Body Massage Manual Guild

The Wiltshire School
of
Beauty and Holistic Therapy
Diploma in Swedish Body Massage
Practitioner’s Training Manual
W: www.wsbht.co.ukE: info@wsbht.co.uk
T: 01793 73 77 33 M: 07767 794422
The Wiltshire School of Beauty and Holistic Therapy 1

Diploma in Swedish Body Massage Training Manual ©
CONTENTS
1. Aims & Objectives
2. Course Details
3. Body Massage Introduction
4. Hygiene, Health & Safety
5. Professional Ethics & Standards of Practice
6. Massage Benefits, Mediums & Movements
7. Client Consultation
8. Contra-Indications
9. Contra-Actions
10. Aftercare
11. Equipment & Products
12. Storage & Insurance
13. What Happens Next?
14. Contact Details & Essential Reading
15. Self Assessment
16. Notes
17. Accreditation

1. AIMS & OBJECTIVES
AIMS
The aims of this manual is to teach students the basics of health and safety, the
background, benefits, treatments, consultation, contra-indications,
contra-actions, aftercare, equipment and products. The student will also learn
the movements and techniques required to perform a professional treatment
during the practical sessions.
OBJECTIVES
The objectives of this course are that by the end it the student will be able to
perform a professional treatment in a safe and hygienic manner in a
commercially acceptable time, along with experience of carrying out a
consultation with the knowledge of the background, benefits, consultation,
contra-indications, contra-actions, aftercare, equipment and products needed.
WSHBT advise you to read this training manual thoroughly

along with other research before you take part in your practical
session.

2. COURSE DETAILS
During this course you will learn how to perform a professional Full Body Massage
treatment.
You will learn how to:

prepare the treatment area
prepare the client for treatment
carry out a client consultation
carry out a full body massage
provide aftercare advice.
You will also study:

related hygiene, health and safety
related anatomy and physiology
the history and philosophy behind massage
benefits of massage
massage movements
client consultation
contra-indications
contra-actions
aftercare.
It is essential that you purchase “Massage in Essence” by Nicola Jenkins, to

assist you with your course. This book is listed at the end of the manual.
You will attend 8 hours of training to study the practical elements required to
perform a professional body massage, as well as using your own time to read
the training manual and text book.
You will then be required to do some home study - practise until you are
confident in providing the treatment to a high standard in an acceptable time,
and revise the theory work.
You will return to the school for a further 3 hours to discuss the case studies, file
of evidence and carry out 2 practical assessments.
Once you have successfully completed, you will receive The Wiltshire School of
Beauty and Holistic Therapy Diploma in Swedish Body Massage.
Good luck and enjoy!

3. BODY MASSAGE INTRODUCTION
The History of Body Massage

From the earliest of times, massage has been used by stroking or rubbing parts of
our body that are experiencing pain. It is a universal instinct to rub ourselves
when we are hurt.
Dating back 3000 years, the ancient Romans, Greeks, Chinese and Egyptians
have been known to use massage. Those who could afford to do so were rubbed
with olive oil after they bathed to help keep their joints and skin supple. This
soon developed into a full body massage; in fact Julius Caesar received massage
to relieve his epilepsy.
In Africa and Asia massage has always been valued and used as a healer and is
today used widely in the UK as a way to treat ill health, for relaxation and as a
preventative.

Benefits of a Full Body Massage
Apart from the pampering aspect of the treatment, massage has many
physiological and emotional benefits. The power of touch is huge and should not
be underestimated as a luxury. Massage is known to:
Physiological Effects & Benefits:

Can release joint restrictions and increase joint mobility
Relieves tight muscles, stiffness and spasms
Increases flexibility and range of movement in the muscles
Improves circulation delivering more nutrients to the muscles
Improves circulation releasing toxins and waste from the muscles
Reduces muscular fatigue and soreness in the muscles
Reduces ischaemia (poor blood-flow) easing localised pain & tissue
dysfunction
Reduces oedema (excess fluid in the tissue) by increasing lymphatic drainage
Strengthens the immune system
Combination of techniques used can stimulate and soothe the nervous system
Stimulates the parasympathetic nervous system leading to stress reduction
Releases endorphins (the body’s natural painkillers and mood enhancers)
Improved circulation resulting in quicker regeneration and healthier skin
Increased production of sweat leading to better removal of toxins via the skin
Improved skin colour and elasticity leading to younger-looking skin
Increased sebum production improves skin’s suppleness & resistance to
infection
Deepens respiration and increases lung capacity by relaxing respiratory
muscles
Improves digestion and helps to relieve constipation, IBS, colic and wind
Psychological Effects & Benefits:

Reduces levels of stress and anxiety
Promotes deep levels of relaxation
Improves feelings of vigour and energy
Stimulates physical activity
Increases awareness of posture
Helps to alleviate depression
Rejuvenates the body and mind
Can enhance feelings of self-esteem
Eases emotional trauma
Promotes feelings of happiness
How Often Should We Have a Full Body Massage?

This will depend on the client and the reason for treating. Some people like to
receive a massage on a weekly basis but, at the least, it is advisable to have a full
body massage once a month as a preventative measure.

4. HYGIENE, HEALTH & SAFETY
Maintaining a high standard of hygiene is essential. Not only from a health and
safety perspective, but clients will not return if the salon, treatment area, or
equipment are not clean.
It is a legal requirement for employers to display an approved health and safety

poster or to supply employees with an equivalent leaflet or information.
It is recommended that you get copies of the following from your local council:
Health and Safety in the Workplace

Trade Descriptions Act
Data Protection Act
Sales of Goods Act
COSSH Regulations and Risk Assessment (Control of Substances
Hazardous to Health)
Local Government (Miscellaneous Provisions) Act 1982
The Management of Health and Safety at Work Regulations 1992
The Workplace Regulations 1992
The Manual Handling Regulations 1992
The Personal Protective Equipment at Work Regulations 1992
The Health and Safety (Display Screen Equipment) Regulations 1992
The Electricity at Work Regulations 1992
Health and Safety (First Aid) Regulations 1981
RIDDOR – The Reporting of Injuries, Diseases & Dangerous Occurrences
Regulations 1995
Fire Precautions (Workplace) Regulations 1997
Consumer Protection Act 1987.
All businesses are required by law to comply with the following health and safety
acts, which are monitored and managed by The Health & Safety Executive (HSE)
www.hse.gov.uk
Health and Safety at Work Act 1974

This protects your rights either as an employer or employee. The law states
that the employer must provide a safe working environment, provide
health and safety training for staff, produce a written policy of the
company’s health and safety policy, and ensure that anyone on their
premises is not exposed to any health or safety risks.

Trade Descriptions Act 1972
This act is particularly relevant to therapists as it relates to how the goods
or services are described in any kind of advertising or promotional
material. The act makes it illegal to mislead the public in any way or make
any false claims about what you are able to do.
Data Protection Act 1984

This is only relevant if you are storing information about your clients on a
computer. If so, you must register your business on the Data Protection
register.
Sale of Goods Act 1994

This act protects your clients’ rights by insisting that any goods or services
sold must be of a satisfactory standard, be suitable for the purpose
described, accurately described, and provided in a reasonable time and for
a reasonable price.
Control of Substances Hazardous to Health Act (COSHH) 1989

This act provides guidance on dealing with chemical substances that could
enter the body and cause skin irritations, allergies, burns etc.
Local Government (Miscellaneous Provisions) Act 1982

The local authority is responsible for registering and licensing any
businesses where invasive treatments, i.e. body piercing, epilation,
acupuncture take place on the premises. This is to ensure that all
equipment is sterilised, only fully qualified therapists are carrying out the
treatments, waste products (especially needles) are disposed of correctly.
The Management of Health & Safety at Work Regulations 1992

This act outlines the responsibilities of the owner/manager of the business
to protect the well-being of all who visit the premises, to keep a record of
all checks they have made and also of any first aid treatments carried out
on their premises.
The Workplace Regulations 1992

These regulations govern the appearance of all parts of the workplace, not
just the treatment rooms. This would include suitable toilet facilities which
are kept clean and tidy with adequate soap, towels, hot & cold running
water etc. Proper ventilation, the areas are well lit, the area is at a
comfortable temperature, is clear of all waste material (keep the walk ways
clear of clutter), has up to date fire fighting equipment, has drinking water
available.
The Manual Handling Regulations 1992

This relates to the appropriate posture when lifting to reduce the risk of
injury and to safely carry out manual tasks required in the workplace.

The Personal Protective Equipment at Work Regulations 1992
This act requires you to provide the correct safety/protective equipment to
carry out a particular task.
The Health & Safety (Display Screen Equipment) Regulations 1992

These regulations are relevant to anyone using a computer and require you
to get regular eye tests, take regular breaks, and use the correct height
adjusted chair.
The Electricity at Work Regulations 1992

This governs the use of electrical equipment in the workplace and ensures
that any equipment is checked at least once a year by a qualified
electrician. Any faulty equipment is removed from service, and written
records are kept should an inspector wish to see them.
Health and Safety (First Aid) Regulations 1981

No matter how small your business is there must be first aid treatment
available should an injury take place.
RIDDOR – The Reporting of Injuries, Diseases & Dangerous

Occurrences Regulations 1995
This outlines the correct procedure to adopt if a workplace accident
occurs. An accident book is a must.
Fire Precautions (Workplace) Regulations 1997

This ensures that the safety of all those present is considered and planned
for should a fire take place.
Consumer Protection Act 1987

This is designed to look after your clients’ interests and protect them from
any product deemed unsafe.

Salon/Treatment Area Hygiene
Clean the salon thoroughly, daily.

Clean the treatment area before and after every client.
Use clean fresh smelling towels for each client, (dirty linen must be
laundered at a minimum of 60◦C).
Creams, lotion and sprays should be dispensed from purpose-specific
pump or spray bottles where possible, otherwise use a clean disposable
spatula to remove products from bottles/jars.
Replace all lids after removing products from the bottles/jars.
Sterilise all tools.
Empty bins and dispose of contents accordingly.
Check all the plugs and wires on electrical equipment and make sure they
conform to British Standards, and are professionally checked annually.
Make sure all fire exits are clear and accessible.
Make sure your client’s personal belongings are safe.
Protect client’s clothing by using towels. The towels may also be used to
preserve the client’s modesty during the treatment.
Read all labels and follow all manufacturer’s instructions.
Know the hazardous warning signs.
Store products safely and in accordance with safety data sheets.
Report any faulty equipment/goods to your supervisor or supplier.
Have a first aid kit that complies with the Health and Safety (First Aid)
Regulations 1981.

5. PROFESSIONAL ETHICS & STANDARDS
OF PRACTICE
A Therapist should:
maintain the highest standard of professional conduct.

provide services in an ethical and professional manner in relation to
clientele, business associates, health care professionals and the public.
practice within the professional boundaries of the practitioners training.
ensure client comfort and safety.
protect client privacy.
respect client confidentiality.
maintain anonymity of the client when discussing the client’s case with
other professionals, unless written consent is obtained.
have adequate professional insurance.
never claim to cure a condition.
never treat a client with a condition that is contra-indicated to the
treatment.
keep all records of treatments complete and up to date.
explain the treatment and answer any questions and queries prior to
carrying out the treatment on the client.
never treat a minor or disabled person without prior consent from a parent
or carer.
treat all clients in a professional manner at all times regardless of their
colour, sex or religion.
refer clients to other professionals/GP where required.

Standards of Practice
The practice of good ethics is essential to the reputation of the field of beauty
therapists and the welfare of the clients and practitioners of the therapies. The
following is a statement of standards and ethics for therapists, including
standards of ethical and proper behaviour.
A Therapist should:
conduct herself/himself in a professional, honest, and ethical manner.

promote professionalism.
establish goals with each client and evaluate the outcome at the end of
each session.
promote the therapies within the community.
promote therapies with healthcare professionals and other practitioners.
truthfully and accurately represent their credentials, qualifications,
education, experience, training and competence relevant to the practice.
maintain confidentiality of the client.
undertake continual professional development to enhance their skills.
A Therapist will:
take a full medical history on the client's first visit.

discuss and record any health problems, contra-indications, symptoms or
diagnosis from a conventional medical practitioner.
use this information to decide whether treatment is suitable for the client.
explain the treatment to the client.
give a full and professional treatment.
give full and correct aftercare advice.
write up full details of the treatment on the client's record card.
on the client's next visit, discuss and record any changes that they may
have noticed in their symptoms.
refer the client to their GP if necessary.

Skills and Personal Qualities
A Therapist should:
be comfortable touching people.

be a good communicator, able to explain treatments to clients and ask
appropriate questions.
have good listening skills.
be able to make clients feel relaxed and comfortable.
have empathy with clients.
be able to respect professional boundaries.
know when to advise clients to seek conventional medical advice.
keep accurate written records.
respect confidentiality.
have business skills if they are self-employed.
Posture of the Therapist
In order for you to be able to perform multiple massage treatments and extend
your career in massage, it is essential that you ensure you have the correct
posture as you massage.
If you are carrying out a number of
treatments a day, you are going to
suffer physically if you do not have
the correct positioning yourself.
It is essential that your hands are

kept relaxed and loose at all times.
If you have to carry out a good deal
of petrissage, it may be worth
investing in a mechanical massager
which will prevent your hands from
becoming damaged.
To prevent injury, always ensure

that your back is kept straight and
that your neck is in the neutral
position and not bent awkwardly.
Keep your knees slightly bent in a
squat or lunge position and make
sure they are not locked.

If you are applying pressure during the treatment, it should come from your body
weight, rather than from your own wrists. When you are using your hands and
wrists, it is possible to reinforce your hands.
It may be worthwhile investing in an adjustable height couch in order for you to

work at the optimum height. These can come in various designs and prices.
Your teacher will demonstrate the correct position during your practical training.

6. MASSAGE BENEFITS, MEDIUMS &
MOVEMENTS
BENEFITS OF MASSAGE
The muscles of the body can hold a great deal of tension and pain. A Full Body
Massage can relax a person and relieve pain in the body.
Massage will:
stimulate blood circulation bringing essential nutrients to the area

provide pain relief and a reduction of muscle tension
remove waste products
exfoliate the skin and add moisture from the medium
improve skin colour
aid joint mobility
help keep the skin soft and supple aided by massage mediums
relax the client
lower blood sugar levels
stabilise the metabolic rate.
MASSAGE MEDIUMS
Massage mediums are products used to allow the smooth flow of movements over
the skin during the massage. The medium chosen depends on the client's
condition or needs, skin type, the reason for massage and the client's
requirements. Most massage therapists will chose oil such as sweet almond oil to
massage with. A typical massage will use 20 – 30ml of oil.
Other mediums available are talc, creams and gels.

MASSAGE MOVEMENTS
The following massage movements are the most common used in a Full Body
Massage.
Effleurage
This movement is performed with light even pressure, in a rhythmical,
continuous way. The pressure can be varied according to the underlying
structures and muscle bulk but should never be very heavy. This movement will
prepare the tissues for deeper massage and link up individual manipulations.
Effleurage is used at the beginning and end of the massage routine and is also
known as the linking movement.
You use the palmar surface of the hand, which contours round the shape of the
body, using even pressure and a good rhythm.
The uses of the effleurage movement are as follows:

to introduce the therapist’s hands to the client’s body
to apply the medium to the client’s skin
to begin the routine
to link movements together
to complete the routine.
The effects of the effleurage movement are as follows:

relaxes the muscles
increases the blood circulation, which improves the skin temperature,
therefore improving the colour
increases the lymphatic circulation, which will aid the absorption of waste
products
aids desquamation, which helps to remove dead skin cells
aids relaxation
prepares the muscles for further treatment
relaxes contracted, tense muscle fibres.

Petrissage
Petrissage is deeper than effleurage and is only performed on warm, relaxed
muscle tissue.
The movement may be performed with the palmar surface or the fingers or
thumbs. The movement must be performed slowly and rhythmically. The
pressure must be increased or reduced according to muscle bulk and the degree
of tension.
The effects of the movement are as follows:

The skin is stimulated, improving cellular functions and regeneration.
Increases the blood circulation, which improves the skin temperature
therefore improving the colour.
Increases the lymphatic circulation, which will aid the absorption of waste
products.
Aids desquamation, which helps to remove dead skin cells
Larger contracted muscles are relaxed.
Muscle tone is improved through compression and relaxation of the
muscle fibres.
Variations on Petrissage:
Kneading is a circular technique by which the skin
and its underlying structures (e.g. muscles, tendons,
and ligaments) are moved in a circular rotating
motion. Tissue is lifted and rolled away from the
bone, and then back towards the bone with a
squeezing compressive action.
Wringing - the soft tissues are compressed against

their underlying structures before they are lifted. The lifted tissue is then
pulled gently away from the underlying structures using the fingers of one
hand, while the thumb of the other hand gently pushes the tissue back
towards the underlying structures. In the cases of smaller areas of tissue,
only the tips of the therapist's fingers and thumbs need be used to perform
wringing movements. The larger the areas to be worked, the more of the
therapist's hands are used to wring tissues effectively.
Skin Rolling is a technique by which the skin is lifted and rolled between
the fingers and thumbs of both hands. This massage manipulation is
commonly used on the abdomen, thighs, and back. It can also be used,
with appropriate care, around some joints.

Tapotement
Tapotement is a technique that involves a percussion movement such as cupping,
tapping, hacking and pounding.
Tapotement is a stimulating manipulation that operates through the response of

the nerves. The strongest effect of tapotement is due to the response of the
tendon reflexes. The hands should be kept close to the body, no more than one
inch from the body. The movement should be rapid, light, sharp and springy,
with the hands loose at the wrists. The forearm muscles contract and relax in
rapid succession to move the elbow joint into flexion and then allow it to quickly
release.

increases circulation
stimulates the skin and muscle reflexes
helps create the desired effect of a massage.
Variations on tapotement:
Cupping - is generally applicable to the fleshy parts of the body, but not
directly over bony protuberances, not over surface (superficial) nerves, not
over paralysed muscles, and not during pregnancy.
If in doubt about the safety of a movement don't perform it - seek advice

from a tutor or medical professional.
The whole of the palmer aspect of the hand is shaped into a "cup"
configuration by slightly flexing the fingers and closing the hand into the
form of a "cup" by adducting the thumb to meet the index finger.
The hand is loosely held in this form and used to softly strike the client's
body via a loose rhythmic action of the wrist. The centre of the palm of the
hand does not make contact with the client and the hollow shape formed
by the hand may give rise to the distinctive sound of this massage action.
The speed of this action may be varied to suit the client and the area that is
being worked. Variation of the speed of the cupping action determines the
depth of the effect on the skin and its underlying structures. This is an
extremely stimulating movement that is one of the more difficult
techniques for trainee therapists to master.

Tapping - the therapist's hands are poised over the area to be worked on
while loose and relaxed.
The tips of the fingers are then used to gently tap the area. Tapping is
usually gentle but with sufficient intensity to produce a slightly hollow
sound on contact with the client. Movements should be kept light and
different fingers may be used.
As with other tapotement techniques, tapping is usually only performed

for relatively short periods of time before moving on the next movement in
the sequence. Tapping is often appropriate for small areas of the body and
even delicate areas such as the head and face because this is a very light
percussion movement.
Hacking - it is generally applicable to the fleshy

parts of the body only, but not directly over bony
protuberance, not over surface (superficial)
nerves, not over paralysed muscles, and not
during pregnancy.
If in doubt about the safety of a movement don't

perform it - seek advice from a tutor or medical professional.
During the hacking movement, the therapist's hands are held palms facing
with the fingers and thumb outstretched from the arm and in loose contact
with each other. The movement is actioned from the wrists and not from
the elbows.
Both hands are used to strike the client's body alternately. They are
positioned just a short distance apart so that both hands work on the same
area of the client, rotating so as to just clear each other during the action.
As the wrists are rotated, causing the hands to alternately rise and fall,
only the tips of the three medial fingers strike the client lightly and in
quick succession. The fingers remain relaxed at all times so that the
movement is light (i.e. the client should not be struck hard by "solid"
objects in fast succession, but lightly so that the stimulation is provided by
the speed, not the impact).
The rate of a hacking movement may be typically 4-6 strikes per second.
As variation of the speed/rate of this action determines the depth of the
effect on the skin and its underlying structures, this will be determined by
individual requirements.

Pounding - it is generally applicable to the fleshy parts of the body only,
(e.g. in some cases, pounding may be used on the thighs) but not directly
over bony protuberances, not over surface (superficial) nerves, not over
paralysed muscles, and not during pregnancy.
If in doubt about the safety of a movement don't perform it - seek advice

from a tutor or medical professional.
During the pounding movement, the therapist's hands are loosely clenched
into fists with the thumbs lying upper-most and flat against the clenched
index fingers.
The movement itself is similar to the hacking movement except that in the
case of pounding it is the lightly clenched little finger of each hand that
makes contact with the client (as compared with the ends of the three
medial fingers in the case of hacking).
Similarly, the movement is actioned from the wrists and not from the
elbows, and both hands are used to strike the client's body alternately.
They are positioned just a short distance apart so that both hands work on
approximately the same area of the client.
Note that pounding is one of the lesser-used massage techniques and may
be omitted completely from some massage routines - even some Swedish
Massage routines - in favour of other tapotement techniques.
Frictions
This is done with the cushion part of the fingers or the palm of the hand. Friction
is always followed by effleurage, which soothes the area, and is ideal for removing
toxins and loosening hardened tissue around joints and
tendons. It is extremely useful carried out in circular
motions, usually clockwise, with several circular motions
being used before the thumb is moved on to another area.
Friction is carried out using a firm movement and moves

the skin over the underlying tissue.

releases harmful toxins, which may have built up in the body
loosens hardened tissues around joints and tendons
breaks down and removes unwanted deposits.

Vibrations
A massage technique in which tissues are pressed and released in an "up and
down" movement. This often takes the form of a fine trembling movement
applied using the palmar surfaces or just some of the finger tips of either or both
hands.
This is not one of the most common massage movements but is used as and when
appropriate. Its effects can include soothing irritated nerves, loosening scar
tissue, relaxing muscles in the forearm, and stimulating circulation and glandular
activity. Specific benefits of vibrations depend on where on the body they are
applied.

7. CLIENT CONSULTATION
A consultation is a one-to-one talk with your client. Here you will find out very
important and confidential information that will help you to advise and give
clients the best treatment.
Always introduce yourself to your client. The consultation is often carried out in
the room in which you are working and should be carried out before the client
gets undressed in case there is any reason that they cannot be treated.
There are three skills required as part of the consultation:
1. Observation - what can you observe about the client? Are they nervous,
extrovert, holding their body in such a way that might give indications for
treatments, poor posture etc?
2. Verbal Questioning – gain the information required.
3. Physical Examination – what can you physically see and feel on the client?
This third part is only carried out once you have assessed that, so far, the
client is suitable for treatment.
Approximately 15 minutes should be allocated to carry out the initial

consultation. Ideally you should be sitting face to face or next to your client to
create an open atmosphere. Avoid barriers such as a couch or a table coming
between you.
Holistic treatments treat the individual as a whole, taking into consideration

general well-being, i.e. health, emotional, physical and mental states. You need
to explain carefully to the client why you are carrying out a consultation.
Use open questions to tactfully encourage the client to give you information that
you need rather than interrogating them and asking lots of direct and often
personal questions. Use the record card as a prompt rather than a list to tick off.
Record Keeping
Records must be maintained for a number of reasons:

They provide contact details in case you have to alter or cancel an
appointment.
So that you can monitor the client’s progression.
To track any aftercare advice that you have given the client.
As a backup in case the client has an adverse reaction to a treatment.
Another therapist should be aware of what treatments and products the
client has had.

Important Information
The following information should be recorded for all clients:
Personal details:
- Full name, address, contact number, GP’s name and address.
A detailed medical background including:

- Specific contra-indications
These should be noted accordingly. You will probably find as you go
through that the client will lead you rather than you having to read off
a list, as this can be quite unnerving for the client.
- Medication
What medication are they taking and for what condition? If a client is
taking medication it will give you clues to their health.
- Are they consulting a GP on a regular basis or under a consultant and if
so for what condition?
If so you may need to check further their suitability for treatment.
- Have they had recent surgery?
You will need to consider scar tissue, and there may be post-operative
precautions you need to take. Many people find it takes a while to get
anaesthetic out of their system and may feel low.
- Life changing illnesses
Includes: arthritis, cancer, any disablement, AIDS, epilepsy, diabetes,
stroke and depression.
- Accidents
What implications do these have? Have they had to have surgery? Do
they need referral to other professionals? Will your treatment plan
need adjusting?
Other Information:
- Physical fitness
How fit is the client? A client may think they are fit and many will say
they are fitter than they really are. A resting pulse will give you a guide.
- The client’s occupation and lifestyle
These factors will give you a rough indication of free time and budget
to consider before negotiating a treatment plan. This information will
give you clues as to where the client may have stress and muscular
tension.

- Life changing conditions
Includes: puberty, pregnancy, menopause, retirement, bereavement,
divorce and any illness.
- Hobbies
It may be useful to find out the client’s interests, this will also give you
an idea of levels of activity and spare time.
- Personality, temperament and emotional state
Not the sort of question you can ask but you can make a mental note of
it. These factors will help to indicate which oils or zones to work on
further.
- Disclaimer and date
Always add a disclaimer and the client’s signature to verify that the
information the client has given you is, to the best of their knowledge,
true and correct.
Client records can be stored electronically or filed manually and should be

updated at every visit. If record cards are not updated and do not contain a
history of services and dates, you may find your insurance invalidated.
Records cards must be kept for three years, as medical claims can be made up for
up to that period. If a client is under 21 years of age, it is recommended that their
record card be kept until they are 21 years of age.
Client confidentiality must be protected at all times. If a salon holds

computerised records, they must register with the Data Protection Register. If a
salon only holds written records, this does not apply, but they must uphold the
principles of the Data Protection Act and comply with the following:
All info information must be accurate and necessary to the service or

treatment to be performed.
Individual client records must be available for the clients to view if
requested.
All information must be stored securely by password protected computer
file.
Any contra-indications and possible contra-actions must be identified and

discussed prior to the service. In the case of medical referral, the practitioner
should keep a copy of the GP’s letter with the client’s record card.
Always allow the client the opportunity to question and clarify any points before
signing the record card.
On the following pages are examples of consultation forms which you can adapt
to suit you.

Private & Confidential Client Consultation Form
Client Details
Client Ref: Telephone Number:
Address: Mobile Number:
Occupation:
Postcode: Date of Birth:
Email: Gender:
Medical History
Do you or have you ever suffered from: High/low BP, depressive illness, pacemaker,
epilepsy/fits, panic attacks, stroke, anxiety, diabetes, migraine/head pain, asthma, heart disease,
pregnancy, operation, phlebitis, infectious illness, dysfunction of the nervous system, varicose
veins, localised inflammation, bruising, open wounds, scar tissue, swelling, arthritis
Allergies: Addictions:
Phobias: Women ~ Date of last period:
What therapies have you experienced to date?
GP Referral Required? GP Name:

Practice Name: Telephone Number:
Address:
General Health / Lifestyle

General Health:
Energy Levels:
Stress Levels:
Sleeping Patterns: Hours per day:
Weight: Height:
Diet:
Alcohol: …… units per week Water: …… litres per day Smoker: Yes/No …… per day
Hobbies, relaxation and exercise (type/frequency):
Additional Comments:
CLIENT STATEMENT & AGREEMENT

I acknowledge that all the information on this consultation sheet above my signature is accurate
and correct to the best of my knowledge. I accept full and complete responsibility for my own
emotional and/or physical well being both during and after this therapy and/or training session. I
agree to inform the therapist of any changes to my circumstances during any subsequent
treatments. I realise that any advice given to me to carry out between sessions is important and I
agree to make every effort to carry this out. I understand that no claim to cure has been made and
realize that treatments should not replace conventional treatments.
Signed: (Client) Date:

Private & Confidential Client Treatment Record
Client Ref: ………………………………………….
Date: Treatment:
Comments:
Have there been any changes to your circumstances, medication and general health since your last
treatment?
Client declaration: I declare that the information I have given is correct and to the best of my
knowledge I can undertake treatments without any adverse effect. I have been fully informed
about contra-indications and I am therefore willing to proceed with treatment.
Signed (Client): Date:
Date: Treatment:
Comments:
treatment?
Date: Treatment:
Comments:
treatment?

8. CONTRA-INDICATIONS
A contra-indication is the presence of a condition which may make the client

unsuitable for a treatment. The treatment may not be able to take place or the
treatment may need to be adapted.
When treating a client, if they show signs of any contra-indication, tactfully refer
them to their GP for treatment/advice. Never tell your client what contra-
indication they may have even if you are sure you know what it is. You may be
wrong!
If you are ever unsure about a contra-indication then do not treat the client, refer
them to their GP. This way you are always protecting yourself and the client.
Be very careful when dealing with contra-indications. It is a controversial subject

and you never want to leave yourself open for further implications.
We also have to consider other clients, always make sure that your place of work,
implements, and you, are very clean to avoid cross infection.
There are certain conditions that will prevent treatment occurring, or require a
letter of approval from the client’s GP. These are as follows:
High/Low blood pressure – clients should have medical referral prior to

treatment, even if they are on medication. There is a risk of a thrombosis
(blood clot) which could travel to the brain.
Epilepsy – due to the complexity of the condition, medical advice should
always be sought before treating a client. There is a theoretical risk that
over stimulation or deep relaxation could provoke a convulsion (this has
never been proven in practice).
Diabetes – this condition requires medical referral, as a client with
diabetes is prone to arteriosclerosis (hardening of the walls of the arteries).
Severe circulatory disorders and heart conditions – medical clearance
should always be sought before treating a client. Increased circulation
may overburden the heart and can increase the risk of a thrombus.
Recent haemorrhage – this is excess bleeding, either internally or
externally. Any massage should be avoided due to the risk of blood
spillage from blood vessels.
Fever – there is a risk of spreading infection as a result of increased
circulation. During a fever, the body temperature rises to fight the
infection.

Cancer – medical treatment should always be sought before treating a
client. There is a risk of spreading certain types of cancer through the
lymphatic system. Once medical clearance has been given, treatments can
help relax and support the immune system.
Undiagnosed lumps, bumps, swellings – the client should be referred to
their GP for a diagnosis. Treatments such as massage may increase the
susceptibility to damage in the area by the pressure and motion.
Varicose veins – clients may be more prone to thrombosis, so clearance
from the GP will be necessary.
Medication – caution is advised in clients who take heavy dosages of
drugs. This could affect their response to treatment, making it stronger
due to the increased elimination of the drugs from the bloodstream.
Recent operation – depending on the site of the surgery it may be
necessary to seek medical advice.
Acute infectious disease – due to being highly contagious.
Intoxication – the increase in blood flow to the head can cause dizziness.
Thrombosis or embolism – there is a theoretical risk that a blood clot may
become detached from its site of formation and be carried to another part
of the body.
Recent scar tissue – massage should only be applied once the tissue is fully
healed and can withstand pressure.
Severe bruising – should be dealt with as a localised contra indication.
Allergies – ensure that any oils or products used do not contain substances
to which the client is allergic.
Pregnancy - it is advisable to avoid treatment during the first three
months. Some pregnant women may experience dizziness, so caution
should be taken after the treatment.
Elderly - pressure should be altered when treating elderly clients as they
are more susceptible to bruising.
Children - a lighter pressure should be given for children. Always have a
parent present when treating.
Endangerment Sites
There are some areas where special caution must be taken. Any area where blood
vessels and nerves become more superficial must have a reduction in pressure.
The popliteal space at the back of the knee is a very delicate area as the peroneal
nerve runs through it. The hands should just gently skim this area.

9. CONTRA–ACTIONS
Contra-actions are reactions of a client caused by a treatment taking place.
You must explain to your client what/if any reactions to expect during/after a
treatment.
With all contra-actions tell your client that if they do not improve within 24 hours
to get in touch with their GP for advice.
Below is a list of what contra-actions that could occur during or after Full Body
Massage treatment:
light headedness
headache
extreme tiredness
heightened emotions
feelings of alertness
aching and soreness to muscles.
There are more contra actions listed in the text book.
It is important to explain that these symptoms are part of the healing process,
sometimes called a “healing crisis”. The symptoms will pass and are an evident
sign that the treatment has been beneficial.

10. AFTERCARE
It is very important to give your client clear instructions about what to expect and
what to do at home in order to get the best from their treatments. This will help
prolong the effects of the treatment.
Explain to the client the following points:
drink plenty of water to aid flushing out toxins

avoid eating a large meal for several hours as the body needs energy for healing
avoid smoking
avoid alcohol, tea and coffee
rest.
It is essential to emphasise the importance of aftercare.
Clients must be provided with clear written aftercare instructions to prevent

adverse reactions and know how to deal with them.
The client should sign to confirm that they will follow the aftercare regime and, if
they are unwilling to do so, the treatment should not be carried out.
It is always good practice to give your clients a leaflet explaining the advice, this
way you make sure they know and understand what to expect.
Finally, ask the clients for feedback on the treatment; fill in their record card on
your findings and ask when they would like to rebook.

11. EQUIPMENT & PRODUCTS
It is advisable to use a massage chair/couch for both comfort to your client and
yourself. As already stated it is wise to get a couch that can be height adjusted for
the sake of your back.
Ensure your couch has a breather hole to allow the client to lie face down without
having to twist their neck.
Obviously the use of oils is needed to lubricate the skin and to complement the
treatment.
A good supply of clean towels will be needed and also a clean uniform or
appropriate clothing if you require.
It will be necessary to either use bed roll, a clean covering sheet. or at least
thoroughly clean the couch with an anti-bacterial cleaning product between each
client.

12. STORAGE & INSURANCE
STORAGE
Make sure you receive a copy of Material Safety Data Sheets (MSDS) from your
suppliers. All staff must be trained on the use of products and equipment.
Training manuals and information leaflets should be accessible to all staff.
Store your products correctly by following the guidance on the MSDS.
Carry out a risk assessment on each product or COSHH report if required.
Keep products in original containers where possible and ensure any decanted
products are fully labelled in smaller, purpose built containers.
Keep all flammable products out of direct sunlight and at room temperature or
below.
Mobile therapists must make suitable travel arrangements to avoid spillage and
ensure safe working practice, and be professional in appearance.
INSURANCE
There are several types of insurance that are potentially relevant to you as a
therapist. The most important are the ‘Professional Indemnity Insurance’ and
‘Public Liability Insurance’. Both of these are necessary in the unlikely event that
a client decided to sue you.
Public Liability Insurance - This covers you if a member of the public, i.e. a
client or passerby is injured on your premises or if their personal property
is damaged in any way.
Professional Indemnity Insurance - This protects you should a client

decide to sue you claiming personal injury or damage as a result of
treatments carried out by you.
Employer’s Liability Insurance - This is only necessary if you hire others to

work for you. This type of insurance would cover you should a member of
your staff have an injury on your premises.
Product Liability Insurance - This insurance is important if you plan to

use, manufacture or sell products as part of your business. This will
protect you in the event that a client is dissatisfied with the product or
experiences a reaction to using the product.

Car Insurance - If a car is used for business purposes, ensure that this is
covered by the policy and that theft of equipment is included.

13. WHAT HAPPENS NEXT?
Well done, you are now ready to take part in your practical training to give you
the knowledge of carrying out a Full Body Massage. You will need to practise on
as many different clients as possible to gain experience and confidence.
You will need to ensure that you can:
carry out an in-depth consultation and recognise contra-indications

perform a full body massage treatment
give aftercare advice.
You will need to produce written evidence that you have treated at least four
different clients, with at least two treatments each.
Include:
a completed consultation form for each client

completed and signed diary sheet
a written evaluation of each treatment carried out
male and female clients
different age ranges
different body shapes and sizes.
You will be required to complete the file of evidence that you will be provided
with at your practical training session.
You will be required to come back to the school, discuss the file of evidence and
carry out a full body massage treatment.
When you have passed you will then receive your Diploma in Swedish Body
Massage. This will allow you to obtain insurance and carry out professional
treatments.
The school is available for support and guidance during and after your training.
Further training or refresher sessions are available if required.
Well done and enjoy!

14. CONTACT DETAILS & ESSENTIAL READING
CONTACT DETAILS
Head of
Holistics : Allie Maisey
Address : 706 Delta Office Park

Welton Road
Swindon
Wiltshire
SN5 7XS
Telephone : 01793 73 77 33
Mobile : 07824 337333
Email : holistics@wsbht.co.uk
Website : www.wsbht.co.uk
ESSENTIAL READING
Massage in Essence
Nicola Jenkins
Hodder Arnold
ISBN 0340916788, 9780340916780
iro £12.99
Like us on facebook or follow us on twitter @wsbht

15. SELF ASSESSMENT
Do I have a good understanding of:
 Hygiene, health & safety □

 Benefits of massage □
 Massage movements □
 Massage mediums □
 Contra-indications □
 Contra-actions □
 Equipment & products □
 Aftercare □
Can I:
 Set up my area □
 Complete a thorough consultation □
 Complete a full body massage □
 Give aftercare advice □
Have I:
 Revised all the theory □

 Evidence of at least four consultations □
 Evidence of at least eight treatments □
 Completed the File of Evidence □
Well done!

16. NOTES

17. ACCREDITATION
This course is accredited by:
The Guild of Beauty Therapists

The Guild of Holistic Therapists
Professional Beauty Direct
Associated Beauty Therapists
WSBHT is registered with UKRPL

UK Register of Learning Providers No: 10027055
Medical Disclaimer
It is advised that you take medical advice if you or any of your clients have a
health problem. Any qualification from WSBHT will not qualify you to advise on
any medical condition or to diagnose a condition.
Liability
WSBHT will accept NO liability for any person for any type of loss or damage
whatsoever resulting from the use of materials within any course held by
WSBHT.
Copyright
All copyright and other intellectual property rights in these materials are owned
by or licensed by WSBHT. Copyright, adapting or other use of all or part of these
materials without written permission of WSBHT is strictly prohibited .


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The Wiltshire School

Practitioner’s Training Manual

The Wiltshire School of Beauty and Holistic Therapy 1

1. Aims & Objectives

3. Body Massage Introduction

4. Hygiene, Health & Safety

5. Professional Ethics & Standards of Practice

6. Massage Benefits, Mediums & Movements

11. Equipment & Products

12. Storage & Insurance

13. What Happens Next?

14. Contact Details & Essential Reading

15. Self Assessment

The Wiltshire School of Beauty and Holistic Therapy 2

WSHBT advise you to read this training manual thoroughly

The Wiltshire School of Beauty and Holistic Therapy 3

You will learn how to:

You will also study:

It is essential that you purchase “Massage in Essence” by Nicola Jenkins, to

Good luck and enjoy!

The Wiltshire School of Beauty and Holistic Therapy 4

The History of Body Massage

The Wiltshire School of Beauty and Holistic Therapy 5

Physiological Effects & Benefits:

Psychological Effects & Benefits:

How Often Should We Have a Full Body Massage?

The Wiltshire School of Beauty and Holistic Therapy 6

It is a legal requirement for employers to display an approved health and safety

Health and Safety in the Workplace

Health and Safety at Work Act 1974

The Wiltshire School of Beauty and Holistic Therapy 7

Data Protection Act 1984

Sale of Goods Act 1994

Control of Substances Hazardous to Health Act (COSHH) 1989

Local Government (Miscellaneous Provisions) Act 1982

The Management of Health & Safety at Work Regulations 1992

The Workplace Regulations 1992

The Manual Handling Regulations 1992

The Wiltshire School of Beauty and Holistic Therapy 8

The Health & Safety (Display Screen Equipment) Regulations 1992

The Electricity at Work Regulations 1992

Health and Safety (First Aid) Regulations 1981

RIDDOR – The Reporting of Injuries, Diseases & Dangerous

Fire Precautions (Workplace) Regulations 1997

Consumer Protection Act 1987

The Wiltshire School of Beauty and Holistic Therapy 9

Clean the salon thoroughly, daily.

The Wiltshire School of Beauty and Holistic Therapy 10

maintain the highest standard of professional conduct.

The Wiltshire School of Beauty and Holistic Therapy 11

conduct herself/himself in a professional, honest, and ethical manner.

take a full medical history on the client's first visit.

The Wiltshire School of Beauty and Holistic Therapy 12

be comfortable touching people.

Posture of the Therapist

It is essential that your hands are

To prevent injury, always ensure

The Wiltshire School of Beauty and Holistic Therapy 13

It may be worthwhile investing in an adjustable height couch in order for you to

The Wiltshire School of Beauty and Holistic Therapy 14

stimulate blood circulation bringing essential nutrients to the area

Other mediums available are talc, creams and gels.

The Wiltshire School of Beauty and Holistic Therapy 15