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With over a decade of service to children and families, Tina Allen, founder of
leading childrens health and nurturing touch organization Liddle Kidz
Foundation, has become a respected international lecturer, author and authority
on infant and pediatric massage.
She is a Pediatric Massage Master Teacher, Developmental Baby Massage
Teacher, a Licensed Massage Therapist with specialized training in providing
massage therapy for infants and children with special healthcare needs. Ms.
Allen understands the varied physical and emotional needs of hospitalized and
medically complex infants, children and their families. Because of her
dedication to the well-being of the entire family, she has studied and become
certified in pregnancy massage and is a Trainer of Peaceful Touch, which
implements a healthy touch approach for children in school based
environments.
Ms. Allen managed the United States first comprehensive pediatric massage
program at Childrens Hospital Los Angeles (CHLA), where she trained
volunteer massage therapists and medical professionals to work with
hospitalized Rehabilitation patients, medically complex infants in the Center for
Newborn and Infant Critical Care (CNICC), Neonatal Intensive Care Unit
(NICU), Children with Retinoblastoma, Spina Bifida and Cerebral Palsy. She
developed pediatric massage programs at Mattel Childrens Hospital at UCLA and Cedars-Sinai Medical Center, as
well as developed a program focusing on introducing gentle compassionate touch to women and children who have
survived domestic abuse. She is currently consulting on the development of comprehensive pediatric massage
programs for The Mayo Clinic, Nemours/Alfred I. duPont Hospital for Children, Connecticut Childrens Medical Center,
Shriners Hospital and Sutton Childrens Medical Center.
Her innovative approach to childrens health has allowed her the unique opportunity to educate families and
professionals throughout the world in the many benefits of nurturing touch. At personal request, Ms. Allen has taught
in England, France, Sweden, Canada, Japan and Thailand.
At the close of 2006, Ms. Allen led a group of volunteer massage therapists to Thailand where they provided care to
infants and children affected by HIV/AIDS and living in orphanages. These children, often considered untouchable,
received much needed touch therapy and compassionate care. Their caregivers were taught by Ms. Allen to provide
healing touch for these children, so they would continue to receive much needed TLC long after the volunteer group
returned to the United States.
In 2008, Ms. Allen returned to Thailand to provide specialized training in infant and pediatric massage at the Bann
Fuang Farr Orphanage just outside of Bangkok, Thailands only government orphanage for children with special
healthcare needs and disabilities. After providing the course, Ms. Allen stayed on and volunteered providing pediatric
massage for the children in the various wards at the orphanage. The children at Bann Fuang Farr have special
healthcare needs ranging from severe hydrocephalus, cerebral palsy to blindness.
Recently, she took a group of 20 volunteers to Vietnam to provide hands-on care to orphaned infants and children.
The volunteers care ranged from providing infant and pediatric massage to educating staff and medical professionals
to continue this much needed care. During the two week outreach the group traveled south from Ho Chi Minh City to
Hanoi in the north and provided massage and nurturing touch in 7 orphanages and childrens care centers. The
Liddle Kidz Ambassadors easily worked with several hundred babies and children who received direct hands-on care
during the time spent in the centers. The children that received nurturing touch have the effects of trauma associated
with being isolated and abandoned, as well as, a host of special healthcare needs and birth defects including
AIDS/HIV, Cerebral Palsy, Hydrocephelus, Spina Bifida, Down Syndrome, Autism/ASD, Muscular Dystrophy,
landmine survivors, children with visual and hearing impairments, mental, neurological and physical impairments.
A widely known expert in her field, Ms. Allen has appeared on NBC, The Learning Channels Bringing Home Baby,
KCET and PBS A Place of Our Own. Her work has also been featured in many international publications including
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Copyright 2005 2011 Liddle Kidz Foundation All Rights Reserved
The information provided herein does not replace medical advice
Massage Magazine, Massage and Bodywork Magazine and Massage Therapy Journal. She is a featured columnist
with Massage Today Magazine.
She is featured as the Infant and Childrens Massage Expert on Canadian Parents and Parent Guide Canada. Ms.
Allen has also received recognition as First 5 Californias Champion for Children, was honored with the Richard Ryder
Award for her dedicated and passionate service, is a 2009 Massage Therapy Hall of Fame Inductee, and 2011
International Massage Therapist of the year.
As an invited lecturer, Ms. Allen has presented for organizations such as The Mayo Clinic, Mattel Childrens Hospital
at UCLA, Childrens Hospital Los Angeles, Cedars-Sinai Medical Center, Northwestern University of Health Sciences,
Nemours/Alfred I. duPont Hospital for Children, Connecticut Childrens Medical Center, Suttons Childrens Hospital,
St. Marys Childrens Hospital and Healthcare System, Shriners Childrens Hospital, World Massage Conference,
Massage Hall of Fame, World Massage Festival, American Massage Therapy Foundation (AMTA), Society for
Oncology Massage, First 5 LA, Infant Childhood and Relationship Enrichment Network, Department of Mental Health,
Los Angeles Child Guidance Clinic, Valley Presbyterian Hospital, Glendale Memorial Hospital, Little Company of Mary
Hospital, South Bay Counseling Center, PAC/LAC (Perinatal Advisory Council: Leadership Advocacy and
Consultation), The International Association of Infant Massage, ELNEC (End of Life Nursing Education Consortium),
Los Angeles Gay and Lesbian Center, Boston Childrens Museum and major school districts throughout the United
States.
About the Liddle Kidz Foundation
Liddle Kidz Foundation uses the power of touch to reach the worlds most vulnerable children with experiences of
appropriate nurturing touch that they often lack.
With nurturing, compassion and touch therapy, children will develop and reach their full potential. We strive to
address their critical tactile needs by working directly with their families and healthcare providers in pediatric hospitals,
hospices, and orphanages to provide comprehensive nurturing services, consultation, education, program
development and support. We are committed to furthering the development of touch therapy services for vulnerable
and underserved populations internationally. Through education and support we work to create replicable and
sustainable change.
Since its inception, the goal of the Liddle Kidz Foundation has been to empower families and professionals to provide
nurturing touch: building stronger, more loving bonds with children. We provide education and support for families and
professionals, giving them the tools necessary to ensure the safe, professional practice of nurturing touch and
developmental movement with infants and children.
Our training courses cover multiple facets of using nurturing touch and massage with healthy children and those with
special healthcare needs. We offer courses for Certified Infant Massage Teacher, Certified Pediatric Massage
Therapist, Touch Therapy for Liddle Kidz (Healthy Children), Touch Therapy for Liddle Kidz with Autism (Massage for
Autism), Touch Therapy for Liddle Kidz with Cancer (Massage for Pediatric Oncology), Touch Therapy for Liddle Kidz
with Cerebral Palsy (Massage for Cerebral Palsy), Touch Therapy for Liddle Kidz in the NICU (Massage for babies in
the Neonatal Intensive Care Unit) and Peaceful Touch (Healthy Touch Curriculum for Children in School). Annually
we embark on global outreach journeys where volunteers trained by the Liddle Kidz Foundation visit orphanages,
health care settings and childrens homes in countries where we can make the biggest impact in teaching caregivers
how to use infant and pediatric massage, as well as, provide hands-on care for children.
At Liddle Kidz it is our belief that children are our greatest gift and should be treated with extraordinary care!
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Copyright 2005 2011 Liddle Kidz Foundation All Rights Reserved
The information provided herein does not replace medical advice
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Copyright 2005 2011 Liddle Kidz Foundation All Rights Reserved
The information provided herein does not replace medical advice
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Copyright 2005 2011 Liddle Kidz Foundation All Rights Reserved
The information provided herein does not replace medical advice
Why Massage?
Massage therapy can provide nurturing touch in environments where painful touch is often
medically necessary
Massage addresses the many concerns of the pediatric client/patient (physical, psychological,
emotional and spiritual)
Research Benefits | Massage for Cancer
Decreased pain, anxiety and fear
Increased levels of relaxation
Increased white blood cells and neutrophils
Improved immune function
Decreased depression
Increased production of endorphins (natural painkillers)
Decreased production of stress hormones (cortisol)
Research on Massage Therapy for Children with Cancer
Massage was more effective than quiet time at reducing heart rate, anxiety in children
less than age 14 years, and parent anxiety. Children reported that massage helped them
feel better, lessened their anxiety and worries, and had longer lasting effects than quiet
time.
Massage in children with cancer is feasible and appears to decrease anxiety in parents
and younger children.(Post-White et al., 2009)
Children receiving massages benefitted in that their anxiety and depressed mood levels
decreased.
The children also experienced a significant increase of white blood cells, and neutrophils
over the course of the month. The increase of white blood cells and neutrophils can be
attributed to an improved immune function for the children.(Field et al., 2001)
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Copyright 2005 2011 Liddle Kidz Foundation All Rights Reserved
The information provided herein does not replace medical advice
Clarity of Intent
Sensitivity of Touch
Continuity
Focus
Communication
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Copyright 2005 2011 Liddle Kidz Foundation All Rights Reserved
The information provided herein does not replace medical advice
Presence
Remain calm and nurturing
5 Ps of pediatric massage
Presence
Permission
Permission should always be obtained from the child and
should be granted by child throughout session. May be
withdrawn by child at anytime.
Consent should be obtained from the attending physician
to ensure the childs safety
Permission
Pace
Pressure
Parents
Complete an appropriate and detailed intake, may include questioning physician, healthcare
staff, parent/caregiver and child
Adjust and adapt the massage strokes for the comfort and care of the child
Always consider both the childs medical and emotional needs, begin massage where there is
the most access for skin-to-skin contact
Use care and caution in areas where the child may have experienced pain
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Copyright 2005 2011 Liddle Kidz Foundation All Rights Reserved
The information provided herein does not replace medical advice
Begin with Nurturing Touch and then follow with the remaining strokes on each area
of the body where the child welcomes touch.
Nurturing Touch
Loving and still this nurturing stroke introduces our touch to the area where we will
begin.
With warm open palms, gently stroke the body in motions moving towards the heart.
Swedish Effleurage.
Open Heart
Draw Heart shapes on the area you are working. Vary the size of the hearts from
little to big, depending on the size of the area.
Criss-Cross
Alternating hands, glide them back and forth across the area you are working. On
the back, chest and other larger areas you may also draw Xs with you finger pads
and palms.
With warm palms, gently stroke the body area in a direction away from the heart.
This gliding stroke lets the child know we have finished with this area.
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Copyright 2005 2011 Liddle Kidz Foundation All Rights Reserved
The information provided herein does not replace medical advice
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Copyright 2005 2011 Liddle Kidz Foundation All Rights Reserved
The information provided herein does not replace medical advice
Walk with your fingers from the base of the back to the shoulders,
and gently massage the shoulders (purring)
Walk with your fingers from the base of the back to the head, and
gently massage the sides and top of the head (purring)
Bring your hands from the head to the back, draw a great big sun
a few times, then sweep your hands up the back and over the
shoulders 3 times (growing)
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Copyright 2005 2011 Liddle Kidz Foundation All Rights Reserved
The information provided herein does not replace medical advice
Gliding towards outer extremities (towards hand(s)/foot(feet)) may cause fluid to accumulate or pool if
child has circulation issues
Gliding towards heart (towards shoulder/toward thigh) may cause blood to overload the heart, especially
if there are preexisting cardiac conditions
Some Considerations:
Adjust and adapt the massage strokes for the comfort and care of the child
Always consider both the childs medical and emotional needs, begin massage where there is the most
access for skin-to-skin contact
Use care and caution in areas where the child may have experienced pain
Always make eye contact during massage, especially with a child who may have any hearing
impairments
Always continue speaking throughout massage, especially with a child who may have any visual
impairments
Fever
Inflammation
High Blood Pressure
Acute infection, staph infection, illness or Infectious Disease
Hernia (on that area, other areas may be okay)
Osteoporosis
Varicose Veins
Broken Bones (on that area, other areas may be okay)
Open wounds, sores or lesions (on that area, other areas may be okay)
Deep Vein Thrombosis
Pain (on that area, other areas may be okay, practice caution if the massage causes
discomfort)
Lability/ emotional response, emotions all over the place
Thrombocytopenia/ low platelet count in blood
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Copyright 2005 2011 Liddle Kidz Foundation All Rights Reserved
The information provided herein does not replace medical advice
Precautions
Proceed with care in regards to a child who exhibits, or diagnosed with any of the following conditions.
Easily Distracted
Bleeding/bruising
Gastrointestinal or Jejunostomy feeding tubes check with healthcare provider for specific
reason for use, use care not to dislodge
Hydrocephalus abnormal buildup of cerebrospinal fluid in the ventricles of the brain. The
fluid is often under increased pressure and can compress and damage the brain. Check with
healthcare provider prior to providing massage. Use caution around shunt area, risk of
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Copyright 2005 2011 Liddle Kidz Foundation All Rights Reserved
The information provided herein does not replace medical advice
infection and of being dislodged. Use caution near abdomen for fluid drainage
Edema May be a local or generalized condition, abnormal accumulation of fluid in the body
tissues or in the body cavities causing swelling or distention of the affected parts
Recent Surgery check with healthcare provider for specific protocol, may be beneficial to
provide nurturing touch
Endangerment sites are areas of the body where you should practice additional caution so as not to
do harm. Providing massage for a prolonged time or with too much pressure in such areas may
cause damage to structures within and underneath the skins surface such as nerves, blood vessels,
organs and lymph nodes.
Areas to practice to caution, use lighter pressure or avoid, include:
Orbital (eyes)
Anterior triangle of the neck (front of neck & throat)
Posterior aspect of the neck (back of the neck)
Axilla (under arm)
Brachial region (medial aspect of the upper arm)
Cubital area (front of the elbow)
Near olecranon process (back of elbow, funny bone)
Upper lumbar region (mid-back, kidney area)
Umbilical area (naval, belly-button)
Femoral triangle (inner upper leg)
Popliteal fossa (back of the knee)
Inguinal area (groin)
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Copyright 2005 2011 Liddle Kidz Foundation All Rights Reserved
The information provided herein does not replace medical advice
Contact:
Tina Allen | Founder & Director
Liddle KidzFoundation | www.LiddleKidz.com
references:
Barrie R. Cassileth and Gary Deng Complementary and Alternative Therapies for Cancer Oncologist,
Feb 2004; 9: 80 - 89.
Cassileth BR, Vickers AJ. Massage therapy for symptom control: outcome study at a major cancer
center. Journal Pain Symptom Management 2004;28:244-9
Fernandez C, Stutzer C, MacWilliam L, et al. Alternative and complementary therapy use in pediatric
oncology patients in British Columbia: prevalence and reasons for use and nonuse. Journal of Clinical
Oncology. 1998 Apr;16(4):12791286.
Ferrell-Torry A.T.; Glick, O.J. The use of therapeutic massage as a nursing intervention to modify
anxiety and the perception of cancer pain. Cancer Nursing, 1993; 16(2):93-101.
Field T, Hernandez-Reif M, Diego M, Schanberg S, Kuhn C. Cortisol decreases and serotonin and
dopamine increase following massage therapy. International Journal Neuroscience. 2005;115:1397413.
Gecsedi, R. A. Massage therapy for patients with cancer. Clinical Journal of Oncology Nursing, 2002 6,
52-54.
Hughes D, Ladas E, Rooney D, Kelly K. Massage therapy as a supportive care intervention for children
with cancer. Oncology Nurse Forum. 2008;35:431-42.
Liddle Kidz Foundation, Touch Therapy for Liddle Kidz with Cancer Course Manual, 2005 2010
Phipps S, Dunavant M, Gray E, Rai SN. Massage therapy in children undergoing hematopoietic stem
cell transplantation: results of a pilot trial. Journal of Cancer Integrative Medicine 2005;3(2):62-70.
Phipps, S. Reduction of distress associated with paediatric bone marrow transplant: complementary
health promotion interventions. Pediatric Rehabilitation 2002;5(4):223-234.
Post-White et al. Journal of Pediatric Oncology Nursing, 2009 Vol. 26, No. 1, 16-28
Post-White et al. Future directions of CAM research in pediatric oncology. Journal of Pediatric Oncology
Nursing, 2006; 23(5):245-48.
Post-White J, Kinney ME, Savik K, Gau JB, Wilcox C, Lerner I. Therapeutic massage and healing touch
improve symptoms in cancer. Integrative Cancer Therapy. 2003;2:332-44.
Sagar SM, et al. Massage therapy for cancer patients: a reciprocal relationship between body and mind.
Current Oncology 14(2):45-56.
The American Cancer Society. Cancer Facts and Figures 2009. Atlanta: American Cancer Society;
2009.
Van Cleve L, Bossert E, Beecroft P, Adlard K, Alvarez O, Savedra MC. The pain experience of children
with leukemia during the first year after diagnosis. Nurse Res. 2004;53:1-10.
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Copyright 2005 2011 Liddle Kidz Foundation All Rights Reserved
The information provided herein does not replace medical advice
Liddle Kidz Foundation | Pediatric Massage Education and Training Courses | Professionals
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Copyright 2005 2011 Liddle Kidz Foundation All Rights Reserved
The information provided herein does not replace medical advice
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Copyright 2005 2011 Liddle Kidz Foundation All Rights Reserved
The information provided herein does not replace medical advice
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Copyright 2005 2011 Liddle Kidz Foundation All Rights Reserved
The information provided herein does not replace medical advice