Beck Mblexexamcorrelation
Content
Exam Correlation Guide for Milady’s Massage Therapy Core Textbook Federation of State Massage Content in Theory & Practice of page Therapy Boards: Therapeutic Massage, 5th Edition Massage & Bodywork Licensing (Cengage) Author: Mark F. Beck Examination (MBLEx)
ANATOMY & PHYSIOLOGY (14%)
MEDICAL AND ANATOMICAL TERMINOLOGY ANATOMICAL POSITION OF THE BODY REGIONS OF THE HUMAN BODY THE STRUCTURES OF THE HUMAN BODY THE CIRCULATORY SYSTEM THE DIGESTIVE SYSTEM THE ENDOCRINE SYSTEM THE INTEGUMENTARY SYSTEM THE LYMPH‐VASCULAR SYSTEM Muscle Tissue THE MUSCULAR SYSTEM CHART OF MAJOR MUSCLES CHART OF ALL MUSCLES Nerve Tissue THE NERVOUS SYSTEM THE HUMAN REPRODUCTIVE SYSTEM THE RESPIRATORY SYSTEM Bone Tissue THE SKELETAL SYSTEM CRANIAL NERVES THE EXCRETORY SYSTEM (included urinary and excretory) MEDICAL AND ANATOMICAL TERMINOLOGY HEALING MECHANISMS OF THE BODY Acute Soft Tissue Injury Soft Tissue Lesions and Injury ACUTE/CHRONIC CONDITIONS ORGAN MERIDIANS ENERGETIC MANIPULATIONS Muscle Interaction Figures 5.43 and 5.44: The muscular system Table 5.5 Location and Action of Muscles Skeletal Muscle Contraction Isometric and Isotonic Contractions Proprioception Muscle Insertion and Origin Muscle Interaction CHARTS OF MUSCLES Muscle Tissue Types of Muscle Joints 61‐62; 68‐70 88 90‐91 73‐94 187‐200 252‐256 240‐246 95‐107 202‐211 124‐ 131 133‐141 140‐141 145‐183 216‐217 215‐ 259‐264 248‐250 108‐109 110‐122 221 256‐259 68‐70 66‐67 539 659 652‐654 771 767 135‐136 150 155 130 134‐135 229 133 135‐136 145‐183 127‐ 132 124‐125 114‐116
A. System structure, B. System function • Circulation • Digestive • Endocrine • Integumentary • Lymphatic • Muscular
• Nervous • Reproduction • Respiratory • Skeletal • Special Senses • Urinary C. Healthcare related and medical terminology D. Tissue injury and repair
E. Concepts of energetic anatomy
KINESIOLOGY (11%)
A. Components and characteristics of muscles
B. Concepts of muscle contractions C. Proprioceptors D. Locations, attachments (origins, insertions), actions and fiber directions of muscles
E. Joint structure and function
Cengage MBLEx grid 04 15 2010.doc Page 1 of 6
F. Range of motion • Active • Passive • Resistant
Types of Movable Joints RANGE OF MOTION Assess Range of Motion JOINT MOVEMENTS JOINT MOVEMENTS JOINT MOVEMENTS
116 137‐139 364‐368 463 362-363 363
PATHOLOGY, CONTRAINDICATIONS, AREAS OF CAUTION, SPECIAL POPULATIONS (13%)
A. Common pathologies PHYSIOLOGICAL CHANGES DURING DISEASE Signs and Symptoms of Disease INTEGUMENTARY SKELETAL MUSCULAR CARDIOVASCULAR; BLOOD LYMPHVASCULUAR NERVOUS ENDOCRINE RESPIRATORY PATHS OF DISEASE AND INFECTION CONTRAINDICATIONS FOR MASSAGE ENDANGERMENT SITES Skin Cancers and Tumors MASSAGING PEOPLE WITH CANCER AIDS/HIV MASSAGE FOR THE CRITICALLY ILL CONTRAINDICATIONS FOR ATHLETIC/SPORTS MASSAGE Contraindications for Massage in Nursing and Health Care Contraindications for Prenatal Massage Massage tools Special considerations Special populations BASIC PHARMACOLOGY FOR MASSAGE THERAPISTS The Role of Therapeutic Massage EFFECTS AND BENEFITS OF MASSAGE Physiological Effect of Massage 62‐63 63‐65 100‐108 118‐122 142‐144 196‐199; 201‐202 211‐213 231‐236 240‐246 250‐ 252 306‐309
B. Contraindications • Site specific • Pathology related
278‐286 287 729-741 729-741 726-729 724‐725 698 757 796‐708 358 278-286 663 703-742 Appendix 1 65 270‐277 270‐276
• Special populations
• Tools • Special applications C. Areas of caution D. Special populations E. Classes of medications BENEFITS AND PHYSIOLOGICAL EFFECTS OF TECHNIQUES THAT MANIPULATE SOFT TISSUE (17%) A. Identification of the physiological effects of soft
Cengage MBLEx grid 04 15 2010.doc Page 2 of 6
tissue manipulation B. Psychological aspects and benefits of touch C. Benefits of soft tissue manipulation for specific client populations
Psychological Effects of Massage CONDITIONS GENERALLY RELEIVED BY MASSAGE
277 277-278; 656-657 703742 335‐ 336 336‐337 337‐341 405 368‐369 344 352‐ 361 341-350 350-352 357 357 357 357 357 357 358 359 353-355 598 351-352 406-409 409-424
D. Soft tissue techniques
Massage for Special Populations CLASSIFICATIONS OF MASSAVE MOVEMENTS DESCRIPTION OF BASIC MASSAGE MOVEMENTS APPLICATION OF MASSAGE STROKES: TOUCH CONTACT WITH THE CLIENT AND QUALITY OF TOUCH RHYTHM AND PRESSURE Directional Massage Friction Cupping Gliding Movement or Effleurage Kneading Movements or Petrissage Rolling Wringing Chucking Rocking Shaking Jostling Vibration PRECUSSION MOVEMENTS Cross‐Fiber Friction Skin Rolling
• Types of strokes
• Sequence of application
GENERAL SEQUENCE PROCEDURES PROCEDURE FOR A GENERAL BODY MASSAGE PROCEDURE FOR PROFESSIONAL BODY MASSAGE THE USE AND EFFECTS OF HEAT AND COLD APPLICATIONS
424-460 464-481
E. Hot/cold applications
CLIENT ASSESSMENT, REASSESSMENT & TREATMENT PLANNING (17%)
A. Organization of a massage/bodywork session B. Client consultation and evaluation PROCEDURE FOR A GENERAL BODY MASSAGE THE CONSULTATION PRELIMINARY ASSESSMENT CLIENT INTAKE FOR THERAPEUTIC MASSAGE 451 320‐322 326; 629 629‐636 629‐636
Cengage MBLEx grid 04 15 2010.doc Page 3 of 6
ASSESSMENT TECHNIQUES • Verbal intake • Health history form C. Written data collection DETERMINGING CLIENT’S NEEDS AND EXPECTATIONS EXPLAIN PROCEDURES AND STATE POLICIES INTAKE AND MEDICAL HISTORY FORMS BODY DIAGRAMS CLIENT FILES SOAP CHARTING UPDATING RECORDS ASSESSMENT TECHNIQUES OBSERVATION SOFT TISSUE BARRIERS Posture Assessment PRELIMINARY ASSESSMENT Assess Range of Motion Gait Assessment Assess Movements Structural Integration THREAPEUTIC PROCEDURE MAKING THE FIRST APPOINTMENT DETERMINGING CLIENT’S NEEDS AND EXPECTATIONS UPDATING RECORDS INTENT/OUTCOME DEVELOP A TREATMENT PLAN USE ASSESSMENT INFORMATION TO PLAN SESSIONS EFFECTIVE TECHNIQUES TO ADDRESS INJURIES
629-636
D. Visual assessment • General • Postural E. Palpation assessment F. Range of motion assessment
G. Clinical reasoning • Ability to rule out contraindications • Client treatment goal setting • Evaluation of response to previous treatment • Formulation of treatment strategy
323 322 324-325 325 327 328, 330‐ 331 329 636‐ 526 644 636‐639 646‐652 529 639‐ 639‐644 628302 319 324 326-332 662 326‐ 327;654‐ 655 654‐656 658‐661
OVERVIEW OF MASSAGE & BODYWORK HISTORY/ CULTURE/ MODALITIES (5%)
A. History of massage & bodywork B. Overview of the different skill sets used in contemporary massage/bodywork environments C. Overview of massage/bodywork modalities
HISTORY AND ADVANCEMENT OF THERAPEUTIC MASSAGE
3-11 11-13 13-19 19-20 445-601 605-624 665-669
The Development of Modern Massage Techniques Contemporary Developments in Massage Massage Systems CLINICAL MASSAGE TECHNIQUES Lymph massage
Sports Massage
775-802
Other Therapeutic Modalities (including Asian theory/bodywork)
ETHICS, BOUNDARIES, LAWS,
Cengage MBLEx grid 04 15 2010.doc Page 4 of 6
REGULATIONS (13%)
A. Ethical behavior BOUNDARIES ETHICAL TOUCH ETHICAL BUSINESS PRACTICES BUILDING A PROFESSIONAL IMAGE BUSINESS PLANNING CODES OF ETHICS THE THERAPEUTIC RELATIONSHIP
DUAL RELATIONSHIPS
B. Professional boundaries
C. Code of ethics violations D. The therapeutic relationship E. Dual relationships F. Sexual misconduct G. Massage/bodywork-related laws and regulations
H. Scope of practice I. Professional communication
J. Confidentiality
BOUNDARIES ETHICAL TOUCH LICENSES EDUCATIONAL REQUIREMENTS HEALTH REQUIREMENTS LICENSE REVOKE/SUSPENSION/CANCELATION EXPLAIN PROCEDURES AND STATE POLICIES LICENSING VS CERTIFICATION SCOPE OF PRACTICE ALTERNATIVE AND COMPLEMENTARY MEDICINE COMMUNICATION SKILLS MAINTAINING CONTACT WITH THE CLIENT INFORMED CONSENT CLIENT FILES UPDATING RECORDS CONFIDENTIALITY
36‐40 45‐51 51‐53 55‐56 789 33‐35 40‐45 43-45 36‐40 44‐51 27-28 29-30 30 30 26-27 30-31 25‐26 747‐759 54‐55 405‐406 327 327‐328 326‐332 331‐332
K. Principles
379, 427
GUIDELINES FOR PROFESSIONAL PRACTICE (10%)
A. Proper and safe use of equipment and supplies B. Therapist hygiene C. Sanitation and cleanliness EQUIPMENT ANS SUPPLIES
PERSONAL HYGIENE AND HEALTH HABITS
D. Safety practices • Facilities • Therapist personal safety • Client safety E. Therapist care • Body mechanics
MAINTAINING SANITARY CONDITIONS SUMMARY OF PRECAUTIONS SAFETY PRACTICES AND PROCEDURES PROFESSIONAL RULES TO REMEMEBR The Facilities Practitioner Personal Safety Client Safety BODY MECHANICS TABLE MECHANICS The Use of Gloves Universal Precautions BUILDING STRENGTH AND FLEXIBILITY OF THE HANDS POSTURE AND STANCES EXERCISE FOR STRENGTH, BALANCE, AND BODY CONTROL
292-302 53-54 309‐313 314‐315
315-302 386-387 315-316 316-317 317 374 375‐378 379‐381
• Protective gear (masks, gowns, gloves, etc) • Self-care • Injury prevention
316 311 374‐376 378 381-386
Cengage MBLEx grid 04 15 2010.doc Page 5 of 6
F. Draping • Safe and appropriate • Communication G. Business Practices • Business planning • Strategic planning • Office management • Marketing
METHODS OF DRAPING ASSITING THE CLINET ON AND OFF THE TABLE POSITIONING THE CLIENT ON THE TABLE PREPARING THE CLIENT FOR THE MASSAGE BUSINESS ETHICS FOR THE MASSAGE PRACTIONER BUSINESS PLANNING Develop a Strategic Plan OFFICE MANAGEMENT YOUR BUSINESS TELEPHONE BUILDING A PROFESSIONAL IMAGE ATTITUDE/SELF‐IMAGE/PUBLIC IMAGE MARKETING HIRING EMPLOYEES CLIENT FILES SOAP CHARTING UPDATING RECORDS INSURANCE REIMBURSEMENT FOR MASSAGE TYPE OF BUSINESS OPERATIONS BASICS OF BOOKKEEPING
393‐405 390 391 430 51-53; 826814‐827 818-827 818803 827-828 55-56 813 846-855 809‐813 373 373 376 759‐ 770 808‐ 804 829-846
• Hiring/Interviewing • Documentation and Records - Client records - Business records
Cengage MBLEx grid 04 15 2010.doc Page 6 of 6
ANATOMY & PHYSIOLOGY (14%)
MEDICAL AND ANATOMICAL TERMINOLOGY ANATOMICAL POSITION OF THE BODY REGIONS OF THE HUMAN BODY THE STRUCTURES OF THE HUMAN BODY THE CIRCULATORY SYSTEM THE DIGESTIVE SYSTEM THE ENDOCRINE SYSTEM THE INTEGUMENTARY SYSTEM THE LYMPH‐VASCULAR SYSTEM Muscle Tissue THE MUSCULAR SYSTEM CHART OF MAJOR MUSCLES CHART OF ALL MUSCLES Nerve Tissue THE NERVOUS SYSTEM THE HUMAN REPRODUCTIVE SYSTEM THE RESPIRATORY SYSTEM Bone Tissue THE SKELETAL SYSTEM CRANIAL NERVES THE EXCRETORY SYSTEM (included urinary and excretory) MEDICAL AND ANATOMICAL TERMINOLOGY HEALING MECHANISMS OF THE BODY Acute Soft Tissue Injury Soft Tissue Lesions and Injury ACUTE/CHRONIC CONDITIONS ORGAN MERIDIANS ENERGETIC MANIPULATIONS Muscle Interaction Figures 5.43 and 5.44: The muscular system Table 5.5 Location and Action of Muscles Skeletal Muscle Contraction Isometric and Isotonic Contractions Proprioception Muscle Insertion and Origin Muscle Interaction CHARTS OF MUSCLES Muscle Tissue Types of Muscle Joints 61‐62; 68‐70 88 90‐91 73‐94 187‐200 252‐256 240‐246 95‐107 202‐211 124‐ 131 133‐141 140‐141 145‐183 216‐217 215‐ 259‐264 248‐250 108‐109 110‐122 221 256‐259 68‐70 66‐67 539 659 652‐654 771 767 135‐136 150 155 130 134‐135 229 133 135‐136 145‐183 127‐ 132 124‐125 114‐116
A. System structure, B. System function • Circulation • Digestive • Endocrine • Integumentary • Lymphatic • Muscular
• Nervous • Reproduction • Respiratory • Skeletal • Special Senses • Urinary C. Healthcare related and medical terminology D. Tissue injury and repair
E. Concepts of energetic anatomy
KINESIOLOGY (11%)
A. Components and characteristics of muscles
B. Concepts of muscle contractions C. Proprioceptors D. Locations, attachments (origins, insertions), actions and fiber directions of muscles
E. Joint structure and function
Cengage MBLEx grid 04 15 2010.doc Page 1 of 6
F. Range of motion • Active • Passive • Resistant
Types of Movable Joints RANGE OF MOTION Assess Range of Motion JOINT MOVEMENTS JOINT MOVEMENTS JOINT MOVEMENTS
116 137‐139 364‐368 463 362-363 363
PATHOLOGY, CONTRAINDICATIONS, AREAS OF CAUTION, SPECIAL POPULATIONS (13%)
A. Common pathologies PHYSIOLOGICAL CHANGES DURING DISEASE Signs and Symptoms of Disease INTEGUMENTARY SKELETAL MUSCULAR CARDIOVASCULAR; BLOOD LYMPHVASCULUAR NERVOUS ENDOCRINE RESPIRATORY PATHS OF DISEASE AND INFECTION CONTRAINDICATIONS FOR MASSAGE ENDANGERMENT SITES Skin Cancers and Tumors MASSAGING PEOPLE WITH CANCER AIDS/HIV MASSAGE FOR THE CRITICALLY ILL CONTRAINDICATIONS FOR ATHLETIC/SPORTS MASSAGE Contraindications for Massage in Nursing and Health Care Contraindications for Prenatal Massage Massage tools Special considerations Special populations BASIC PHARMACOLOGY FOR MASSAGE THERAPISTS The Role of Therapeutic Massage EFFECTS AND BENEFITS OF MASSAGE Physiological Effect of Massage 62‐63 63‐65 100‐108 118‐122 142‐144 196‐199; 201‐202 211‐213 231‐236 240‐246 250‐ 252 306‐309
B. Contraindications • Site specific • Pathology related
278‐286 287 729-741 729-741 726-729 724‐725 698 757 796‐708 358 278-286 663 703-742 Appendix 1 65 270‐277 270‐276
• Special populations
• Tools • Special applications C. Areas of caution D. Special populations E. Classes of medications BENEFITS AND PHYSIOLOGICAL EFFECTS OF TECHNIQUES THAT MANIPULATE SOFT TISSUE (17%) A. Identification of the physiological effects of soft
Cengage MBLEx grid 04 15 2010.doc Page 2 of 6
tissue manipulation B. Psychological aspects and benefits of touch C. Benefits of soft tissue manipulation for specific client populations
Psychological Effects of Massage CONDITIONS GENERALLY RELEIVED BY MASSAGE
277 277-278; 656-657 703742 335‐ 336 336‐337 337‐341 405 368‐369 344 352‐ 361 341-350 350-352 357 357 357 357 357 357 358 359 353-355 598 351-352 406-409 409-424
D. Soft tissue techniques
Massage for Special Populations CLASSIFICATIONS OF MASSAVE MOVEMENTS DESCRIPTION OF BASIC MASSAGE MOVEMENTS APPLICATION OF MASSAGE STROKES: TOUCH CONTACT WITH THE CLIENT AND QUALITY OF TOUCH RHYTHM AND PRESSURE Directional Massage Friction Cupping Gliding Movement or Effleurage Kneading Movements or Petrissage Rolling Wringing Chucking Rocking Shaking Jostling Vibration PRECUSSION MOVEMENTS Cross‐Fiber Friction Skin Rolling
• Types of strokes
• Sequence of application
GENERAL SEQUENCE PROCEDURES PROCEDURE FOR A GENERAL BODY MASSAGE PROCEDURE FOR PROFESSIONAL BODY MASSAGE THE USE AND EFFECTS OF HEAT AND COLD APPLICATIONS
424-460 464-481
E. Hot/cold applications
CLIENT ASSESSMENT, REASSESSMENT & TREATMENT PLANNING (17%)
A. Organization of a massage/bodywork session B. Client consultation and evaluation PROCEDURE FOR A GENERAL BODY MASSAGE THE CONSULTATION PRELIMINARY ASSESSMENT CLIENT INTAKE FOR THERAPEUTIC MASSAGE 451 320‐322 326; 629 629‐636 629‐636
Cengage MBLEx grid 04 15 2010.doc Page 3 of 6
ASSESSMENT TECHNIQUES • Verbal intake • Health history form C. Written data collection DETERMINGING CLIENT’S NEEDS AND EXPECTATIONS EXPLAIN PROCEDURES AND STATE POLICIES INTAKE AND MEDICAL HISTORY FORMS BODY DIAGRAMS CLIENT FILES SOAP CHARTING UPDATING RECORDS ASSESSMENT TECHNIQUES OBSERVATION SOFT TISSUE BARRIERS Posture Assessment PRELIMINARY ASSESSMENT Assess Range of Motion Gait Assessment Assess Movements Structural Integration THREAPEUTIC PROCEDURE MAKING THE FIRST APPOINTMENT DETERMINGING CLIENT’S NEEDS AND EXPECTATIONS UPDATING RECORDS INTENT/OUTCOME DEVELOP A TREATMENT PLAN USE ASSESSMENT INFORMATION TO PLAN SESSIONS EFFECTIVE TECHNIQUES TO ADDRESS INJURIES
629-636
D. Visual assessment • General • Postural E. Palpation assessment F. Range of motion assessment
G. Clinical reasoning • Ability to rule out contraindications • Client treatment goal setting • Evaluation of response to previous treatment • Formulation of treatment strategy
323 322 324-325 325 327 328, 330‐ 331 329 636‐ 526 644 636‐639 646‐652 529 639‐ 639‐644 628302 319 324 326-332 662 326‐ 327;654‐ 655 654‐656 658‐661
OVERVIEW OF MASSAGE & BODYWORK HISTORY/ CULTURE/ MODALITIES (5%)
A. History of massage & bodywork B. Overview of the different skill sets used in contemporary massage/bodywork environments C. Overview of massage/bodywork modalities
HISTORY AND ADVANCEMENT OF THERAPEUTIC MASSAGE
3-11 11-13 13-19 19-20 445-601 605-624 665-669
The Development of Modern Massage Techniques Contemporary Developments in Massage Massage Systems CLINICAL MASSAGE TECHNIQUES Lymph massage
Sports Massage
775-802
Other Therapeutic Modalities (including Asian theory/bodywork)
ETHICS, BOUNDARIES, LAWS,
Cengage MBLEx grid 04 15 2010.doc Page 4 of 6
REGULATIONS (13%)
A. Ethical behavior BOUNDARIES ETHICAL TOUCH ETHICAL BUSINESS PRACTICES BUILDING A PROFESSIONAL IMAGE BUSINESS PLANNING CODES OF ETHICS THE THERAPEUTIC RELATIONSHIP
DUAL RELATIONSHIPS
B. Professional boundaries
C. Code of ethics violations D. The therapeutic relationship E. Dual relationships F. Sexual misconduct G. Massage/bodywork-related laws and regulations
H. Scope of practice I. Professional communication
J. Confidentiality
BOUNDARIES ETHICAL TOUCH LICENSES EDUCATIONAL REQUIREMENTS HEALTH REQUIREMENTS LICENSE REVOKE/SUSPENSION/CANCELATION EXPLAIN PROCEDURES AND STATE POLICIES LICENSING VS CERTIFICATION SCOPE OF PRACTICE ALTERNATIVE AND COMPLEMENTARY MEDICINE COMMUNICATION SKILLS MAINTAINING CONTACT WITH THE CLIENT INFORMED CONSENT CLIENT FILES UPDATING RECORDS CONFIDENTIALITY
36‐40 45‐51 51‐53 55‐56 789 33‐35 40‐45 43-45 36‐40 44‐51 27-28 29-30 30 30 26-27 30-31 25‐26 747‐759 54‐55 405‐406 327 327‐328 326‐332 331‐332
K. Principles
379, 427
GUIDELINES FOR PROFESSIONAL PRACTICE (10%)
A. Proper and safe use of equipment and supplies B. Therapist hygiene C. Sanitation and cleanliness EQUIPMENT ANS SUPPLIES
PERSONAL HYGIENE AND HEALTH HABITS
D. Safety practices • Facilities • Therapist personal safety • Client safety E. Therapist care • Body mechanics
MAINTAINING SANITARY CONDITIONS SUMMARY OF PRECAUTIONS SAFETY PRACTICES AND PROCEDURES PROFESSIONAL RULES TO REMEMEBR The Facilities Practitioner Personal Safety Client Safety BODY MECHANICS TABLE MECHANICS The Use of Gloves Universal Precautions BUILDING STRENGTH AND FLEXIBILITY OF THE HANDS POSTURE AND STANCES EXERCISE FOR STRENGTH, BALANCE, AND BODY CONTROL
292-302 53-54 309‐313 314‐315
315-302 386-387 315-316 316-317 317 374 375‐378 379‐381
• Protective gear (masks, gowns, gloves, etc) • Self-care • Injury prevention
316 311 374‐376 378 381-386
Cengage MBLEx grid 04 15 2010.doc Page 5 of 6
F. Draping • Safe and appropriate • Communication G. Business Practices • Business planning • Strategic planning • Office management • Marketing
METHODS OF DRAPING ASSITING THE CLINET ON AND OFF THE TABLE POSITIONING THE CLIENT ON THE TABLE PREPARING THE CLIENT FOR THE MASSAGE BUSINESS ETHICS FOR THE MASSAGE PRACTIONER BUSINESS PLANNING Develop a Strategic Plan OFFICE MANAGEMENT YOUR BUSINESS TELEPHONE BUILDING A PROFESSIONAL IMAGE ATTITUDE/SELF‐IMAGE/PUBLIC IMAGE MARKETING HIRING EMPLOYEES CLIENT FILES SOAP CHARTING UPDATING RECORDS INSURANCE REIMBURSEMENT FOR MASSAGE TYPE OF BUSINESS OPERATIONS BASICS OF BOOKKEEPING
393‐405 390 391 430 51-53; 826814‐827 818-827 818803 827-828 55-56 813 846-855 809‐813 373 373 376 759‐ 770 808‐ 804 829-846
• Hiring/Interviewing • Documentation and Records - Client records - Business records
Cengage MBLEx grid 04 15 2010.doc Page 6 of 6
