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Massage is one of the oldest forms of healing techniques. Using therapeutic touch, the body's tissues are manipulated to reduce muscle spasm, promote relaxation, improve blood flow, and increase venous drainage. The scope of massage theories, techniques, and effects is broad. This chapter addresses massage techniques that are most frequently used in the treatment of musculoskeletal conditions.

• Massage, the systematic manipulation of the body's tissues, has been present in most cultures and can be traced back as far as the ancient Olympics. Regional variations have contributed to the different forms of massage used today. This diverse background leads to differences in application protocol and theory (Table 17-1).

TABLE 17-1Selected Methods of Manual Therapy Techniques

Massage and myofascial release are forms of soft tissue mobilization in which the tissues are manipulated to produce the desired effects. Joint mobilization, another form of manual therapy, is not discussed in this text.

Massage is an effective treatment method for promoting local and systemic relaxation or invigoration, increasing local blood flow, breaking down adhesions, and encouraging venous and lymphatic return. Because it is a time-consuming task that requires the full attention of the clinician, massage is infrequently used in multi-function health-care facilities. Still, massage has increased in popularity and massage therapy is a continually growing profession.

Massage is a skill- and knowledge-based technique, and because of the possibility for misuse, many states require licensure for massage therapists. Most other healing professions, including athletic training and physical therapy, incorporate massage techniques into their professional preparation. Massage therapists often work cooperatively with other health-care providers or may be dual credentialed.

Massage Strokes


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