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CLINIC 0351
Student Clinical Practicum
Respiratory Massage Therapies
Enhancing Breath, Vitality, and Wellness Through Specialized Massage Therapy Techniques
8 hours
This comprehensive one-day clinical practicum provides massage therapy students with specialized training in respiratory massage therapies. Over 8 hours, students will gain hands-on experience with techniques designed to enhance breathing, support respiratory function, and promote overall wellness. The course emphasizes practical application of respiratory massage techniques under expert supervision, with focus on client assessment, therapeutic interventions, compassionate communication, and clinical documentation.
Course Description
This specialized clinical practicum provides students with hands-on experience in delivering targeted respiratory massage therapies. Students will practice therapeutic techniques specifically designed to support respiratory function, enhance breathing efficiency, and promote overall respiratory health. Under expert supervision, students gain proficiency addressing respiratory challenges, muscular tension affecting breathing patterns, and related stress responses.
The practicum takes a comprehensive approach to respiratory massage therapy, combining theoretical knowledge with practical application. Students will learn to identify and address key areas of tension that may impede optimal breathing, including the intercostal muscles, diaphragm, and accessory breathing muscles. The course emphasizes both the physiological and psychological aspects of respiratory function, recognizing the profound connection between breathing patterns and overall wellness.
Emphasis is placed on holistic client assessment, precise therapeutic interventions, compassionate communication, and comprehensive clinical documentation (SOAP notes). Students will develop their clinical reasoning skills by connecting assessment findings to appropriate treatment approaches and evaluating outcomes.
Clinical Skills Development
Practice hands-on respiratory massage techniques under expert supervision to build confidence and competence.
Client Assessment
Learn to evaluate respiratory function, identify areas of tension, and develop appropriate treatment plans.
Documentation Practice
Gain experience with professional SOAP note documentation specific to respiratory massage therapy sessions.
Prerequisites
Foundational Coursework
Students must have completed the foundational coursework in respiratory massage therapies. This ensures all participants have the necessary theoretical knowledge of respiratory anatomy, physiology, and basic techniques before engaging in clinical practice.
Program Enrollment
Current enrollment or completion of an approved massage therapy training program is required. This ensures students have the necessary background in general massage therapy principles, ethics, and professionalism.
These prerequisites ensure that all students entering the clinical practicum possess the fundamental knowledge and skills necessary to benefit fully from this specialized hands-on experience. The foundational coursework provides essential understanding of respiratory system anatomy and physiology, common respiratory conditions, contraindications, and the theoretical basis for respiratory massage techniques.
Students should be comfortable with basic massage techniques and professional client interaction before participating in this specialized clinical practicum. This preparation allows the clinical experience to focus on applying and refining specialized respiratory techniques rather than teaching fundamental skills.

If you're unsure about meeting these prerequisites, please consult with your program advisor before registering for this clinical practicum. Alternative preparatory courses may be available to help you qualify.
Course Format
This clinical practicum is structured to provide intensive, hands-on experience in a controlled clinical environment. The format is designed to maximize practical learning while ensuring appropriate supervision and feedback.
Supervised Clinical Practice
The core of this practicum is supervised clinical practice emphasizing specialized respiratory support massage therapy techniques. Students work with actual clients under the watchful eye of experienced instructors, allowing for immediate guidance and correction when needed.
One 8-Hour Shift
The practicum consists of one 8-hour shift (one-day clinical practicum). This intensive format allows students to experience the physical and mental demands of delivering multiple specialized massage sessions in a single day, similar to real-world practice.
Typical Day Schedule
This format allows students to experience the rhythm of a professional practice while providing adequate time for thorough documentation and reflection after each session. The day concludes with a collaborative learning opportunity through group discussion and feedback.
Target Audience
This specialized clinical practicum is specifically designed for massage therapy students who have completed foundational respiratory massage coursework and are seeking to advance their practical skills in respiratory-focused therapeutic techniques. The course is tailored to meet the needs of students who have demonstrated a solid understanding of the theoretical aspects of respiratory massage and are ready to apply this knowledge in a supervised clinical setting.
Advanced Students
Students in the later stages of their massage therapy education who are ready to specialize in therapeutic applications.
Respiratory Specialists
Those interested in developing expertise in addressing respiratory conditions through massage therapy.
Clinical Practitioners
Students preparing for clinical practice in healthcare settings where respiratory support is valuable.
Continuing Education
Recent graduates seeking to expand their skillset with specialized techniques for respiratory support.
The ideal candidate for this practicum demonstrates a genuine interest in the therapeutic applications of massage for respiratory health and wellness. Students should be comfortable with general massage techniques and ready to focus on the specialized applications for respiratory support. This practicum will be particularly valuable for those planning to work with populations that frequently experience respiratory challenges, such as athletes, older adults, individuals with chronic respiratory conditions, or those recovering from respiratory illnesses.
While the course is designed for students still in their formal education, it provides the level of specialization that will serve as a foundation for continued professional development in this therapeutic niche.
Learning Objectives
Upon successful completion of this clinical practicum, students will have developed a comprehensive set of skills related to respiratory massage therapy. These objectives reflect both the technical competencies and professional attributes necessary for effective practice in this specialized field.
1
Technical Competency
Demonstrate competency in specialized respiratory massage techniques, including:
  • Intercostal muscle release techniques
  • Diaphragmatic release methods
  • Accessory breathing muscle work
  • Lymphatic drainage techniques for respiratory support
  • Thoracic mobility enhancement approaches
2
Assessment Skills
Conduct thorough client assessments focusing on respiratory health and function, including:
  • Evaluation of breathing patterns and restrictions
  • Identification of muscular tension affecting respiration
  • Recognition of postural factors influencing breathing
  • Appropriate screening for contraindications
3
Session Management
Manage respiratory massage sessions professionally, sensitively, and effectively by:
  • Creating appropriate treatment plans based on assessment findings
  • Adapting techniques to individual client needs
  • Maintaining professional boundaries and client comfort
  • Providing relevant self-care recommendations
4
Documentation
Document each session accurately through detailed SOAP notes that:
  • Clearly record subjective client information
  • Precisely describe objective findings
  • Provide thoughtful assessment of client condition
  • Detail appropriate treatment plan and follow-up
5
Professional Development
Integrate instructor and peer feedback to refine clinical skills through:
  • Active participation in feedback sessions
  • Self-reflection on clinical performance
  • Implementation of suggested improvements
  • Collaborative learning with peers
These learning objectives are designed to ensure that students develop both the technical skills and professional attributes necessary for effective practice in respiratory massage therapy. The focus on assessment, application, documentation, and reflection creates a comprehensive framework for professional development in this specialized field.
Course Requirements
Clinic Shift
Students are required to complete one 8-hour shift in our supervised clinical setting. During this intensive practicum, each student will perform approximately 4–5 respiratory massage treatments. This quantity allows for adequate practice of techniques while also providing time for thorough assessment, documentation, and reflection after each session.
Each treatment session typically lasts 50-60 minutes, with an additional 20-30 minutes allocated for client intake, assessment, and post-session documentation. This schedule simulates real-world practice conditions while ensuring adequate learning opportunities.
Supervision
All clinical work is conducted under continuous guidance and oversight by a licensed instructor. This supervision ensures quality therapeutic practice and provides immediate feedback for learning. Instructors will observe techniques, provide guidance on adjustments, and support students in developing their clinical reasoning skills throughout the day.
Documentation & Feedback
SOAP Note Documentation
Comprehensive and detailed documentation is required for each respiratory massage session. Notes must follow the SOAP format (Subjective, Objective, Assessment, Plan) and include specific observations related to respiratory function and response to treatment.
Case Presentation
Students will select one client case to present for group discussion. This presentation should include relevant assessment findings, treatment approach, observed outcomes, and clinical reasoning.
Peer Review
Students participate in constructive peer feedback sessions, reviewing each other's SOAP notes and treatment approaches to develop critical thinking and documentation skills.
Reflective Learning
Following feedback, students engage in reflective practice, identifying areas for improvement and strategies for enhancing their respiratory massage therapy techniques.

All SOAP notes must be completed on the same day as treatment. Students should be prepared to stay up to 30 minutes after their last client to ensure thorough documentation is completed.
These requirements ensure that students not only practice the hands-on techniques of respiratory massage therapy but also develop the critical professional skills of assessment, documentation, presentation, and reflective practice that are essential for clinical excellence.
Dress Code & Professionalism
Maintaining a high standard of professionalism is essential in clinical practice. Students participating in this practicum are expected to uphold rigorous professional standards in appearance, hygiene, and conduct. These standards not only reflect respect for clients and the profession but also contribute to creating a safe, comfortable therapeutic environment.
Professional Attire
  • Clean, wrinkle-free scrubs or clinic uniform
  • Closed-toe, non-slip, supportive footwear
  • School name badge worn and visible at all times
  • Hair neatly secured away from face
  • Minimal jewelry (wedding band and small stud earrings only)
  • No visible body piercings beyond small ear studs
  • Nails short, clean, and free of polish
Hygiene Standards
  • Regular bathing and use of unscented deodorant
  • No perfumes, colognes, or strongly scented products
  • Fresh breath with no detectable food or tobacco odors
  • Clean, laundered uniform for each clinic day
  • Proper hand washing before and after each client
  • Sanitization of equipment between clients
  • Adherence to all standard precautions and infection control protocols
Client Communication
  • Clear, concise explanation of procedures
  • Active listening to client concerns
  • Appropriate professional language (no slang)
  • Respect for client privacy and dignity
  • Informed consent before each technique
  • Regular check-ins regarding comfort and pressure
  • Professional boundaries maintained at all times
Ethical Standards
Students are expected to maintain the highest ethical standards during all client interactions. This includes respecting client confidentiality, maintaining appropriate professional boundaries, practicing within the scope of training, and providing non-judgmental care to all clients regardless of their background, condition, or personal characteristics.
"Professionalism in healthcare is not merely about appearance, but about creating an environment where clients feel respected, safe, and confident in the care they receive."
Adherence to these professional standards is considered part of the clinical assessment. Students who fail to maintain appropriate professional standards may be asked to leave the clinical setting and remediate before returning.
Materials Provided
To ensure students can focus fully on developing their clinical skills, the program provides all necessary materials for successful completion of the respiratory massage therapy practicum. These materials are specifically designed to support the specialized nature of respiratory massage and facilitate comprehensive learning and documentation.
All materials are provided in both digital and print formats to accommodate different learning and documentation preferences. Digital materials can be accessed through the student portal, while print materials will be distributed at the beginning of the clinical practicum.
Documentation Materials
  • SOAP note templates tailored to respiratory treatments
  • Respiratory assessment flowcharts
  • Treatment planning worksheets
  • Self-evaluation forms
  • Peer feedback forms
Assessment Tools
  • Specialized client intake and assessment forms
  • Respiratory pattern evaluation guides
  • Postural assessment charts
  • Contraindication screening tools
  • Pain and discomfort scales
Reference Materials
  • Respiratory anatomy quick reference guide
  • Technique application protocols
  • Client education handouts
  • Self-care recommendation sheets
  • Certificate of Completion
Clinic Supplies
The following supplies are provided in the clinic setting:
  • Massage tables with appropriate bolstering for respiratory work
  • Linens (sheets, face cradle covers, blankets)
  • Hypoallergenic massage lubricants (oil, lotion, and cream options)
  • Hand sanitizer and cleaning supplies
  • Basic first aid kit

While all necessary materials are provided, students are welcome to bring their own lubricants if they have specific preferences, provided these products are unscented and approved for clinical use.
Upon successful completion of the practicum, students will receive a formal Certificate of Completion documenting their specialized training in respiratory massage therapy techniques. This certificate can be included in professional portfolios and may be valuable for future employment or practice development.
Assessment
Assessment in this clinical practicum is designed to evaluate both technical competency and professional development. The focus is on practical application of respiratory massage techniques, clinical reasoning, documentation skills, and professional conduct. Assessment is continuous throughout the clinical day and culminates in a final evaluation.
Assessment Components
Clinical Performance (40%)
Evaluation of technical skills, including:
  • Proper application of respiratory massage techniques
  • Appropriate client positioning and draping
  • Effective palpation and assessment
  • Safe and appropriate pressure and technique modification
  • Logical sequence and flow of treatment
SOAP Documentation (25%)
Evaluation of documentation skills, including:
  • Comprehensive capture of subjective information
  • Detailed and precise objective observations
  • Thoughtful assessment and clinical reasoning
  • Appropriate treatment plan and recommendations
  • Professional writing and terminology
Participation & Reflection (20%)
Evaluation of engagement and professional development:
  • Active participation in feedback sessions
  • Quality of case presentation
  • Constructive peer feedback
  • Receptiveness to instructor guidance
  • Self-reflection and improvement planning
Professionalism (15%)
Evaluation of professional conduct, including:
  • Adherence to dress code and hygiene standards
  • Punctuality and preparedness
  • Client communication and rapport
  • Ethical conduct and boundaries
  • Clinic maintenance and sanitation
Grading
This practicum is graded on a pass/fail basis. To receive a passing grade, students must achieve a minimum of 75% in each assessment component. Students who do not meet this threshold will have the opportunity for remediation and reassessment.

Detailed assessment rubrics will be provided at the beginning of the clinical practicum to ensure students understand expectations for each component of the assessment.
Professional Philosophy
"Enhancing breath and vitality through specialized massage—supporting holistic wellness one breath at a time."
This guiding philosophy reflects the core values and approach of our respiratory massage therapy program. We believe that breathing is fundamental to health and vitality, and that skilled therapeutic touch can significantly enhance respiratory function and overall wellbeing. Our approach recognizes the interconnectedness of physical, emotional, and energetic aspects of breathing, and seeks to address respiratory health holistically.
Therapeutic Excellence
We are committed to developing practitioners with exceptional technical skills and deep understanding of respiratory massage applications.
Compassionate Care
We foster therapeutic relationships based on empathy, respect, and genuine concern for client wellbeing.
Evidence-Informed Practice
Our techniques and approaches are grounded in current understanding of anatomy, physiology, and therapeutic outcomes.
Holistic Perspective
We recognize that breathing reflects and affects all aspects of health, and approach treatment with this integrated understanding.
This clinical practicum represents not just the development of technical skills, but an initiation into a specialized therapeutic approach that can profoundly impact client health and wellbeing. Respiratory massage therapy offers unique opportunities to support clients with conditions ranging from stress and anxiety to chronic respiratory conditions, athletic performance enhancement, and recovery from respiratory illnesses.
As you complete this practicum, you join a community of practitioners dedicated to enhancing respiratory health through skilled, compassionate touch. We encourage you to continue developing your expertise in this specialized field and to contribute to the growing body of knowledge and practice in respiratory massage therapy.

Upon successful completion of this practicum, you will receive your Certificate of Completion in Respiratory Massage Therapy, recognizing your specialized training and clinical competence in this therapeutic approach.