Seated Massage Routine:

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MOVEMENT DESCRIPTION
r KneadTrapezius Knead trapezius muscles for 30-60 seconds.
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2 Paraspinal Pressure Stand behind the client approximately one foot from the chair. Place handson the
Points 1 shoulders with thumbs placed on opposite sides of upper thoracic spine. Apply
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pressure simultaneously, with thumbs, into paraspinal muscles, rotate three times,
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I then release. Move down into Y, inch segments, repeating sequence until the full
span of the hand has been reached, (fingers should still be on the shoulders).
Repeat all over again three times .
3 Paraspinal Pressure Working in the same area as in movement 2, thumbs should now be placed one
Points 2 inch away from the spine. Repeat sequence as outlined in 2.
4
Trap Squeeze" -:cl. Begin by grasping upper trapezius and squeezing. Hold 3-5 seconds. Repeat
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r-,movement while progressing toward shoulder and upper arm. Reverse direction
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from upper arm to beginning point. Repeat this procedure three times.
S Pectoral Cross-Fiber Place 4 fingers of each hand in front of shoulder joint approximately 3 inches
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and Stretch below collar bone, thumb anchored Repeat three times.
...... KneadTrapezius (same as 1)
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7 Neck Kneading Placing one hand on forehead to stabilize head, use the opposite hand to knead
neck muscles from bony prominence at base of skull (occiput) to baseof neck and
back again. Repeat 5 times
8 Neck Squeeze Pinch neck muscle at occiput using firm pressure. Squeeze muscie f9r five seconds,
then release. Progressdown to baseof neck in Y, inch intervals. Repeat se.quence
three times. Soothe massagearea with three downward strokes.
9 Occipital Circles and Place one hand on forehead to stabilize head, with the other make 3 small circles
Hook beginning just behind the ear on occipital area. At the end of the 3'd circle pull
upward and hook on the bony ridge (occipital ridge), hold 3-5 seconds. Move along
to the other side contlnuing in the same way.
10 Passive Neck
Placing one hand on forehead to stabilize head, and the other hand on baseof
Rotation
head, rotate head from side to side three times each direction. (Have subject close
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eyes if inclined to get dizzy).
11 tie!:k Kneading
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iz Shoulder
Place both forearms in the shoulder next to the neck. Using the fleshiest part of
Mobilization
the forearm apply alternation pressure to create a rocking motion. Move forearm
toward outer shoulder then toward the neck again using lighter pressure over the
outer bony areas. Repeat three times on each side.
13
Orcular Knuckle
While firmly holding one shouldfr-, press knuckles firmly into skin above the
Friction opposite scapula, making small circular movements smoothly toward spine.
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Continue knuckle circles along medial edge of scapula, finishing inferior to scapula.
vv,A 1'Qv Repeat to opposite scapula, along each side of the spine in superior to inferior

direction, and diagonally across rhomboids, medially to laterally.
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Knead 'trapezius
(same as 1)
15
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Aoply to shoulders and upper back. Continue one to two minutes.
16
Deeptosuperfi6aV'
Using fingertips only, firmly then gently stroke the neck superiorly to inferiorly,
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across the shoulders medially to laterally, and down the back, superiorly to
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Inferiorly.
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