Chapter_007 - LA Institute of Massage Therapy

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Goiter
Enlargement of the thyroid
gland
Avoid throat region (local
contraindication)
Graves Disease
Condition of
hyperthyroidism resulting
in a goiter, anxiety and
fatigue, overheating, hand
tremors, eyeball protrusion
Reduce treatment time to
30 min if client is fatigued;
avoid throat
From Seidel H: Mosby’s s guide to physical examination, ed 4,
St. Louis, 1999, Mosby.
Copyright © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Copyright © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
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Cretinism
Myxedema
Condition of
hypothyroidism occurring
in fetal life or early infancy
resulting in mental
retardation (if untreated)
Relaxing massage is
indicated
Condition of severe or
long-standing
hypothyroidism in
adulthood
Adjust massage according
to client vitality (lighter
pressure, reduced
treatment time)
From Schneeberg NE: Essentials of clinical endocrinology,
St. Louis, 1970, Mosby.
From Seidel H: Mosby’s s guide to physical examination, ed 5,
St. Louis, 2003, Mosby.
Copyright © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
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Copyright © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
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Diseases of the Parathyroids
Hyperparathyroidism
Hyperparathyroidism
Hypoparathyroidism
Condition of PTH overproduction
characterized by muscle weakness, fatigue,
and hypertension
Adjust massage according to client vitality
(lighter pressure, reduced treatment time); jt.
mobs are omitted or cautiously applied;
reduce pressure over areas of decreased
bone density
Copyright © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
23
Copyright © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
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