0%

Session Workflow

Session Workflow

A) Intake

First Appointment (up to 10 min)

  • Obtain comprehensive history (medical, mechanism of injury, ADL impact).

  • Explain study goals and pain scales (GPS/DVPRS).

  • Take a subjective history.

  • Conduct pain score as well as postural and lumbar ROM assessment (document in Google Form).

Follow-Up Appointments (~5 min)

  • Review subjective progress and symptom changes.

  • Perform ROM assessment.

  • Ask Fidelity Questions for education and exercise compliance.

  • Reassess pain level (0–10) before each treatment to guide exercise choice.

B) Massage Treatment Plan

(Guidelines but please use your clinical judgement based on patient-specific needs)

Phase

Technique

Duration

1

Swedish Massage (warm-up, circulation, superficial tension)

10 min

2

Deep Tissue Massage (specific target work—lumbar, hip, thoracic spine regions)

30 min

3

Swedish Massage (recovery, relaxation, transition)

10 min

Guidelines

  • Maintain communication about pressure and comfort.

  • Adjust intensity to pain level and tissue response.

  • Maintain professionalism at all times.

C. Patient Education & Exercise Component

Time Allocation: Up to 10 minutes (may be integrated throughout the session)

Key Principles

  • Provide consistent education using Zeel’s timeline and handouts.

  • Reinforce that patients should be integrating the educational topics daily throughout the week (refer to your guidelines provided for talking points for each treatment).

Patient Education Schedule

Visit(s)

Topic

1–2

Anatomy and Physiology

3–4

Posture and Body Mechanics

5

Breathing and Self Massage

6

Hydration

7–8

Active Mobility

9–10

Core Stability

11–12

Review of Previous Topics

Exercises for McChord Airforce Base Study Participants

General Clinical Tips

  • Always emphasize quality of movement over quantity.

  • Use tactile, verbal, or visual feedback to improve motor learning.

  • Document baseline tolerance and progression (reps, duration, resistance).

  • Customize to patient needs: post-surgical, chronic pain, deconditioning, etc.

  • Use this guide as a foundational tool for patient education, clinical teaching, and exercise progression planning.

Exercises by Pain Level

Pain Level

Recommended Exercises

Notes

1–5

Cat-Cow
Child's Pose
Bridges
Clamshells
Bird-Dogs
Plank
Full ROM Hip Hinge

More challenging exercises

6–8

Pelvic Tilt
Knee to Chest
Hook-Lying Hip Rotations
Sidelying Open Book
Modified Hip Hinge

Simple, less strenuous exercises

9–10

—

Exercise is not suitable

Sets / Repetitions: In Session

  • 1–2 exercises: 2 sets × 10 reps

  • 3–4 exercises: 1 set × 10 reps
    (Please reinforce proper form and correct improper movement or compensation)

Home Program

  • Encourage patients to perform home exercises 3× weekly between sessions.

  • 2 sets × 10 reps per exercise

D. Concluding the Session

  • Advise that mild soreness is normal (similar to post-workout).

  • Encourage hydration.

  • Reinforce educational topics discussed during the session and advise to make part of daily routine.

  • Schedule the next session in the Zeel Provider App.

0%