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SOFT TISSUE MASSAGE

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by

Helen McL

on 9 January 2014

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Transcript of SOFT TISSUE MASSAGE

Evidence base
Cochrane Reviews
-lower back pain; may be beneficial

-mechanical neck pain; uncertain if effective

-tendonitis; no evidence for transverse frictioning (lateral epicondylitis/itb syndrome)
SOFT TISSUE
MASSAGE

Massage therapy is the scientific manipulation of soft tissues of the body for the purpose of normalizing those tissues and consists of manual techniques that include applying fixed or movable pressure, holding, and/or causing movement of or to the body.
Physiological effects
Lymphatic drainage

Vasodilation and increased capillary flow

Tissue permeability

Reduction in oedema

Initially blood pressure increases, then drops

Stimulation local mechanoreceptors

Increased parasympathetic stimulation

Tissue elasticity

Local relaxation of muscles
History
Aims of massage
Types of Massage
First references to massage therapy: China 4000 years ago

Julius Caesar had "pinching" treatment for neuralgia.

Roman gladiator physician Galen (130-201AD) credited with genesis of Sports' Massage

Modern massage therapy: Pehr Henrik Ling founded Swedish Royal Central Gymnastic Institute (1813)

Queen Victoria famously had treatment for rheumatic pain in late 19th Century

The Society of Trained Masseuses in 1894; first organisation of practitioners...becoming CSP in 1944

Popular in 1960s; relaxation and healing
Online medical dictionary
reduce muscle tension and spasm

increase flexibility

increase blood circulation and lymphatic drainage

stretch fascia
prevent and reduce of scar tissue/adhesions

reduce swelling

promote relaxation and good postural alignment

improve circulation to nerves
1. Effleurage

2. Petrissage

3. Tapotement

4. Shaking/Jostling

5. Rolling

6. Deep friction

Effleurage
Single Handed

Single reinforced

Double Handed

Double Alternating

Forearm
Petrissage
Kneading

Muscle compressions

Wringing

Picking up

Skin rolling/connective tissue massage

Tapotement
Hacking

Knuckle

Cupping

Pounding
Shaking & Jostling
Rolling
Deep Friction
Palmar
Thumb
Fingertip
Knuckle
Open C
Contradindications
Cancer

Fever

DVT

Open wound/skin infection

1st trimester pregnancy
Rhythmical oscillatory massage
Encourages optimal fibre alignment in connective tissue

Breaks down cross-links and adhesions

Vasodilation
Frictioning
Shoulder impingement
Medial/lateral epicondylitis
Achilles' tendonosis
DeQuervain's tenosynovitis
Plantar fasciitis
Ankle sprain
Shin splints: medial tibia
Collateral knee ligaments
Soft Tissue Massage
Muscle strain/ spasm

Spasmodic Torticollis

Shoulder impingement; supraspinatus

Adhesive capsulitis

Lateral/medial epicondylitis

Plantar fasciitis

Compartment syndrome

Osgood-Schlatters' Disease

Patello-femoral Syndrome

ITB syndrome

Trochanteric bursitis

References
Kneading
Coarse vibration of muscles
eliminate toxins

promote tissue healing

pre/post sporting event
Application of massage
Soft Tissue Massage
Case Studies
Tennis elbow

Plantar Fasciitis

Shoulder impingement

Knee pain
Brosseau, L., Casimiro, L., Milne, S., Welch, V., Shea, B., Tugwell, P. and Wells, G,A. (2002) 'Deep transverse friction massage for treating tendinitis' Cochrane Database of Systematic Reviews [Electronic], Issue 4, Available: onlinelibrary.wiley.com/doi/10.1002/14651858.CD003528/abstract, [02 January 2014]

Furlan, A.D., Imamura, M., Dryden, T. and Irvin, E. (2008) 'Massage for low-back pain', Cochrane Database of Systematic Reviews [Electronic], Issue 4, Available: onlinelibrary.wiley.com/doi/10.1002/14651858.CD001929.pub2/abstract, [12 December 2013]

Patel, K., Gross, A., Graham, N., Goldsmith, C., Ezzo, J., Morien, A. and Peloso, P. (2012) 'Massage for mechanical neck disorders', Cochrane Database of Systematic Reviews [Electronic], Issue 9, Available: onlinelibrary.wiley.com/doi/10.1002/14651858.CD004871.pub4/abstract, [28 December 2013]

ProActive Training Ltd. (2011) Sports' Massage, London: Author

Ylinen, Y. and Cash, M. (1988) Sports massage, London: Stanley Paul & Company Ltd.
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