This course runs in conjunction with Musculoskeletal Anatomy & Kinesiology – Lower Body. This course will start where Musculoskeletal Anatomy & Kinesiology – Upper Body and Trunk left off. Once the concepts of bony and soft tissue anatomy are communicated in the other portion of this course, actual hands-on palpation is employed to identify anatomy. Utilizing plastic skeletal models and each other, students will be guided through safe identification through palpation of the anatomy of the lower body. The student’s palpatory skills will be fine tuned as well.

Once general techniques are mastered in the previous Massage Theory 1, this course delves into the introduction of facial manipulation. Fascia is the varied connective tissues that hold the body together. Direct and indirect techniques will be shown and learned. Proper chair massage delivery utilizing a massage chair will also be gained. Safe massage will continue to be stressed with the skill of taking and monitoring vital signs.

In this course, there are four primary focus areas: neurophysiology, angiology, cardiology, and lymphatics. Neurophysiology is the study of the physiology of the nervous system. It includes the discussion of how the nerves work: how axions fire and dendrites operate in the chemical reactions inside the nerves. Angiology is the study of the blood and lymph vessels and the disorders associated with these systems. Cardiology is the study of the heart, including disorders and disease. The lymphatic forms part of the human immune system, and helps to protect the body against antigens.

Professional development refers to a broad grouping of fundamental social dynamics that are core to professionalism in health care services. Included in this course is an exploration of the nature and dynamics of communications: from passive, assertive and aggressive styles, to body language. Qualities inherent in good listening skills is discussed and practiced in the class. A second focus of this course is negotiation and conflict resolution. These are subtle and important skills that are useful to the massage therapy professional. Students are asked to contribute to the classroom learning by sharing their experiences in health care delivery and services.

The course provides an introduction to neurology. This a
foundational course within the RMT program because all of our
conscious awareness of the external environment, and all of our
motor activity to cope with the external environment, operate
through the Peripheral Nervous System.
The Peripheral Nervous System is large and has many divisions
that need to be understood by the registered massage therapist.
The layout of the PNS includes the sensory – somatic division
as well as the nerves and neurons that transmit information to
and from the brain. The course extends the student’s
understanding to the somatic and the autonomic nervous
systems.

It is key to identify pathology, change in function, and contraindications / precautions to deliver appropriate and safe massage therapy. This course will introduce the student to proper techniques and protocols of taking a full case history of a patient, interview, observation of posture, palpation for medical findings, and range of motion testing. The concepts of special testing will be introduced. Proper order and flow of assessment will be studied and practiced with patient comfort and therapist need-to-know in mind.

Arthrology is the science concerned with the anatomy, function, structure and structure of joints and ligaments. Students are presented with joint classifications and joints functions. In order to provide a full understanding of this area of physiology, the instruction includes the associated general anatomy of joints.

The use of thermal agents, water, and topical applications for therapeutic use will be studied and applied. Utilizing varied temperatures and delivery methods, the student will be able to safely apply water, paraffin wax, infrared sauna, and topical agents like poultices to the body and describe their therapeutic effect. Specific precautions and contra-indications unique to the application of hydrotherapy will also be learned. Students will utilize the hydrotherapy equipment supplied in the Student Clinic to experience each of the treatments so as to gauge their sensation and impact to the body as well as act as therapist to deliver treatment to colleagues.

The focus of this course is towards massage techniques that are employed during rehabilitation. The application / indications for trigger point, attachment and positional release are explored. The management of swelling and application of ice massage will also be covered. The process of scar treatment in its different stages and forms will be discussed and practiced.

Remedial exercise is an integral and necessary component of massage therapy. Foundations and theory of rehabilitative exercise for health are discussed before the practical applications are taught. Stretching and strengthening are demonstrated and practiced with a focus on safe, effective method for varied pathologies and stages of injury. The student will be able to create a remedial exercise program for patients from the acute stage of injury or disease to the chronic state.

The course is an introduction to the anatomy and physiology of the Central Nervous System [CNS] and, as such, is a complement to RMT 206 which is a study of the Peripheral Nervous System. The Central Nervous System focuses on the brain and the spinal cord, and a primary focus of the course is on the anatomy of the brain. A secondary focus is the autonomic nervous system, which has been referred to in RMT 206.

In this course, there are three primary focus areas: the gastro-intestinal system, the endocrine system, and the reproductive system. The gastro-intestinal system studies the human anatomy from the oral cavity to the anus. In the endocrine system, the focus is on the physiology of the system of glands, each of which secretes a type of hormone into the bloodstream. The reproductive system examines the genitalia with its connected tissues and organs.

Professional development refers to a broad grouping of fundamental social dynamics that are core to professionalism in health care services. The focus in this course is four areas: the role of massage in health care, patient / therapist relations, interdisciplinary communications, and conflicts of interest.

Movement and function are created by contraction of muscle tissue but the movement takes place in the joints of the body. When joints become restricted, movement becomes restricted. Students are introduced to the theory and principles of manipulation of peripheral joints to maintain or increase range of motion. Capsular patterns of restriction, arthrokinetic movements, and restrictions are learned before the proper hand placement and force of thrust are applied to each peripheral joint in the body. Legal scope of practice in Massage Therapy and grades of thrust are also highlighted.

Pathology is the study of the nature of disease and its causes, processes, development and consequences. The massage therapist will have clients who are ill, and who seek treatment in massage therapy to alleviate the symptoms of illness. As a result, it is important for the RMT to understand the origin, nature and course of disease. As part of this course, instruction is delivered in infection and how infection occurs in the body. Skin diseases are examined as part of Pathology I. Skin is the body’s largest organ and, as such, an important indicator of the individual’s health. Lastly, the course includes study in orthopathology which is the study of soft tissue pathology that may include miniscal injury, bursa, ligaments and tendons

The basics of public / therapist interaction are employed to introduce the student to working with the general population. Students will combine all of the skills learned so far to intake, safely assess, and deliver a general relaxation treatment in the Student Clinic or corporate outreach settings. ** Please Note: No hydrotherapy or pathological treatments will be performed during this semester. **

Taking skills previously acquired in anatomy, physiology, assessment, principles of treatment, therapeutic exercise, hydrotherapy, and joint mobilization the student is introduced to the theoretical treatment of pathology. Differential diagnosis and treatment for varied stages of generalized pathologies are attained. The ramifications of age, severity of injury, location of injury, motivation of the patient, and clinical prognosis will be discussed. Students will explore each type of pathology, construct a treatment plan and execute it in a simulation. Some of the pathologies explored will be tendonitis, muscle strain, ligamentous teats, bursitis etc.

Pathology is the study of the nature of disease and its causes, processes, development and consequences. The massage therapist will have clients who are ill, and who seek treatment in massage therapy to alleviate the symptoms of illness. As a result, it is important for the RMT to understand the origin, nature and course of disease. In this course, instruction will focus on six areas of study: systemic disorders, pathologies of the cardio and circulatory systems, pathology of the nervous system, pathology of the muscular system, pathology of the respiratory system, and pathology of the reproductive system.

The course is a continuation of the anatomy and physiology of the Central Nervous System [CNS] I offered in RMT 304. As with 304, 403 is a complement to RMT 206 which is a study of the Peripheral Nervous System. The Central Nervous System focuses on the brain and the spinal cord, and a primary focus of the course is on the anatomy of the brain. An additional focus in this course is the function of the spinal cord and the special senses: vision, hearing and balance, smell and taste.

Now that the student has a firm grasp of anatomy / physiology and has gained palpatory accuracy, more advanced techniques to manipulate the varied fascia in the body is employed. Septa, deep fascial sheets, retinacula, and ligament will be manipulated and muscular shaping will be employed.

Each student will perform shifts in the supervised Student Clinic or Outreach once per week. Now that the Intern Therapist has become comfortable in the Clinic, the focus shifts to critical thinking in assessing and treating dysfunction. Incorporating Systemic Treatment 1 and Consolidated Treatment, the student will construct a coherent and clinically relevant treatment approach to patients. The introduction of hydrotherapy applications will be added this term.

The special needs of competitive athletes will be explored in this course. Pre and post event massage will be learned as well as variables for different sport’s needs. Running gait analysis and taping will also be covered. Some of the sports included will be runners, cyclists, swimmers, weight lifting, and track.

Pathology is the study of the nature of disease and its causes, processes, development and consequences. The massage therapist will have clients who are ill, and who seek treatment in massage therapy to alleviate the symptoms of illness. As a result, it is important for the RMT to understand the origin, nature and course of disease. In this course, instruction will focus on three areas of study: human growth and development over the life-span, the gastro-intestinal system and the endocrine system. These three areas of study are linked: food ingestion and waste excretion are necessary for life and growth. The endocrine system is comprised of hormones and the system coordinates metabolism, respiration, excretion, movement, reproduction and sensory perception. The endocrine guides human growth and development through the life-span.

Identification, assessment, contra-indications / precautions, and treatment planning of pathologies involving the endocrine, vascular, lymphatic, and reproductive systems are explored. Drawing on anatomy, physiology, and pathology learned in previous semesters, students will be able to recognize and safely treat the above systems when in a pathological state as they affect the entire body. Geriatric concerns are also covered in this course. Some of the pathologies studied will be healthy pregnancy, stable high blood pressure, diabetes, and tension / cluster headaches.

Expanding on the information mastered in Consolidated Treatment Techniques, pathologies of the upper extremity are studied. Specific pathologies involving the shoulder girdle, elbow, wrist and hand are explored including ideology, presentation, specific assessment markers, hands-on treatment, appropriate remedial planning, and home care. Some of the pathologies covered in this course are: Thoracic Outlet Syndrome, Shoulder Dislocation, Tennis / Golfer’s elbow, Pronator Teres Syndrome, Carpal Tunnel Syndrome.

It is scheduled for two classes each week for the 12 week term. The foundations of assessing and treatment planning for orthopathology in the cervical and thoracic spines will be set in this course before specific pathology is highlighted and expanded upon. The spinal column is the foundations for the central nervous system as well as the pillar of the body. Great care must be taken when identifying, assessing, and treating pathology in this region. Specific and detailed involved anatomy will be highlighted as well as contra-indications or precautions to treatment. Some of the pathologies studied will be: Whiplash, Nerve Root Impingement, Disc Herniation, and Rib Subluxation.

Drawing from neuro-anatomy and previous treatment related courses, pathology of the peripheral nervous system is studied. Specific assessment tools, treatment techniques and contra-indications / precautions are added to knowledge already attained to give the student therapist confidence in assessing and treating nerve pathologies. Some of the pathologies studied in this course are: Plexal Impingement, Radial Nerve Palsy, Klumpke’s Paralysis, and Foot Drop.

Each student will perform shifts in the supervised Student Clinic or Outreach per week. As the student adds more knowledge to their assessment and treatment base in the classroom, these tools are employed in the treatment room or outreach with members of the public. More specific assessment skills including interview, special testing, and critical thinking will be highlighted this semester.

Expanding on the principles and skills gained in Systemic Treatments 1, more unstable and devastating systemic pathology is studied. Exploration of end of life diseases from the patient and therapist’s perspectives are studied and applied. Identification, assessment and treatment of the systemic arthritides, unstable cardiovascular pathology, and immune diseases will be covered.

This course is a companion to Orthopedic Treatments – Upper Extremity delivered in term 5. Utilizing the strategies and skills gained in the previous course, Orthopathology of the lower extremity is examined. Disease of the muscle, bone and joint found in the hip, knee, ankle and foot are studied. As in the other course identification, specific assessment, treatment and homecare are explored. Some of the specific pathologies studied are: osteoarthritis, hamstring strain, patellar tracking, cruciate instability, ankle sprains, and plantar fasciitis.

Utilizing skill sets attained in Orthopedic Treatment – Upper Spinal from the previous semester, the exploration of pathology in the spinal column continues. The focus of this course will be the Lumbar, Sacral, and Coccygeal segments. As in previous courses, skills in correct identification of pathology, specific assessment markers, treatment techniques, and home care will be attained. Some of the specific pathologies studied are: osteoarthritis, disc herniation / prolapse, spinal instability, scoliosis, spondylolisthesis.

Drawing from neuro-anatomy and previous treatment related courses, pathology of the Central nervous system is studied. Specific assessment tools, treatment techniques and contra-indications / precautions are added to knowledge already attained to give the student therapist confidence in assessing and treating brain and spinal pathologies. Safe patient transfers will also be included to protect both patient and therapist. Some of the specific pathologies studied are: Parkinson’s disease, Multiple Sclerosis, traumatic spinal cord injury with resultant paralysis, stroke, and hemiplegia.

The purpose of this course is to introduce students to the foundations of research and studies that form the basis for professional practice. The term ‘research literacy’ refers to the capacity to identify a challenge and to determine the resources required to guide professional practice in order to address the challenge. In the course of gaining an appreciation for research literacy, students are guided in their understanding of, and distinctions between, good and poor method. Students have the opportunity to discuss research methods and findings, and to understand how the methodology and findings have contributed to the development of the massage therapy profession. Similarly, continuing research has contributed to the evolution of some techniques – and changes in other techniques. Another major focus of this course is the philosophy of Evidence-Based Practice.

Each student will perform shifts in the supervised Student Clinic or Outreach once per week. This semester the focus shifts from the Supervision staff helping create treatment approaches and goals to the Intern Therapist identifying dysfunction and developing a complete approach. Outreach opportunities will focus on specific patient populations.

The course addresses a number of basic premises upon which the practitioner makes decisions regarding professional practice. The core questions are: How do you want to practice? And where do you want to work? There are business considerations such as clinic ownership and associateship relationships. Tangibles include the negotiation of leases and contracts. There are also municipal bylaws and taxation to be considered. This course is offered alongside RMT 702, Law and Regulation.

The course considers the scope of practice of the registered massage therapist: what procedures are included within the scope and what procedures are beyond the scope of practice. Included is a discussion of the Bylaws of the College of Massage Therapists of BC and discussion of the Regulated Health Professions Act.

Continuing along the same assessment and treatment philosophies of previous terms, this course delves into systemic pathology caused by respiratory and gastrointestinal disease as well as cancer. Some of the specific pathologies covered will be chronic obstructive pulmonary disease, bronchitis, Crohn’s disease, and specific cancers.

This course focuses on 10 areas that compose the nutritional understanding for massage therapists. Nutrition is viewed in its relationship with the prevention of disease. The nutritive values and the dietary requirements of carbohydrates, lipids and proteins are presented. The nutritive values of vitamins and provitamins are discussed, as are their food sources and dietary requirements. A similar approach is taken with minerals. The course completes with a discussion of the physiological need for water, nutritional deficiencies, and dietary considerations.

The course provides instruction in the general principles and terminology of pharmacology. There is a focus on the common classification of drugs, as well as the common classes of drugs – and their uses and effects. Lastly, it is important for the massage therapist to understand the importance of medication considerations when taking the client’s case history.

The focus of this half semester course is on the common types of surgical procedures including orthopaedic and cardiovascular procedures. The complications of these bear special attention. In addition, the course presents information about the absolute and relative contraindications for post-surgical treatment – as well as general considerations and precautions in massage therapy treatments relative to post-surgical care.

The Registered Massage Therapy program gives students the basic tools and competencies to practice safely and effectively, but learning and honing skill is a lifelong endeavor. Due to regulatory requirements of the College of Massage Therapist of BC, massage therapists must perform a required number of continuing education every two years. This course gives students an introduction to techniques that are learned at the post graduate level, allows them to make appropriate choices as to which fields they may want to further explore. As well, massage therapy is only one component of the health care field. This course will also expose students to different regulated health care practices that may benefit their patients. Some of the techniques / professional practices explored are CranioSacral, Manual Lymph Drainage, Rolphing, Acupuncture, and Naturopathy.

Each student will perform shifts in the supervised Student Clinic or Outreach once per week. The continued evolution of the student therapist’s abilities to function independently is highlighted. The student must also utilize techniques conveyed in Business RMT 701 to maintain and bolster a Clinical following. This is to help augment their required CMT of BC clinical hour requirements.

Although pathology and specific patient populations are treated through the Student Clinic experience, this course highlights the needs of specific patient populations. Although assessment and treatment are the focus during patient contact, Clinic Supervisors will hold discussions post outreach to discuss patient / therapist interaction, noted variances from normal treatment protocols. This is to highlight the need for continual monitoring of therapist skill, adaptation during treatment, and self care of the therapist during these experiences. Students will be encouraged to cultivate a more in-depth therapeutic relationship with patients as well as market themselves to generate referrals.

Research and evidence based practice is now the keystone of massage therapy delivery. Each student is expected to create a publishable research paper that includes in-depth research into a chosen pathology, application of that research into a proper assessment and treatment plan for an individual experiencing that pathology, execution of the treatment plan, and their results / conclusions. Every student will be assigned an advisor during this process. Each paper will be submitted for marking as well as performing a proper presentation to their peers for review. The scheduled classroom allotted time is for presentations and peer review.

During the full educational process integration is stressed; however, there is the possibility of compartmentalization. This course is utilized to reinforce application of ALL the didactic and practical programming in a cohesive and relevant manner. Reintroduction of simple concepts and techniques first explored in the program are re-examined and integrated. This is also a forum for each individual student to bring forth ideas and concepts for clarity in a peer supportive environment.

The purpose of the course is to bring together the learning from the previous seven terms, and to consolidate the learning from the many perspectives of anatomical knowledge and the principles of treatment. As a result, MSAK Consolidation is both a didactic and a practical class, allowing the student to demonstrate understanding and applied skills in the last term of the program.

This course is delivered in the eighth and final term of the
program. It is scheduled for twice each week, for three-hour
sessions.
This course is designed to serve as a comprehensive
academic review of the Anatomy and Physiology content. Each
body system will be reviewed in depth, and this is
supplemented with the Pathology components that correspond
to each body system in order to allow for synthesis of the
material.

Each student will perform shifts in the supervised Student Clinic or Outreach once per week. As this is the last semester of the program, the onus is placed directly on the Intern Therapist. Reporting structures to Clinic Supervisors will be reduced and utilizing all of their learned competencies will be expected. Although reporting will be reduced, Supervision will still be present but in the background. It will also be the Intern’s responsibility to locate patients or situations to complete the competency completion check-list.