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Textbook of Remedial Massage - E-Book

Textbook of Remedial Massage - E-Book

Sandra Grace | Mark Deal

(2012)

Additional Information

Book Details

Abstract

A practical massage textbook + DVD for both massage students and established practitioners of remedial massage

The content in the comprehensive Textbook of Remedial Massage is drawn from cutting-edge research as well as the authors’ lengthy experience in massage education.

Covering essential topics, from history-taking to contraindication, Textbook of Remedial Massage is an excellent resource for Diploma of Massage students. Indeed, much of the textbook’s content aligns with the HLT07 training package.

Client Assessment - The first of Textbook of Remedial Massage’s three sections addresses practitioner assessment of remedial massage clients. This includes information on how to adapt massage techniques for clients’ individual needs.

Massage techniques - The second section provides readers with clear instruction in common remedial massage techniques, such as trigger points, CRAC stretching and myofascial release. Each of these techniques is explained through illustrations and photographs, along with a detailed rationale on its physiological principles and evidence base. Crucially, contraindications and precautions are explained for each massage technique.

Body regions - The final section of this excellent health title applies remedial massage techniques to specific body regions, all of which are demonstrated in detail on the accompanying DVD.

The authors’ evidence-based approach is in keeping with the wider Allied Healthcare community. This approach is a key determinant of Medicare client rebates, as well as rebates from many private health funds, making it an essential aspect of contemporary massage.

  • Detailed assessment technique
  • Evidence-based approach
  • Includes techniques integral to the HLT07 Diploma of massage - all essential skills and knowledge for the competencies of the units in the training package.
  • Anatomy described in functional terms
  • Accompanying DVD with videos of content covered in book. DVD content is divided up into assessment and treatment techniques.
  • An accompanying Evolve site features PowerPoint slides on massage techniques

Table of Contents

Section Title Page Action Price
Front cover cover
Textbook of remedial massage i
Copyright page iv
Table of Contents v
Preface xi
Structure of the book xi
Acknowledgements xii
Foreword xiii
Contributors xiv
Reviewers xv
1 Remedial massage in Australian healthcare 1
Learning Outcomes 1
Defining remedial massage 1
The context of remedial massage: use of complementary and alternative medicine in Australian healthcare 2
The remedial massage workforce in Australia 2
Attitudes towards CAM by medical and other healthcare practitioners 4
Evidence for remedial massage practice 4
Evidence for the effectiveness of massage therapy 4
Evidence of benefit 4
Inconclusive (some promising results) 4
Inconclusive evidence (further research needed) 5
Future directions 5
Appendix 1.1 Massage therapy: systematic reviews 5
References 8
2 Assessment procedures for remedial massage: 10
Learning Outcomes 10
Introduction 10
Principles of assessment in remedial massage practice 10
Purpose of assessments 10
Demonstrating treatment effectiveness 11
assessment procedures 11
Client history 11
Assessing the well client 12
The nature of pain 13
Identifying yellow flags 13
Informed consent 13
Outcome measures 13
Postural analysis 14
Identifying anatomical landmarks 14
Anterior and lateral 16
Posterior 16
Performing postural observation 16
General observations 17
Method of recording 18
Common posture observations 18
Scoliosis 18
Lumbar hyperlordosis 19
Decreased lumbar curvature 20
Increased thoracic kyphosis 20
Decreased thoracic kyphosis 21
Increased cervicothoracic curvature 21
Sway back 21
Gait analysis 22
Stance phase 22
Heel strike 22
Foot flat 22
Midstance 22
Push-off 22
3 Planning remedial massage therapy 42
Learning Outcomes 42
Principles of treatment 42
Prioritising client safety 42
Swedish massage before remedial massage 42
Active movements before passive 42
Treating within pain tolerance 42
Overview of a remedial massage treatment approach 43
Short- and long-term treatment plans 43
Client education and self-help 43
Clients’ preferences 43
Treatment protocols 43
Aligning treatment to assessment findings 44
Tissue type 44
Stage of inflammation 45
Acute injury management 45
Cryotherapy 45
Contraindications and precautions 45
Methods of application 46
Ice packs 46
Ice massage 46
Subacute injury management 47
Chronic injury management 47
Thermotherapy 47
Contraindications and precautions 47
Methods of application 47
Precautions associated with the use of heat creams 47
Considerations for applications of heat creams 48
Severity of injury 48
Monitoring and reviewing treatment plans 48
Recording remedial massage treatments 50
Key messages 50
References 51
4 Remedial massage techniques for muscles 52
Learning Outcomes 52
Introduction 52
Assessing muscle function 52
Functional deficit demonstration 52
Postural assessment 52
Testing muscles for length 55
Testing Muscles for strength 55
Palpation 56
Remedial massage techniques 57
Deep gliding (with-fibre) frictions and cross-fibre frictions 57
Evidence for the effectiveness of DG and XFF 58
Contraindications 58
Deep transverse friction (DTF) 58
Evidence for the effectiveness of DTF 59
5 Muscle stretching 64
Learning Outcomes 64
Introduction 64
Functional anatomy 64
Tissue range of motion 64
Muscle functions 65
Produce movement 65
Maintaining posture and position 65
Stabilising joints 65
Generating and maintaining body heat 65
Guard orifices 65
Support and protect soft tissues 65
Types of muscle contractions 65
Isotonic contractions 65
Isometric contractions 65
Physical characteristics and neurological reflexes associated with stretching 65
Active and passive insufficiency 66
Neurological events that mediate stretching 66
Myotatic reflex (stretch reflex) 66
Deep tendon reflex 66
Types of muscle stretching 66
1. Passive stretch 66
2. Active, active-assisted stretch 67
3. Muscle energy technique5 67
4. Active isolated stretch6 67
5. Ballistic stretch 67
6. Dynamic stretch 67
7. Static stretch 67
8. Proprioceptive Neuromuscular Facilitation 68
Stretching treatment goals 70
Assessing clients’ suitability 70
History 70
Postural analysis 70
Gait Analysis 70
Functional tests 70
Palpation 70
Evidence for effectiveness 70
Contraindications and precautions 71
Applying muscle stretching in remedial massage 71
Adapting stretches for individual clients 71
Therapist’s position 71
Recommendations 71
Guidelines for active stretching: 72
Muscle stretching in practice 72
Scalene group 72
Upper trapezius 72
Pectoral muscles 72
Levator scapulae 73
Wrist flexors/extensors 73
Piriformis 74
Psoas 74
Quadriceps 74
Hip flexor stretch (rectus femoris and iliopsoas) 74
Hip flexors, vastus lateralis, vastus intermedialis and vastus medialis 74
Hamstrings 74
Adductors 75
Gastrocnemius 75
Quadratus lumborum 76
Latissimus dorsi 76
References 77
6 Myofascial trigger points 79
Learning Outcomes 79
Introduction 79
What is a trigger point? 79
Locating trigger points 79
Classifying trigger points 79
Active and latent trigger points 79
Satellite and secondary trigger points 80
Key trigger points 80
What causes trigger points? 80
Identifying trigger points 81
Characteristics of trigger points 81
Symptoms 81
Signs 81
Treating trigger points 81
Manual techniques 82
Save your body 83
Evidence-base of treatments for trigger points 85
Contraindications and precautions 85
Key messages 85
Appendix 6.1 Some key trigger points 88
References 94
7 Joint articulation 95
Learning Outcomes 95
Introduction 95
What is joint articulation? 95
Evidence for the effectiveness of joint articulation and mobilisation 95
Assessing clients for treatment 96
History 96
Functional tests 97
Palpation 97
Hard end-feel 97
Soft end-feel 97
Leathery end-feel 97
Treating clients 97
Guidelines16, 17 97
techniques 98
1. Cervical spine 98
Cervical lateral flexion 98
Cervical rotation 98
Cervical extension 98
Cervical horizontal traction 98
Cervical stair-step manoeuvre 99
Cervical facet articulation 99
i. Rotation 99
ii. Lateral flexion 100
2. Thoracic spine and rib cage 100
Thoracic longitudinal mobilisation 100
Thoracic diagonal mobilisation 100
Thoracic rocking 101
Arm overhead rib mobilisation 101
Rib rotation 101
3. Lumbar spine and pelvis 101
Lumbar longitudinal mobilisation 102
Lumbar rotational mobilisation 102
SI joint mobilisation 102
4. Shoulder joint 102
Shoulder rotation 102
Shoulder tractions 103
Shoulder progressive cylindrical articulation 104
Shoulder progressive humeral external rotation 104
Shoulder progressive humeral internal rotation 105
Shoulder figure-8 105
5. Elbow joint 105
Elbow articulation 105
Elbow joint capsule stretch 105
6. Wrist and hand 105
Wrist pronated longitudinal thenar kneading 105
Wrist pronated traction and circumduction 106
Wrist semi-supinated traction and circumduction 107
Wrist overhead traction and circumduction 107
Metacarpophalangeal and interphalangeal mobilisation 107
Metacarpal shearing 107
7. Hip joint 107
Hip rotation 107
Hip figure-8 108
Hip traction 108
Hip rotation sidelying 108
8. Knee joint 109
Knee articulation (inferior approach) 109
Knee articulation (lateral approach) 109
9. Ankle and foot 109
Ankle prone circumduction 109
Calcaneus prone articulation 109
Tarsals prone plantarflexion 109
Ankle traction 110
Metatarsal shearing 111
Phalanges mobilisation 111
Contraindications 111
Key messages 111
References 112
8 Myofascial release 113
Learning Outcomes 113
Introduction 113
Functional anatomy review 113
What is myofascial release? 114
Assessing clients 115
History 115
Postural analysis 116
Functional tests 116
Palpation 116
Treating clients 116
Evidence for the effectiveness of fascial releasing techniques 117
Applying the techniques 117
MFR techniques 117
1. Deep techniques 117
Technique 117
2. Gentle techniques 117
Techniques 118
1. Cross-hand technique 118
2. Traction techniques 119
3. Transverse holds 119
C7–T1 Thoracic inlet/anterior chest wall 120
T12–L1 Respiratory diaphragm release 120
L5–S1 Pelvic diaphragm release 121
4. Cranial base release 121
Integrating myofascial releasing techniques with remedial massage 121
Contraindications and precautions 121
Key messages 122
References 123
9 Lymphatic drainage massage 124
Learning Outcomes 124
Introduction 124
Evidence for the effectiveness of lymphatic drainage massage 125
Functional anatomy review7 125
Function of the lymphatic system 126
Oedema 126
Lymphoedema 127
Primary lymphoedema 127
Secondary lymphoedema 127
Stages of lymphoedema 127
Latency stage 127
Stage 1 127
Stage 2 127
Stage 3 127
Assessing clients 127
History 128
Red flag conditions for oedema19 128
Postural analysis 128
Functional tests 128
Palpation18 128
Differential diagnosis 128
Treating clients 129
Basic principles 129
Length of treatment 129
Explanation of treatment 129
Pressure 129
Strokes 129
1. Stationary circles 129
2. Pump Technique 129
3. Scoop technique 129
4. Rotary technique 129
Summary 130
Regional lymphatic drainage massage 131
The head and neck 131
The upper torso 132
The lower torso 133
The thorax 134
Contraindications and precautions 135
Absolute contraindications 136
Relative contraindications 136
Local contraindications 136
Neck 136
Abdomen 136
References 137
10 The low back and pelvis 138
Learning Outcomes 138
Introduction 138
Functional anatomy review 138
Assessment of the lumbar and sacroiliac region 139
Case history 140
Outcome measures 143
Postural ANALYSIS 143
Gait assessment 144
Functional tests 144
Active range of motion (AROM) 144
Flexion (60°)d 144
Extension (25°) 144
Lateral flexion (sidebend) (25°) 144
Rotation (30°) 144
Passive range of motion (PROM) 144
Resisted range of motion (RROM) 144
Tests for specific muscles associated with low back conditions15, 16 144
1. Piriformis 145
11 The thoracic region 173
Learning Outcomes 173
Introduction 173
Functional anatomy review 173
Typical vertebrae – T2–T8 173
Special features of T1 and T9–12 173
Assessment 174
Case history 176
Outcome measures 176
Postural analysis 176
Gait analysis 176
Functional tests 176
Active range of motion (AROM) 176
Flexion 176
Extension 176
Lateral flexion (sidebend) 176
Rotation 176
Passive range of motion (PROM) 177
Resisted range of motion (RROM) 177
Resisted and length tests for specific muscles 178
Erector Spinae 179
Strength test 179
12 The cervical region 200
Learning Outcomes 200
Introduction 200
Functional anatomy review 200
Assessment 201
Case history 201
Outcome measures 203
Postural analysis 203
Functional tests 204
a) Active range of motion 204
Flexion (50°)8 204
Extension (60°) 204
Lateral flexion (sidebend) (45°) 204
Rotation (80°) 204
b) Passive range of motion 204
Flexion 205
Extension 205
Lateral flexion 205
Rotation 205
c) Resisted range of motion 205
d) Tests for specific muscles associated with neck conditions 205
1. Upper trapezius 205
Resisted test 205
Length test 205
Clinical significance 206
2. Sternocleidomastoid 206
Resisted test 206
Length test 206
13 The head and face 226
Learning Outcomes 226
Introduction 226
Headache 226
Assessment of the headache client 226
Case history 227
Types of headache 228
Primary headache 228
1. Migraine 228
Migraine without aura 228
Migraine with aura 228
2. Tension-type headache 228
3. Cluster headaches 229
Secondary headache 229
1. Headache attributable to head and/or neck trauma 229
2. Headache attributable to a substance or its withdrawal 229
3. Headache or facial pain attributed to disorder of cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cranial structures 229
Cervicogenic headache 229
Outcome measures 230
Postural analysis 230
Functional tests 230
Cervical spine 230
a) Active range of motion 230
Flexion (50°)16 230
Extension (60°) 230
Lateral flexion (sidebend) (45°) 230
Rotation (80°) 230
b) Passive range of motion (see Chapter 12) 230
Flexion 231
Extension 231
Lateral flexion 231
Rotation 231
c) Resisted range of motion 231
Tests for specific muscles associated with neck conditions 231
d) Special tests 231
Palpation 231
Remedial massage treatment for headache 231
Treatment protocols in remedial massage practice 232
Aromatherapy 232
Acupressure 232
Reflexology 232
The headache technique (derived from Bowen) 233
Client education 233
Home exercises 233
Sinusitis 233
Assessment of the client with sinus pain 234
Case history 234
Observation 235
Palpation 235
Remedial massage treatment for sinusitis 235
Lymphatic drainage of the neck and head 235
1. Lymphatic pump over the sternum 235
2. Lymphatic drainage of the head and neck 236
3. Lymphatic drainage of the face 236
4. Repeat the lymphatic pump described in 1. 236
Opening the frontal and maxillary sinuses 236
Aromatherapy 237
Acupressure 237
Reflexology 237
Client education 238
Home exercises 238
Temporomandibular joint disorders 238
Disorders of the temporomandibular joint 238
Assessment of the client with TMJ disorder 238
Case history 238
Observation 239
Postural analysis 239
Functional tests 239
Active range of motion tests of the cervical spine (Flexion, extension, lateral flexion, rotation) 239
Active range of motion of the TMJ 239
Resisted range of motion of the TMJ 239
Palpation 239
Remedial massage treatments for TMJ disorders 240
Client education 241
Home exercise program 241
Key messages 241
Headache 241
Sinusitis 241
Temporomandibular joint 241
Appendix 13.1 MIDAS (The Migraine Disability Assessment Test) 242
References 243
14 The chest 244
Learning Outcomes 244
Introduction 244
Functional anatomy review 244
Assessment 246
Case history 246
Outcome measures 247
Postural analysis7 247
Functional tests 247
Thoracic spine 248
Active range of motion (arom) 248
Flexion 248
Extension 248
Lateral flexion (sidebend) 248
Rotation 248
Passive range of motion (prom) 248
Resisted range of motion (rrom) 248
Resisted and length test for specific muscles9, 10 248
1. Pectoralis major 248
Resisted test: Pectoralis major upper fibres (clavicular part) 248
Resisted test: Pectoralis major lower fibres (sternal part) 248
Length test 248
Clinical significance 248
2. Pectoralis minor 249
Resisted test 249
Length test 249
Clinical significance 249
Special tests 249
Deep breathing 249
Palpation 250
Respiratory excursion 250
Remedial massage treatment 250
Muscle strain 250
Assessment 250
History 250
Postural ANALYSIS 250
15 The shoulder region 261
Learning Outcomes 261
Introduction 261
Functional anatomy 261
Assessment 261
Case history 262
Outcome measures 264
Postural analysis 264
Functional tests 264
Active range of motion of the cervical spine (flexion, extension, lateral flexion and rotation) 264
Active range of motion of the glenohumeral joint 264
Passive range of motion 265
Resisted range of motion 265
Resisted tests and length tests for specific muscles11, 12 265
1. Deltoid muscle 265
Middle deltoid 265
16 The elbow region 289
Learning Outcomes 289
Introduction 289
Functional anatomy 289
Assessing the elbow and forearm 290
Case history 291
Outcome measures 291
Postural analysis 295
Functional tests 296
Active range of motion of the cervical spine (flexion, extension, lateral flexion and rotation) 296
Active range of motion (AROM) of the glenohumeral joint (flexion, extension, abduction, horizontal adduction, external and internal rotation) 296
Active range of motion of the elbow joint 296
Passive range of motion (PROM) 296
Resisted range of motion (RROM) 297
Resisted tests and length tests for specific muscles7, 8 297
1. Brachialis 297
17 The wrist and hand 310
Learning Outcomes 310
Introduction 310
Functional anatomy 310
Assessment 311
Case history 311
Outcome measures 314
Postural analysis 314
Observation of the wrist and hand 314
Functional tests 319
Active range of motion of the cervical spine (flexion, extension, lateral flexion and rotation) 319
Active range of motion of the glenohumeral joint (flexion, extension, abduction, horizontal adduction, external and internal rotation) 319
Active range of motion of the elbow joint (flexion, extension, pronation and supination) 319
Active range of motion of the wrist and fingers10 319
Passive range of motion of the wrist and hand 319
Capsular patterns 319
Resisted range of motion 320
Resisted tests and length tests for specific muscles11, 12 320
1. Flexor carpi radialis 320
Resisted test 320
18 The hip region 337
Learning Outcomes 337
Introduction 337
Functional anatomy 337
Assessment 338
Case history 340
Outcome measures 341
Postural analysis 341
Gait analysis 341
Functional tests 341
Active range of motion (AROM) of the lumbar spine (flexion, extension, lateral flexion and rotation) 341
Active range of motion (AROM) of the hip joint 341
Passive range of motion (PROM) 342
Resisted range of motion (RROM) 342
Resisted tests and length tests for specific muscles7, 8 342
1. Rectus femoris 342
Resisted test 342
19 The knee 357
Learning Outcomes 357
Introduction 357
Functional anatomy 357
Extra-capsular ligaments 357
Intra-capsular ligaments 358
Muscles 359
Assessment 360
Case history 360
Outcome measures 362
Postural analysis 362
Gait analysis 362
Functional tests 362
Active range of motion (AROM) of the lumbar spine (flexion, extension, lateral flexion and rotation) 362
AROM of the hip joint 363
AROM of the knee 363
Passive range of motion (PROM) 363
Resisted range of motion (RROM) 363
Resisted tests and length tests for specific muscles11, 12 363
1. Hamstrings 363
Resisted tests 363
Lateral hamstrings (biceps femoris) 363
Medial hamstrings (semimembranosus, semitendinosus) 363
Length test 363
2. Quadriceps 363
Resisted test 363
20 The leg, ankle and foot 382
Learning Outcomes 382
Introduction 382
Deep venous thrombosis 382
Functional anatomy 382
Nerve supply to muscles of the leg, ankle and foot 384
Assessment 384
Case history 386
Outcome measures 387
Postural analysis 388
Observing the ankles and feet 388
Gait analysis 389
Functional tests 389
Active range of motion of the lumbar spine and pelvis (flexion, extension, lateral flexion and rotation) 390
Active range of motion of the hip joint (flexion, extension, abduction, adduction, external and internal rotation) 390
Active range of motion of the knee joint (flexion, extension, internal and external rotation) 390
Active range of motion of the ankle and foot 5 390
Passive range of motion of the ankle and foot 390
Resisted range of motion 390
Ankle 390
Hallux 390
2nd to 5th toes 390
Resisted tests and length tests for specific muscles 390
1. Gastrocnemius 392
21 Specific client groups 415
Learning Outcomes 415
Introduction 415
Children and adolescents 415
Important considerations for assessing and treating children 415
Evidence for the effectiveness of massage for children 417
Women 418
Important considerations for assessing and treating women 418
Evidence for the effectiveness of massage for women’s health 418
Men 419
Important considerations for assessing and treating men 419
Geriatric clients 419
Important considerations for assessing and treating geriatric clients 420
Evidence for the effectiveness of massage for older clients 420
Clients with a mental illness 420
Important considerations for assessing and treating clients with a mental illness 420
Evidence for the effectiveness of massage for clients with a mental illness 421
Key messages 421
References 422
Index 424
A 424
B 424
C 424
D 425
E 425
F 425
G 426
H 426
I 427
J 427
K 427
L 427
M 428
N 428
O 428
P 428
Q 429
R 429
S 429
T 430
U 431
V 431
W 431
Y 431