Therapeutic massage
-
Upload
nursing-hi-nursing -
Category
Health & Medicine
-
view
161 -
download
0
description
Transcript of Therapeutic massage
![Page 1: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/1.jpg)
© 2005
Therapeutic Massage
![Page 2: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/2.jpg)
© 2005
Historical Perspective
• Dating back to the ancient Olympians
• Late 1980’s – American Massage Therapy
• 1992 – National Certification Examination for
Therapeutic Massage and Bodywork
![Page 3: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/3.jpg)
© 2005
Purpose
• Manipulates the the body’s tissues to:– Reduce muscle spasm– Promote relaxation– Improve blood flow– Increase venous drainage
• Broad range of massage theories, techniques, and effects
![Page 4: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/4.jpg)
© 2005
• Basic Strokes:• Effleurage• Pétrissage• Friction• Tapotement• Vibration
• Myofascial Release:• J-Strokes• Focused Stretching• Skin Rolling• Arm Pull / Leg Pull• Diagonal Release
Types of Massage
![Page 5: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/5.jpg)
© 2005
Effleurage• “Stroking of the skin”• Spread massage lubricant• Use at the beginning and end of the massage• Superficial:
– slow strokes for relaxation
• Deep: – Elongates muscle fibers– Stretches fascia– Forces fluids in the direction of the stroke
• towards the heart
![Page 6: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/6.jpg)
© 2005
Pétrissage
• “Lifting and kneading”
• Frees adhesions:– Stretches and separates muscle fiber, fascia, and
scar tissue
• If only technique used, it may be performed without the use of lubricant
![Page 7: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/7.jpg)
© 2005
Friction
• “Deep pressure”• Circular:
– Use a circular motion with thumbs, elbow, or a commercial device
• Transverse Friction:– The thumbs or fingertips stroke in opposite
directions
• Effects muscle mobilization, tissue separation, and trigger points
![Page 8: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/8.jpg)
© 2005
Tapotement
• “Tapping or pounding” of the skin• Variations:
– Hacking– Cupping– Pincement (pinching)– Rapping– Tapping
• Performed with a light, fast tempo• Promotes muscular and systemic relaxation and
desensitization of irritated nerve endings
![Page 9: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/9.jpg)
© 2005
Vibration
• “Rapid Shaking”
• Increases blood flow and provides systemic invigoration of tissues
• Mechanical devices available
![Page 10: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/10.jpg)
© 2005
Myofascial Release
• Stroking and stretching of tissues:– Relax tense tissues
– Release adhered tissues
– Restore tissue mobility
• Clinician receives cues and feedback from the patient’s tissue – This indicates the appropriate strokes and stretches
• Specialized training in myofascial release techniques is needed to become proficient in these skills
![Page 11: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/11.jpg)
© 2005
J-Strokes
• One hand places the adhesion on stretch
• Other hand’s 2nd and 3rd fingers stroke in the opposite direction forming a ‘J’
• Mobilize scar tissue
![Page 12: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/12.jpg)
© 2005
Focused Stretching
• Heel of one hand in the area of restriction
• Heel of other hand crossed in front
• Stretch the tissue using slow, deep pressure
• Reduces superficial or deep adhesions
![Page 13: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/13.jpg)
© 2005
Skin Rolling
• Use fingers and thumb to lift and separate the skin from the underlying tissue– Similar to Pétrissage
• Roll skin between fingers noting restriction
• Lift skin and move it in the direction of the restriction
• Reduces superficial myofascial adhesions
![Page 14: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/14.jpg)
© 2005
Arm Pull/Leg Pull
• Arm pull (example):
• Grasp extremity proximal to wrist
• Apply gentle traction that is in line with anterior deltoid
• Continue to abduct 10-15 degrees until full abduction is reached
• Stretches large areas of fascia
![Page 15: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/15.jpg)
© 2005
Diagonal Release
• One clinician grasps the leg proximal to talocrural joint
• Other grasps the opposite arm proximal to wrist
• Keep extremities horizontal to each other
• One moves the limb until adhesions are felt while the other stabilizes the extremity
• Stretch large area of fascia
![Page 16: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/16.jpg)
© 2005
Physiological Effects
• Cardiovascular– Increase blood flow, histamine release, and temperature– Decreased heart rate, respiratory rate, and blood pressure
• Neuromuscular– Increase flexibility, decrease neuromuscular excitability
(relaxation), edema reduction, and stretch muscle and scar tissue
• Pain– Activate spinal gate and the release of endogenous opiates
• Psychological– Reduces patient anxiety, depression, and mental stress
![Page 17: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/17.jpg)
© 2005
Indications
• Increase blood flow• Facilitate healing• Increase range of motion• Remove edema• Alleviate muscle cramps• Stretch scar tissue/adhesions• Decrease pain
![Page 18: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/18.jpg)
© 2005
Contraindications
• Acute inflammatory conditions
• Severe varicose veins
• Open wounds
• Skin infections
• Failed or incomplete fracture healing
• Thrombophlebitis
![Page 19: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/19.jpg)
© 2005
Preparation
• Table
• Linens and pillows
• Massage lubricant
• Patient position
• Masseuse position
![Page 20: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/20.jpg)
© 2005
Traditional Massage
• Apply massage medium with light, slow
• Build to deeper effleurage
• Pétrissage
• Wipe medium before applying deep friction (if applicable)
• Reapply pétrissage and deep effleurage
• End with light effleurage
![Page 21: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/21.jpg)
© 2005
Edema Reduction Massage
![Page 22: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/22.jpg)
© 2005
Preparation
• Elevate the body area
• Apply massage lubricant to the skin
• Clinician is positioned distal to the extremity
![Page 23: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/23.jpg)
© 2005
Stroke Sequence
• Begin proximal to the edematous area
• Long, slow, deep strokes towards the torso
• Move starting point slightly distal every fourth or fifth stroke
• When the starting point moves distal to the edema, begin working back towards the starting point
![Page 24: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/24.jpg)
© 2005
Termination
• Remove medium
• If appropriate:– Active range of motion exercises– Compression wrap
• Encourage patient to drink water to assist in flushing metabolic waste
![Page 25: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/25.jpg)
Our views have increased the mark of the 20,000
Thank you viewers Looking forward to franchise,
collaboration, partners.
![Page 26: Therapeutic massage](https://reader033.fdocuments.net/reader033/viewer/2022050817/554ae9e4b4c9056a798b56eb/html5/thumbnails/26.jpg)
This platform has been started by Parveen Kumar Chadha with the vision that nobody should suffer the way he has suffered because of lack and improper healthcare facilities in India. We need lots of funds manpower etc. to make this vision a reality please contact us. Join us as a member for a noble cause.