PROVIDE BODY MASSAGE aim and purpose
This is a preparation for work unit which is based on capability and knowledge. The unit is about
providing body massage treatments. To carry out this unit the Candidate will need to maintain effective health, safety and hygiene procedures throughout their work.
This unit covers all of the practical applications and required underpinning knowledge of body
massage to enable Candidates to provide a full body massage treatment with effective massage medium.
unit introduction
The basis of all good body treatment routines lies in a complete knowledge by the Therapist of the anatomical structures and systems in the area to be treated, coupled with a thorough understanding of the abilities and functions of massage mediums. This unit will enable the Candidate to prepare for and provide body massage designed to meet the needs of the Client, whilst working in a safe and secure manner.
This unit will assist in providing understanding of the organisational skills required, and technical processes and procedures involved in providing body massage. It will provide the foundation knowledge required to enable the Candidate to identify possible contra-indications to treatment, as well as indications for, and benefits and effects of, professional Salon body massage treatments.
A range of assessment methods may be used by the Centre to check the Candidate’s understanding of the subject Portfolios to include supplementary evidence of the following
Treatment plans to contain the following information
Consultation • Medical history • Treatment details • Aftercare and homecare advice • Candidates and Client signature • Treatment date
Evidence of four treatments to include at least
Two full body treatments • One application of a gyratory massager • One audio sonic and the use of infra-red heating methods • Other forms of pre-heat (such as hot towels)
For examination purposes CIBTAC Examiners will visually assess the following
Be able to prepare body massage treatments by
• Effectively prepare themselves, Client and work area for body massage treatment
• Demonstrate the use of suitable consultation techniques to identify treatment
• Correctly select products, tools and equipment to suit Client’s treatment needs, skin
• Competently advise the Client on how to prepare for the treatment and provide clear
Be able to provide body massage treatments by
• Communicate information and behave in a professional manner
• Complete all aspects of the treatment whilst following health and safety working
• Ensure they position themselves and Client correctly throughout the treatment
• Demonstrate the use of products, tools, equipment and techniques to suit Client’s
treatment needs, skin type and conditions
• Complete the treatment to the satisfaction of the Client
For examination purposes CIBTAC Examiners will either by oral or written questioning, examine the Candidate’s underpinning knowledge of the following
• Communicate and behave in a professional manner following health and safety
• Demonstrate how to position themselves and the Client correctly throughout the
• Describe how to select products, tools and techniques to suit Client’s treatment
• Demonstrate completion of the treatment to the satisfaction of the Client and
record and evaluate the results of the treatment
• Explain how to communicate and behave in a professional manner
• State health and safety working practices
• Explain the importance of positioning themselves and the Client correctly
throughout the treatment and techniques to suit Clients treatment needs, skin types and conditions
• Describe the benefits and uses of mechanical massage and pre-heat treatments
• Describe how treatments can be adapted to suit Client’s treatment needs, skin
• State the contra-actions that may occur during and following treatments and how
• Explain the importance of completing the treatment to the satisfaction of the
• Explain the importance of completing treatment records
• Describe the methods of evaluating the effectiveness of the treatment
• Describe the aftercare advice that should be provided
• Describe the structure and the main functions of the body systems in relation to
massage, skin , skeletal, muscular, cardio-vascular, lymphatic, nervous, digestive, urinary, endocrine, respiratory
• Describe the main diseases and disorders of body systems
• Describe the effects of massage on the body
• Describe the uses of the five classical massage movements
• Describe the uses of different massage mediums
• Describe the legislation relating to the provision of massage treatments
• Describe the contra-indications to treatment
• State the objectives of massage treatments
• State the benefits derived from massage treatments
• Describe the different types of body fat
body massage treatment taught content to include Preparation for treatment Preparation of the working area Equipment required per Candidate to produce the work detailed in the Syllabus: Couch • Trolley • Stool • Towels • Blanket • Additional support if appropriate • Headband • Bedroll • Robe • Disposable slippers • Tissues • Cotton wool • Spatulas • Mediums - oil (not mineral oil) • Cream • Powder (unperfumed) • Waste disposal Equipment required per Class of 4 to 10 Candidates: At least one of the following: Glass bead steriliser • Autoclave • UV cabinet • Chemical immersion equipment Control of the environment to consider Lighting • Heating • Ventilation • Noise levels • Available space • Music • General hygiene • Waste disposal • Décor • Aroma • Privacy • Reception areas • General use and treatment areas • Selection of adequate products • Procedures used to prepare Client for treatment • Client care and modesty considered Presentation and conduct of self
To include the wearing of freshly laundered appropriate Salon wear • Fully supportive and protective flat non slip shoes • Tights or stockings • Hair secured back from the face • Well applied make up • No jewellery • Watch to be of the fob variety secured out of the way on uniform
To be fully aware of the need to conduct oneself in an appropriate manner at all times
Consultation
Complete an appropriate consultation form to gain all of the necessary information for a safe and effective treatment • Consult in a suitable area • Demonstrate knowledge of the types of questions to ask to gain information upon which to base relevant treatment outcomes
Explain the treatment to the Client • Client preparation • Remove clothing down to underwear and remove shoes • Use robes and towels to maintain Client modesty • Positive body language • Positioning of the Client • Good communication skills (asking open and closed questions where appropriate) • Verbal and non-verbal communication • Ensuring understanding and consent from the Client is obtained with the Clients signature prior to treatment
Skin and body analysis
Skin type and conditions • Contra-indications to and indications for treatment • Identify pigmentation and colour variations • Skin texture • Imperfections • Elasticity • Temperature • Skin and muscle tone • Based on knowledge gained of lifestyle through consultation and analysis • Be able to communicate analysis findings
Soma type
Soft • Hard • Cellulite • Adipose tissue
To include postural defects
Dowager’s hump • Round shoulders • Winged scapula • Midriff bulge • Protruding abdomen • Hyper-extended knees • Fluid retention • Weight distribution • Poor muscle tone • Kyphosis• Lordosis • Scoliosis
Skin types
White • Black • Asian • Mixed • Dry • Oily • Combination
Skin conditions and characteristics
Mature • Young • Sensitive • Dehydrated • Lack of elasticity • Lack of muscle tone • Blemishes • Age • Crow’s feet • Broken capillaries • Open pores • Milia • Comedones • Pustules • Papules • Hyper pigmentation • Hypo pigmentation • Dermatosis papulosa nigra • Psuedo folliculitis • Keloids • In-growing hairs • Vitiligo • Albinism • Chloasma • Ephilides • Lentigo • Naevae • Port wine stain • Leucoderma • Scarring • Thin skin • Small moles and papilloma
Contra-indications that prevent treatment (requiring medical permission)
If the Client is suffering from any of the following contra-indications then permission to treat should be sought from the Client’s Doctor or Specialist treating the condition
In circumstances where medical permission cannot be obtained Clients must sign an informed consent form stating that the treatment and its effects have been fully explained to them and confirm that they are willing to proceed without permission from their GP
Pregnancy • Cardio vascular conditions (thrombosis, phlebitis, hypertension, hypotension, heart conditions) • Haemophilia • Any condition already being treated by a GP or another complementary practitioner • Medical oedema • Osteoporosis • Arthritis • Nervous or psychotic conditions • Epilepsy • Recent operations • Diabetes • Asthma • Any dysfunction of the nervous system (e.g. Multiple sclerosis, Parkinson’s disease, Motor neurone disease) • Bell’s palsy • Trapped or pinched nerve (e.g. sciatica) • Inflamed nerve • Cancer • Postural deformities • Spastic conditions • Kidney infections • Whiplash • Slipped disc • Undiagnosed
pain • When taking prescribed medication • Acute rheumatism • Chemotherapy • Radiotherapy
Contra-indications that restrict treatment
Fever • Contagious or infectious diseases • Under the influence of recreational drugs or alcohol • Diarrhoea and vomiting • Skin diseases • Undiagnosed lumps and bumps • Localised swelling • Inflammation • Varicose veins • Pregnancy (abdomen) • Cuts • Bruises • Abrasions • Scar tissue (two years for major operation and six months for a small scar) • Sunburn • Hormonal implants • Abdomen (first few days of menstruation depending how the Client feels) • Haematoma • Hernia • Recent fractures (minimum three months) • Cervical spondylitis • Gastric ulcers • After a heavy meal • Anaphylaxis • Body piercing
Communicate findings to the Client
Explanation of treatment • Benefits, limitations and co-operation required • Client care • Modesty and support • Communication • Correct posture, hygiene and a professional approach to the Client throughout treatment • Expectations of treatment frequency • Cost implications • Management of realistic expectations
Selection of treatment specific products
Knowledge of how to adapt and vary the selection of product tools and equipment, to suit the treatment outcomes
Mediums - oil (not mineral oil) • Cream • Powder (unperfumed) • The effects and benefits of each should be known
Performance of treatment routine and processes
How to complete a full body massage routine • How and where to adapt the techniques if necessary to suit the treatment aims
What restrictions may need explaining to the Client • Contra-indications and contra-actions • Client preferences and commitment • Product availability and suitability • Time scales • Costs • Other examples of how to adapt the treatment to suit the needs of the Client, such as in the case of treatment of Client unable to lie prone or in the presence of restricting contra-indications
Where the treatment may need to be terminated due to Extreme adverse skin reaction • Watery eyes • Excessive erythema • Skin irritation • Itching
The immediate actions to perform • Removal of products • Application of cool compress • Referral procedures
Set up for treatment to include
Ensure the Client is comfortable and correctly supported • Body massage Therapist to maintain correct working posture throughout treatment in either seated or standing position • All products and equipment to be placed in an ergonomic manner
Techniques demonstrated to include
Massage – effleurage • Petrissage • Tapotement • Vibrations • Frictions
Knowledge of massage movements to include The benefit, effects and uses of individual movements types covering
Effleurage • Petrissage • Tapotement • Vibrations • Frictions • Show they are performed correctly and on areas appropriate for the movement • Physiological and psychological effects of each movement
Outcomes expected are
Stimulating • Uplifting • Relaxation • Sense of wellbeing • Anti cellulite
To use in treatment where appropriate
Gyratory massager (vibrator) • Hot towels • Infra red • Audio sonic
Areas to be treated
Face • Head • Chest and shoulders • Arms and hands • Abdomen • Back • Gluteals • Legs • Feet (Please be advised if all of these areas are to be included in a full body treatment, additional time will be required)
Conclusion of treatment in appropriate manner to meet Client’s needs • Concluding the body massage treatment in an appropriate and safe manner
Recording of treatment outcomes to include
Any possible contra-actions to treatment to include explaining any possible side effects to the treatment • Feeling tired • Increased maturation • Increased defecation • Healing crisis • Headache • Thirst • Heightened emotions • Skin reactions • Increase in symptoms • Referral procedures • Client response to treatment and feedback • Note benefits of the treatment • Product advice • Homecare advice • Understand the storage of records • Demonstrating knowledge of confidentiality requirements
Aftercare and homecare advice to include
Information and advice to be based on knowledge gained from consultation and treatment outcomes • Information to include considerations on further treatment options and recommendations for immediate aftercare • Healthy eating • Fluid and water intake • Exercise • Smoking habits • Hobbies • Interests • Rest • Relaxation • Stress levels • Sleep • General care and lifestyle advice and the beneficial effects thereof
related knowledge of anatomy and physiology skin structure
Describe the structure and functions of the skin to have an understanding of the position and purpose of skin structure
Epidermis Subcutaneous and adipose layer
The structure and function of the fatty layer underneath the dermis
Skin functions
Secretion • Heat regulation • Absorption • Protection and Acid Mantle (composition and formation) • Elimination and excretion • Sensation • Vitamin D formation (7dehydro-cholesterol)
Describe diseases and disorders of the skin
UV damage • Urticaria • Allergic reaction • Hyper keratosis
Infestations Congenital
Atopic eczema • Atopic dermatitis • Psoriasis
Bacterial
Acne vulgaris • Acne rosacea • Impetigo • Folliculitis • Boils
Herpes simplex • Herpes zoster • Warts
Pigmentation disorders
Hyperpigmentation • Hypopigmentation • Dermatosis papulosa nigra • Vitiligo • Albinism • Chloasma • Ephilides • Lentigo • Naevae • Port wine stain • Leucoderma • Papilloma
Skin cancers
Basal Cell Carcinoma • Squamous Cell Carcinoma • Malignant Melanoma
Describe the structure and the main functions of the following body systems in relation to massage skeletal system How it is a support framework
Provides attachments for muscles • Forms joints to provide movement • Forms erythrocytes in the bone marrow • Stores calcium • Acts as protection
Different types of bones
Long • Short • Flat • Irregular • Sesamoid
Types of joints
Fixed • Slightly moveable • Freely moveable • Ball and socket • Hinge • Pivot • Gliding • Saddle
Position and function of the following bones to include
Parietal • Frontal • Ethmoid • Sphenoid • Occipital • Temporal
Nasal • Zygomatic • Maxilla • Lacrimal • Turbinator • Palatine • Mandible • Vomer • Hyoid
Vertebrae
Cervical • Thoracic • Lumbar • Sacrum • Coccyx
Shoulder Girdle Thoracic Cage Pelvic Girdle
Innominate bones • Ischium • Ilium • Pubis
Upper Limb
Scaphoid • Lunate • Triquetral • Pisiform • Trapezium • Trapezoid • Capitate • Hamate • Metacarpals • Phalanges
Lower Limb
Talus • Calcaneus • Navicular • Cuneiforms (Medial, Intermediate, Lateral) • Cuboid • Metatarsals • Phalanges
Describe diseases or disorders of the skeletal system
Arthritis: Osteo and Rheumatoid • Gout • Osteoporosis • Stress
muscular system To be able to define and describe the structure, location and function of the following within the muscular systems To understand and define the differences between
Voluntary • Involuntary • Cardiac • Ligament • Tendon • Fascia •
Define the terms
Origin • Insertion • Action and position for all the muscles listed
Define the following termsin relation to muscles
Tone • Tension • Fatigue • Flexion • Extension • Abduction • Adduction
Define the terms
Rotation • Supination • Pronation • Dorsiflexion • Plantarflexion • Eversion • Inversion • Circumduction
Muscles to include Trunk and torso
Trapezius • Sternocleidomastoid • Erector spinae • Splenius capitis • Latissimus dorsi • Serratus anterior • Gluteus maximus • Gluteus medius • Gluteus minimus • Psoas • Pectoralis major and minor • Rectus abdominus • Internal oblique • External oblique • Transversus abdominu • Rhomboid major and minor • Infraspinatis • Supraspinatis • Teres major • Teres minor • Iliacus • Subscapularis • Quadratus lumborum
Deltoid • Biceps • Triceps • Brachialis • Coraco brachialis • Brachioradialis • Pronator teres • Supinator radii brevis • Flexor carpi radialis • Extensor carpi radialis • Extensor carpi ulnaris • Flexor carpi ulnaris • Flexor carpi digitorum • Extensor carpi digitorum • Muscles of thenar eminence • Muscles of hypothenar eminence
Leg and Thigh
Quadriceps • Rectus femoris • Vastus lateralis • Vastus medialis • Vastus intermedius • Hamstrings • Biceps femoris • Semimembranosus • Semitendinosus • Adductor longus • Adductor magnus • Adductor brevis • Gracilis • Sartorius • Piriformis • Gluteus maximus • Gluteus medius • Gluteus minimus
Lower Leg
Gastrocnemius • Tibialis anterior • Peroneus longus • Flexor digitorum longus • Extensor digitorum longus • Soleus • Extensor hallucis longus
Face, neck and scalp
Orbicularis oculi • Orbicularis oris • Masseter • Buccinator • Levator anguli oris • Levator labii superioris • Depressor anguli oris • Depressor labii inferioris • Depressor labii oris • Mentalis • Zygomaticus • Temporalis • Nasalis • Procerous • Corrugator • Frontalis • Occipitalis • Pterygoids • Triangularis • Trapezius • Platysma
Describe diseases and disorders of the muscular system
Fibrositis • Cramp • Muscle fatigue • Atony • Atrophy • Myositis • Rupture • Spasm • Spasticity • Sprain • Strain • Stress
circulatory system To be able to define and describe the structure, location and function of the following within the circulatory systems Cardio-vascular
Erythrocytes • Leucocytes • Thrombocytes • Plasma and plasma proteins • Platelets • Arteries • Arterioles • Veins • Venules • Capillaries • Superior vena cava • Aortic arch • Inferior vena cava • Aorta • Right atrium • Right ventricle • Left atrium • Left ventricle • Septum • Pulmonary valve • Pulmonary artery • Pulmonary veins • Mitral (bicuspid) valve • Tricuspid valve • Endocardium • Myocardium • Pericardium
Describe diseases and disorders cardio-vascular system
Anaemia • Varicose veins • Haemophilia • Arteriosclerosis • Atherosclerosis • HIV and AIDS • High blood pressure (hypertension) • Low blood pressure (hypotension) • High cholesterol • Hepatitis A, B and C • Coronary thrombosis • Septicaemia • Haemorrhoids • Phlebitis • Thrombus • Leukaemia • Aneurism • Stress
lymphatic system
Leucocytes • Lymphocytes • Waste products • Lymphatic capillaries • Lymphatic vessels • Lymphatic nodes • Lymphatic ducts • Describe the way in which lymph is moved around the body
Describe diseases and disorders of the lymphatic system
Oedema and water retention • Lymphoedema • Hodgkin’s disease
nervous system To be able to define and describe the structure, location and function of the following within the nervous systems
Neurone • Motor neurone • Sensory neurone • Mixed nerve • Dendrite • Axon • Synapse • Neurilemma • Nodes of ranvier • White matter • Grey matter • Myelin sheath • End feet and axon terminals • Ganglia • Reflex arc
• Central nervous system - Brain • Spinal cord
• Peripheral nervous system 31 pairs of spinal nerves • 12 pairs of cranial nerves
• Autonomic nervous system - Sympathetic • Parasympathetic
Describe diseases and disorders of the nervous system
Neuritis • Bell’s palsy • Neuralgia • Parkinsons disease • Stress • Myalgic encephalomyelitis (ME) • Cerebral palsy • Multiple sclerosis • Sciatica • Motor neurone disease
digestive system To be able to define and describe the structure, location and function of the following within the digestive system
Alimentary canal • Salivary glands • Tongue • Teeth • Mouth • Epiglottis • Oesophagus • Stomach • Small intestine (Jejunum, Ileum, Duodenum) • Appendix • Large intestine • Rectum • Anus • Accessory organs • Liver • Gall bladder • Pancreas • Peristalsis • Ingestion • Digestion • Absorption • Defecation
Describe diseases and disorders of the digestive system
Appendicitis • Cirrhosis of the liver • Jaundice • Heartburn • Irritable bowel syndrome (IBS) • Ulcer • Hernia • Stress • Anorexia nervosa • Bulimia nervosa • Constipation • Gall stones • Diabetes mellitus • Diabetes insipidus • Coeliac’s disease
excreatory system To be able to define and describe the structure, location and function of the following within the excretory system
Urinary • Kidney (cortex and medulla) • Pelvis • Ureter • Bladder • Urethra • Functions of the bowmans capsule • Filtration • Re-absorption • Secretion and micturition
Describe disease and disorders of the urinary system
Cystitis • Kidney stones • Nephritis
endocrine To be able to define and describe the structure, location and function of the following within the endocrine system
Pituitary posterior lobe• Oxytocin • Antidiuretic hormone (ADH or vasopressin) Anterior lobe• Prolactin • Human growth hormone (HGH) • Thyroid stimulating hormone (TSH) • Adrenocorticotrophin hormone (ACTH) • Luteinising hormone (LH) • Follicle stimulating hormone (FSH) • Interstitial cell stimulating hormone (ICH) • Melanin stimulating hormone (MSH) • Thyroid gland • Thyroxin • Triiodothyronine • Calcitonin • Parathyroids • Parathormone • Thymus • Secretion of T lymphocytes • Pineal • Releases melatonin • Islets
of langerhans • Insulin • Glucagon • Glycogen • Adrenal medulla • Adrenalin • Noradrenalin • Adrenal cortex • Mineralocorticoids • Glucocorticoids • Sex hormones • Ovaries • Oestrogen • Progesterone • Testes • Testosterone
Describe diseases and disorders of the endocrine system
Addison’s syndrome • Amenorrhoea • Cushing’s syndrome • Pre-menstrual syndrome • Polycystic ovarian syndrome • Stress • Diabetes mellitus • Diabetes insipidus endometriosis
respiratory system To be able to define and describe the structure, location and function of the following within the respiratory system
Nose • Nasal cavity • Mouth • Pharynx • Larynx • Trachea • Bronchi • Bronchioles • Alveoli • Lungs (including lobes) • Ribs • Pleura (visceral, parietal, pleural cavity) • Diaphragm • Intercostal muscles
additional information Examples, definition and application processes of pre massage treatments and alternative methods of massage, their purposes and applications to include
Gyratory massager (vibrator) • Hot towels • Infra red • Audio sonic
CIBTAC Examiners will visually assess that all Candidates working practices are compliant with the relevant Health and Safety legislation for the country they are in and such practices are consistently and relevantly applied to the treatment performance.
related health and safety
The following information relates to the laws and regulations of the British Isles. The education provider is responsible for translating this information and ensuring knowledge and understanding of any other regulatory requirements particular to their country. In addition the education provider is responsible for identifying and signposting any comparable legislation particular to the safe practices and working conditions in the country they are in.
The Candidate must be taught the relevance of the following information and their responsibilities in law in relation to the country within which the qualification is taught and any particular legislative requirements.
Fire Precautions Act • Health and Safety at Work Act • Health and Safety (First Aid) Regulations • The Management of Health and Safety at Work Regulations • The Workplace (Health, Safety and Welfare) Regulations • The Manual Handling Operations Regulations • The Personal Protective Equipment at Work Regulations • The Provision and Use of Work Equipment Regulations • The Control of Substances Hazardous to Health Regulations (COSHH) • The Electricity at Work Regulations • Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR) • The Equality Act 2010 • Data Protection Act