EBOOK
Orthopedic Massage Theory and Technique
WhatisOrthopedicMassage?Atitssimplestitcan
besaidtobethat formofmassagethataddresses
orthopedicconditions,whether fromtheperspec
tiveof treatment, rehabilitationor,most impor
tantly, prevention. Before considering the range
andpotentialvalueoforthopedicmassageitwould
be useful to acknowledge the foundations on
whichithasbeenbuilt.
Abundant researchshows thatmassage– inits
mostgenericform,whereitsaimistoachieverelax
ation, or wellness promotion– is non-invasive,
almosttotallysafe,andwithveryfewabsolutecon
traindications.Andwhenappliednon-specifically,
inthisway,massageappearstoproduceconsistently
beneficialoutcomes–involvingindividualswitha
widerangeofhealthproblems–includingautoim
mune,painandpsychiatricconditions(Field2006).
However, when massage adopts therapeutic
intervention strategies, by incorporatingphysical
medicinemodalities (suchas theuseofheat and
cold–viahydrotherapyforexample), aswell asa
varietyof activeandpassive soft tissuemanipula
tionmethods (suchasmyofascial release,muscle
energytechnique),orwhenitundertakes specific
therapeuticgoals, forexampledeactivationoftrig
gerpoints, reductionof fibrosis, enhancementof
lymphatic and venous drainage, etc., caution is
required–particularly incases involvingpathol
ogy,activeinflammation,and/orseverepain.
Whenmassageisinvolvedinactivetreatment,or
rehabilitationsettingsassociatedwithtrauma,over
use, chronicor acutepain, post-surgical care–as
examples–a requirement emerges for a compre
hensive,validated(asfarasthisispossibleinmanual
therapy)andaboveall systematicapproachtother
apeutic intervention. This needs to cover both
assessment andtreatment–andneeds to include
as aprimary feature–contraindications andcau
tions. Safetybecomesparamount,over andabove
efficacy.
Orthopedicmassage–includingasitdoesawide
rangeofadjunctivesofttissuemodalities–ascom
prehensively describedbyWhitney Lowe in this
admirable book, achieves these requirements,
thoroughly.
Within the enormous range of techniques,
methods, procedures and options used by the
healthcareprofessions,ageneral rulecanbeseen
toapply to theobjectives inherent inalmost all
therapeuticendeavors,whethertheseinvolvebrain
surgery, spinal manipulation, medication, acu
puncture,massage–oranythingelse.
Apart fromthe obvious desire to ease symp
toms,withoutaddingtothedistressalreadybeing
experiencedby the individual, this ‘rule’ canbe
statedsimplyasanaimtoreducetheadaptiveload
(biochemical, biomechanical, psychosocial) that
thebody is copingwith, and/or toenhance the
self-regulatorymechanisms of the body, so that
theycanbetterhandlecurrentadaptivedemands.
Thewiderangeof variationsofmanual techni
ques,asusedinorthopedicmassageanddescribed
inthisbook, comprisesanumberofbasicgeneric
elements, eachofwhichcarries inherentpotentials
forphysiologicalchange(Lederman1997).Combi
nations ofmodes ofmanually applied loading
variedbythedegreeof forceemployed, thedirec
tionsof forceandwhetherthisisappliedconstantly
viii
FOREWORD
or intermittently; as well as the amount of time
involved (brief, lengthy, pulsating) and the rate at
which loads are applied (rapidly, slowly, variably,
harmonically); whether the method is passive or
active, or involves a combination of patient and
practitioner effort, as well as which tissues are
involved (muscle, fascia, scar tissue, joint, etc.),
and their properties and stage of dysfunction (acute,
chronic, subacute etc.), along with the practi
tioner’s intent– create a huge range of variables
that make up the potentially confusing variety of
therapeutic options open to the practitioner,
whether in active treatment or rehabilitation
settings.
Orchestrating these variables into a systematic
focus on named conditions, organised into the
Reference
Field T 2006 Massage Therapy Research, Churchill
Livingstone/Elsevier, Edinburgh.
regions of the body, within a framework of ortho
pedic massage and associated modalities, in a logi
cal and systematic manner, is one of the major
achievements of this book.
Another is to place orthopedic massage, as
described in the text, alongside established profes
sional approaches to biomechanical problems, such
as are used in physical medicine, osteopathy and
chiropractic. The book should certainly form a
resource for use in massage training, and should
become an asset, from which to draw, for therapists
and practitioners of all manual therapy professions.
Orthopedic Massage can be seen to be an evol
ving health care system, complementary to both
mainstream medical, and CAM, approaches.
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