏ธ 647-829-2983 โ˜Ž๏ธ LULU is a popular & well known Chinese attendant from another spa, very slim & beautiful, 5โ€™3โ€, 105 pounds with 34C Cups & incredible services. MELODY is young, slim and slightly curvy, 5โ€™3โ€ and 105 pounds, hourglass sexy shape, and delicious
  45. Peony Garden Spa:
    ๐ŸŒธ3 GIRLS AVAILABLE TODAY ๐ŸŒธ SELINA: A TALL AND SLENDER ASIAN GIRL, VERY FRIENDLY AND ABLE TO PROVIDE AN RMT LIKE MASSAGE ๐ŸŒธ NANCY: A PETITE CURVY YOUNG VIETNAMESE GIRL THAT IS VERY FUN AND OPEN MINDED ๐ŸŒธ ELLA: A PETITE YOUNG CHINESE GIRL THAT IS A POPULAR FAVOURITE ๐ŸŒธ PEONY GARDEN SPA ๐ŸŒธ 3477 KENNEDY ROAD UNIT 4 ๐ŸŒธ (416) 335-6093 ๐ŸŒธ
  46. GoldenFlower:
    THURSDAY at ๐Ÿ’›โญ๐ŸŒŸ๐ŸŒป GOLDEN FLOWER SPA๐ŸŒป ๐ŸŒŸโญ๐Ÿ’›, 8380 Kennedy Rd, Unit C6 (Kennedy & Hwy 7), Markham, ON 905-258-0777: Jessi, Jojo, Sherry & Sonia Jessi is a slim and petite Vietnamese hotty who is garnering repeat visits. Jojo is a beautiful young fair skinned Hong Kong girl who can melt all your cares away. Sherry is an attractive slim Asian sweetie.
  47. ASPA:
    ๐—ง๐—›๐—จ๐—ฅ๐—ฆ๐——๐—”๐—ฌ๐—”๐—ง ๐€ ๐’๐๐€: Fox, Coco & ๐—ฏ๐—ฒ๐˜€๐˜ ๐—บ๐—ฎ๐˜€๐˜€๐—ฎ๐—ด๐—ฒ ๐—ฅ๐—ฎ๐—ฐ๐—ต๐—ฒ๐—น[/color] ๐Ÿ…ฐ๏ธ๐€ ๐’๐๐€๐Ÿ…ฐ๏ธ, 28 South Unionville Ave, Unit 5, Markham. ๐Ÿ…ฐ๏ธ๐—–๐—ฎ๐—น๐—น ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿณ๐Ÿฎ๐Ÿต-๐Ÿฒ๐Ÿฒ๐Ÿฌ๐Ÿฒ ๐—ผ๐—ฟ ๐˜๐—ฒ๐˜…๐˜ ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿด๐Ÿฏ๐Ÿต-๐Ÿฑ๐Ÿต๐Ÿฒ๐Ÿฒ๐Ÿ…ฐ๏ธ FOX is 26 years old with 34Cโ€™s, stands 164Cm tall and weighs 54Kg. Fox is very friendly and can provide a great girlfriend experience.
  48. HolidaySpa:
    Thursday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธHelen & Jenny. Helen is a sweet and very lovable Asian beauty with just enough curves to tease you, and an attitude to please you. Jenny has a medium build, nicely curved with a slim waist, pretty face, and very flexible skills. Jenny will make you very happy.
  49. ForeverWarden:
    Thursday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ 2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Cindy, Sofia & Tracy. Cindy is a slim beauty, 5โ€™4โ€, natural C Cups & wonderfully long nipples. Her massage is nice, her bbbj will drive you wild & her cfs finish is a dream come true. Sophia is a sweet & pretty Chinese lady with natural B Cups and an awe-inspiring smooth rounded ass.
  50. Sparkling Spa:
    SUPER HOT STELLA & SERVICE QUEEN ZOE @ Sparkling Spa๐Ÿ‘ŒMENTION OUR ADS AND RECEIVE A ROOM DISCOUNT $35 FOR 30MIN, $50 FOR 45MINโ˜Ž๏ธ(905) 604-8186 Spa Land Lineโ˜Ž๏ธ โ˜Ž๏ธ(437) 446-6688 NEW Spa Cell Phone 50 LOCKRIDGE AVE UNIT#8
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