HLTKIN002
Conduct indicator muscle monitoring


Application

This unit describes the skills and knowledge required to monitor neurological feedback from the body using manual muscle monitoring. It requires the ability to prepare self and client, gain consent, establish indicator muscles, make pre-checks and to integrate both client and practitioner perspectives in indicator muscle monitoring to determine imbalances. This skill is the fundamental tool used in kinesiology. The use of self-testing, where the practitioner tests themselves on behalf of the client, falls outside of the scope of this unit.

This unit applies to complementary and allied health practitioners who use muscle monitoring within their practice. The practitioner may or may not be a kinesiologist.

The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice.


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Prepare self and client for muscle monitoring

1.1 Provide accurate information to client about scope of muscle monitoring and the relationship between tester and the person being tested

1.2 Establish client willingness from indicator muscle response, plus written and verbal consent

1.3 Complete checks on own readiness according to modality procedure

2. Establish indicator muscle

2.1 Place chosen indicator muscle into correct starting position and apply stabilisation that supports both client and practitioner

2.2 Demonstrate to client the direction in which pressure will be applied and the muscle’s range of motion

2.3 Use clear verbal cues to ensure the client is ready for monitoring

2.4 Apply gentle progressive pressure appropriate to the muscle being monitored and the client's ability to respond

2.5 Use techniques that avoid muscle fatigue when specific muscle is subject to ongoing monitoring

2.6 Recognise muscle facilitation and inhibition and the relationship to different aspects of the prime mover

2.7 Use a level of pressure that allows for the indicator muscle response to be recognised, making judgments about rate and speed based on client responses and own experience

2.8 Request and observe feedback from the client regarding level of comfort

2.9 Modify monitoring method in light of client's feedback.

3. Apply muscle monitoring pre-checks

3.1 Identify and balance the muscle's ability to lock and unlock according to modality procedure

3.2 Identify and balance neurological disorganisation according to modality procedure

3.3 Check and balance energy function of central meridian for normal flow according to modality procedure

3.4 Check and balance hydration according to modality procedure

3.5 Check and balance ionisation according to modality procedure

3.6 Select and follow procedures for other modality specific pre-checks

Evidence of Performance

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

conducted indicator muscle monitoring on at least 60 different people, including men, women, young people and elders, including:

demonstrated lock and unlock on indicator muscles

corrected muscle response when test produces unlock response

used indicator muscle monitoring for physical, emotional or biochemical challenges

used all limbs on both left and right side of the body with client in supine and prone positions

integrated information from practitioner and client perspectives, evidenced by:

use of appropriate level of pressure

nature of own posture

enhanced communication and connection with client

pace of monitoring

had own muscles monitored by at least 10 different people


Evidence of Knowledge

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

relationship between client and self:

as one circuit

importance of neutrality of tester

terminology of muscle monitoring in kinesiology:

indicator/indicator change or lock/unlock not weak/strong

hold not resist

firm monitoring not strength testing

factors that affect establishment of the indicator muscle response, including:

circuit locating

switching/overload

central and governing meridians

hydration

neurological perspectives on the roles of conscious and subconscious aspects of muscle monitoring

information from the practitioner’s perspective that informs muscle monitoring, including:

mechanics of muscles:

prime movers

synergist, antagonists and fixator muscles

neurological circuits controlling muscle function - spinal reflexes

control of muscle proprioception - muscle spindle cells

golgi tendon apparatus

emotional/mental connectivity of muscles

biochemical connectivity of muscles

muscle recruitment of synergist or other muscles

information from the client’s perspective that informs muscle monitoring:

sensing of change between lock, unlock and vice versa

role of mental/emotional resource created by thoughts and feelings

importance of own experience of muscle monitoring to inform practice and the role experience plays in achieving consistent results

differences between information from the practitioner and client perspectives

ways to educate clients for awareness of indicator muscle responses

kinesiology techniques to clear inhibited and over-facilitated muscles


Assessment Conditions

Skills must have been demonstrated in the workplace or in a simulated clinical environment that reflects workplace conditions. The following conditions must be met for this unit:

use of suitable, facilities, equipment and resources, including hand sanitiser and/ or hot running water for washing hands

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.

In addition, assessors must:

have at least 2 years current clinical experience working as a kinesiologist providing services to the general public

hold practising membership of an Australian professional body that represents kinesiologists

fulfil the continuing professional development requirements of the professional body to which they belong


Foundation Skills

The Foundation Skills describe those required skills (language, literacy, numeracy and employment skills) that are essential to performance.

Foundation skills essential to performance are explicit in the performance criteria of this unit of competency