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Samuel Blechman Copyright 2010 Introduction Classification of sport massage Recommended training, equipment, supplies, emollients, and MT clothing Athletic training process Anatomy and Physiology Most common sport massage techniques Event massage Effects & Benefits of Sport Massage References 2 Sport massage is a combination of special forms of massage developed to help athletes, physically active people, as well as those with high levels of stress reach their peak performance The biggest progress in the development of sport massage was reached in China, Finland, Germany, Japan, and Russia. In a last few decades tremendous progress the science of sport massage has been made in US. Sport massage is incorporated as a part of medical services at Olympic Games and Professional competitions Most effective techniques used for sport massage are based on the gradual influence on tissue and reflex reaction 3 Training massage serves to prepare the body for peak performance Preparation massage done just before performance Break massage - during performance to hasten regeneration of energy and tissue and support mental stability 4 Anti-fatigue massage applied after a performance Relaxation massage - specific applications of the standard effleurage, petrissage, vibration, and friction techniques. Also can include massage with guided relaxation Neuromuscular techniques - Trigger point /Tender point, Tension point, Neuromuscular reeducation Fluid technique massage – movement and exchange of fluids facilitation 5 Friction massage - friction techniques applied in a general manner to create a stretching and broadening effect in large muscle groups Compression massage - rhythmic compression into muscles used to create a deep hyperemia and softening effect in the tissues also has a stimulating effect 6 Pre-event – preparation massage Inter-competition massage Post-event massage Rehabilitative massage Preventive massage 7 Classic relaxation massage Deep tissue and myofascial techniques Neuromuscular release Fluid technique massage 8 By level of athlete By technique By timing As a therapy Amateur Olympic Professional Relaxation Deep tissue NMT Fluid techniques Pre-event Post-event Inter-event Preparation Injury prevention Injury treatment Pain management 9 Deep knowledge of anatomy, physiology, kinesiology Knowledge of variety of massage techniques including basic energy work Stretching concepts and principals Common sport related injuries Techniques to eliminate pain, spasms, cramps, prevent spreading edemas and bruises. Treatment protocols for acute and repetitive strain injuries Be able to recognize exhaustion, overheating or overcooling, dehydration, and the right time to refer the athlete to medical professionals Knowledge of taping technique to support body structures and first aid training Knowledge of sport ointments 10 Produced by manufacturer professional massage creams and lotions are better compared to liquid oils. The residue of lubricant should be wiped or washed out at the end of massage session The lubricant should be applied first to the hands of the MT Wrestling, swimming and some other sports prohibit use of lubricant before competitions MT can use medical lubricants, gels, creams, and ointments if they are prescribed by athlete’s doctor. Warning: Never use new, untested emollient at the event 11 Massage therapist (MT) should wear comfortable clothes that allow unrestricted movement and/or according to dress code for the event. It is recommended to use sunglasses, cap with visor or eyeshade, sunprotection lotion for outdoor events 12 Massage table. Massage chair. Yoga mat. Fitted plastic cover for the massage table. Sheets, paper roll, headrest, headrest cover, towels or paper towels, pillow cases, pillows or/and bolsters. Massage oil or cream in pump or tube. Timer Sanitation solutions, protective gloves, band aid, tape, bandage. Plastic bags for used sheets and trash Blanket or space blanket Travel equipment – table cart, table bag, bag for sheets. Plastic pads or other kind of protection to prevent massage table sinking in the ground. Water and cups Sunglasses, cap with visor, sun protective lotion Maps or GPS 13 Plan of training process is planning during four/five year cycle. It splits into yearly, monthly, weekly, daily cycles and single lesson. Each lesson has specific goals for warm up, main part of lesson, and cool down process Four basic periods of training process during yearly cycle Transitional – increasing load in order to reach next level of performance/skills Preparation - stabilization of skills Competition – Peak performance Vacation - short change of activity and healing injuries 14 Muscles are enclosed by fascia; epimysium, perimysium, endomysium. The fascias allow the muscles to slide upon each other, when they contract or stretch. Whenever a muscle is damaged due to blow or overuse microfibers form in between neighboring layers of connective tissue. These collagen microfibers bind muscle fibers (muscles cells) together to prevent movement so that the muscles can heal. www.rolfing.com.sg, www.helixwellness. blogspot.com 15 Fascia is thin, but very fibrous and strong. It serves as a strong layer of connective tissue between the skin and layers of muscle , muscle compartments, muscle belies, fascicles, and muscle fibers . www.rolfing.com.sg, www.helixwellness. blogspot.com 16 Microfibers of connective tissue are nature’s internal cast. Unfortunately, they do not vanish after the tissue has healed. They have a tendency to get harder over time, making the muscles stiffer and more rigid. Proprioceptors provide information about movement and the position of the body. Muscle spindles (stretch receptors) are specialized groups of muscle fibers interspersed among and oriented parallel to regular skeletal muscle fibers. Tendon organs are proprioceptors found at the junction of a tendon and a muscle. Each tendon organ consists of a thin capsule of connective tissue that encloses a few collagen fibers penetrating the capsule. Joint Kinesthetic Receptors. Several types of joint kinesthetic receptors are present within and around the articular capsules of synovial joints. 18 Joint Kinesthetic Receptors. Several types of joint kinesthetic receptors are present within and around the articular capsules of synovial joints. 19 Effleurage-Variations of speed will have either stimulating or sedative effect on athlete Stroking -A stroking movement is performed with the entire palmar surface of one or both hands moving in any direction on the surface of the body Compression moves down into the tissues with varying depths of pressure - Regional compression, Pumping compression, Ischemic compression Friction-Circular or cross fiber (James Cyriax technique), friction with thumb or fingers, friction with ulnar side of the hand, friction with heel of the hand, friction with soft fist, friction in combination with other kind of strokes, friction w/reinforcement , friction sub strokes. Petrissage (kneading) Compression kneading Vibration, Shaking, Rocking, Tapotement 20 Neuromuscular therapy pertains to nerves and muscles, or to the relationship between them. Neuromuscular therapy (NMT) is methodology for assessing, treating and preventing soft tissue injuries and chronic pain. NMT emerged in both Europe and North America, almost simultaneously over the last half-century. NMT is now taught in osteopathic and sports massage settings in Britain, Russia, China, US and other countries 21 Proprioceptive neuromuscular facilitation (PNF) stretching most commonly utilizes two different processes Post isometric fatigue used to induce Post Isometric Relaxation (PRI) – when muscle put in isometric contraction for 8-10 sec it get fatigue and followed 6 sec latent period allowed stretching targeted muscle without discomfort to next level Reciprocal inhibition (RI) is inhibition activity of targeted muscle during isometric, lasting 8 – 10 sec, contraction of antagonist muscle. Inhibition continues after muscle relaxed for a few sec and it allowed stretching targeted muscle with no discomfort to next level 22 Preparation massage varies depending on type of sport, individuality, sex, health conditions, temperature or environment and many other factors Usual massage session is 10 – 15 minutes in length and done 30 – 40 minutes before event. The main goal is to prepare musculoskeletal system for high impact performance The most important is to massage body parts that will be used during competition or practice. Warning; Any type of massage must be given especially cautiously before a competition. Do not use vigorous vibration techniques 23 How much time before the start of your event? Have you done your warm-up routine? Do you have any health conditions that I have to know Are there recent or prior injuries that still bother you? Do you have any specific concerns that you would like I take care of? What is your expectation regarding competitions today? How would you like to feel after massage? Relaxed, invigorated, refreshed? 24 Inter-competition massage is helpful to quickly restore energy levels, balance psychoemotional state, prevent injury, cramps, spasms, and relieve pain in case of microtrauma or chronic problems. In the instance of trauma, it is good to have training in taping and cold application. Massage session can vary from 1 - 2 minutes to 15 - 20 minutes. 25 How long is your break? How are you feeling? Is there any health concerns that I have to know What is your concern at this moment? Do you need to do warm up again? 26 Post-event massage is administered immediately after the event Before starting the massage, allow the athlete to cool down and re-hydrate Conduct a brief interview to ensure that he or she is coherent and rational. A post-event massage continues for approximately 1015 minutes; it is not a full body massage. Therapeutic stretching can be useful during or after the massage session to restore the range of motion. Reciprocal inhibition is a good technique if an athlete experiencing muscle cramps or spasm. Ensure there is no signs of dehydration, loss or imbalance of minerals. Spot the athlete when they are getting off massage table 27 Have you had drink water since the end of the event? How are you feeling? Hot, warm, cold? Did you have any problems during the activity? Have you got any injuries? Do you have any old injuries or surgeries or health conditions that I need to be aware of? What are you feeling in these areas? Tight? Heavy? Pain? What areas would you like me to pay attention the most? 28 Decreases training damage Improves training consistency Enables athlete to stay in competition longer Enhances confidence Encourages a relaxed mental attitude Reduces muscle spasm to promote restoration of normal muscle function Helps prevent muscle and tendon injuries Promotes acute injury healing Promotes healing of long-standing injury (break down adhesions to restore mobility) Promotes complete healing to prevent acute problems from becoming chronic 29 DeLee Drez. Orthopaedic Sports Medicine. Principles and practice. Volume 1. W.B.Saunders Company Anatoly Berukov. Sport Massage. Manual for coaches, physical therapists, and massage therapists. Moscow 1992 Classification of sport massage modalities by William Ron McKnight Donald W. Scheumann. The Balanced Body. A Guide to Deep Tissue and Neuromuscular Therapy. Third Edition. Lippincott Williams & Wilkins 2007 Bob Andersonon. Stretching. Shelter Publication, Inc.Bolinas, CA, USA Janice Loudon, Stephania Bell, Jane Johnston. The Clinical Orthopedic Assessment Guide. Human Kinetics Whitney W. Lowe. Orthopedic Massage. Mosby 2007 Ross Turchaninov, M.D. Therapeutic Massage. A scientific approach. Aesculapius Books 2000 Sport Massage Brochure: The Athlete’s & Athletic trainer’s Edge. 2001 American Massage Therapy Association Webmd.com 30 Samuel Blechman Suite 116, 1818 Pot Spring Road Lutherville, MD 21093 www.aplusceworkshops.com [email protected] 31