Massage Therapy: Techniques & Effects

Lesson 8 of 15

Bolstering and Positioning

Positioning helps clients feel supported and allows the therapist to work without strain. Ask about comfort and breathing before beginning and recheck during the session. A small adjustment can reduce pressure on joints and soft tissues.

Key points

• Supine positioning may use a bolster under the knees to reduce low-back tension when comfortable.
• Side-lying positioning can use pillows between knees and under the upper arm to support alignment.
• Prone positioning should allow easy breathing; adjust the face cradle and avoid prolonged neck rotation.
• Bolsters should be stable, clean, and placed without compressing sensitive areas or restricting circulation.
• Offer options and obtain consent before repositioning; draping must remain secure throughout.

Key terms

Supine

Lying face up.

Prone

Lying face down.

Side-lying

Lying on one side, often used in late pregnancy.

Bolster

Cushion placed under knees, ankles or other areas for comfort and alignment.

Neutral alignment

Position where joints and spine rest without strain.

Pressure point

Area where pressure from positioning may compress nerves or vessels.