[Massage Therapy
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Sports Massage
Massage has become an integral part of the new athletic
regimen from sports medicine clinics, to college training rooms, to professional locker
rooms to Olympic training. Growing number of trainers believe that massage can provide an
extra edge to the athletes who participate in high performance sports. Massage has become
a necessary ingredient for a complete workout. More and more people are realizing that a
complete workout routine includes not only the exercise itself, but also caring for the
wear-and-tear and minor injuries that naturally occur with strenuous movement. The
physiological and psychological benefits of massage make it an ideal complement to a total
conditioning program.
Anyone who routinely stretches their physical limits
through movement such as running, cycling, hiking, swimming, dancing, tennis and other
racquet sports, strength training and aerobics can benefit from a massage. There are
others who does strenuous activities in a day that is not normally classified as exercise.
Examples are mothers with small children, gardeners, and others who use their bodies
strenuously in their work.
Incorporating massage in your conditioning program has many
benefits. It helps you get into good shape faster, and with less stiffness and soreness.
It helps you recover faster from heavy workouts, and relieves conditions which may cause
injury.
What Happens When You Exercise?
Regular exercise increases vigor and promotes a general
sense of well-being. If done in moderation, it can help relieve the effects of stress, and
has been linked to decrease in psychological depression.
Regular exercise produces positive physical results like
increased muscular strength and endurance, more efficient heart and respiratory
functioning, and greater flexibility.
These positive physical changes occur as the body gradually
adapts to the greater demands put on it by regular exercise. The body improves its
functioning to meet the challenges placed on it.
Conditioning involve three steps or phases:
 | Tearing Down Phase when one pushes the physical limits |
 | Recovery Phase - Important for the rebuilding phase and to
obtain the full benefits of a conditioning program, and |
 | Buildup Phase - when the system adapts to the new demands
placed on it. |
The 'tearing down' phase of the adaptation process often
involves stiffness and soreness, especially when the amount of movement is significantly
increased from what the body has been used to in the past.
Delayed muscle soreness (24-48 hours after exercise) may be
caused by any of a number of different factors. Some possible causes are minor muscle or
connective tissue damage, local muscle spasms that reduce blood flow, or a build up of
waste products (metabolites) from energy production.
Trigger points or stress points may also cause muscle
soreness and decreased flexibility. These points are specific spots in muscle and tendons
which cause pain when pressed, and which may radiate pain to a larger area. They are not
bruises, but are thought by some to be small areas of spasm. Trigger points may be caused
by sudden trauma (like falling or being hit), or may develop over time from the stress and
strain of heavy physical exertion or from repeated use of a particular muscle.
Heavily exercised muscles may also lose their capacity to
relax, causing chronically tight (hypertonic) muscles, and loss of flexibility. Lack of
flexibility is often linked to muscle soreness, and predisposes you to injuries,
especially muscle pulls and tears. Blood flow through tight muscles is poor (ischemia),
which also causes pain.
Each sport and athletic event uses muscle groups in a
different way. Sports massage therapists must be familiar with each muscle, the muscle
groups and how they are affected by the specific movements and stresses of each sport.
They also are trained in the appropriate uses of hydrotherapy and cryotherapy.
Traditional western (e.g. Swedish) massage is currently the
most common approach used for conditioning programs. It is frequently supplemented by
other massage therapy approaches including deep tissue, trigger point work, and
acupressure. Some massage therapists have special training in sports massage and greater
experience working with athletes.
Sports massage therapy frequently includes the use of one
or more of the following techniques:
Deep Swedish Massage
Muscle-specific applications of the standard effleurage,
petrissage, vibration, and tapotement techniques.
Compression Massage
Rhythmic compression into muscles used to create a deep
hypremia and softening effect in the tissues. It is generally used as a warm-up for
deeper, more specific massage work.
Cross-Fiber Massage
Friction techniques applied in a general manner to create a
stretching and broadening effect in large muscle groups; or on site-specific muscle and
connective tissue, deep transverse friction applied to reduce adhesions and to help create
strong, flexible repair during the healing process.
Trigger Point/Tender Point
Massage
Combined positioning and specific finger or thumb pressure
into trigger/tender points in muscle and connective tissue, to reduce the
hypersensitivity, muscle spasms and referred pain patterns that characterize the point.
Left untreated, such trigger/tender points often lead to restricted and painful movement
of entire body regions.
Lymphatic Massage
Stimulation of specialized lymphatic-drainage pathways,
which improves the bodyıs removal of edemas and effusion.
Regular sports massage can:
 | reduce the chance of injury, through proper stretching and
event preparation, and through deep tissue massage; |
 | improve range of motion and muscle flexibility, resulting in
improved power and performance; |
 | shorten recovery time between workouts; |
 | maximize the supply of nutrients and oxygen through
increased blood flow; |
 | enhance elimination of metabolic by-products of exercise. |
(For a full description of benefits of massage see the
section: Benefits of Massage)
How Does Massage Help?
Recovery. Therapeutic
massage helps the body recover from the stresses of strenuous exercise, and facilitates
the rebuilding phase of conditioning. The physiological benefits of massage include
improved blood and lymph circulation, muscle relaxation, and general relaxation. These, in
turn, lead to removal of waste products and better cell nutrition, normalization and
greater elasticity of tissues, deactivation of trigger points, and faster healing of
injuries. It all adds up to relief from soreness and stiffness, better flexibility, and
less potential for future injury.
In addition to general recovery, massage may also focus on
specific muscles used in a sport or fitness activity. For example, areas of greater stress
for runners and dancers are in the legs, for swimmers in the upper body, for tennis
players in the arms. These areas are more likely to be tight, lose flexibility, and
develop trigger points.
Over-training. Adequate
recovery is also a major factor in avoiding the over-training
syndrome. Over-training is characterized by irritability, apathy,
altered appetite, increased frequency of injury, increased resting heart rate, and/or
insomnia. It occurs when the body is not allowed to recover adequately between bouts of
heavy exercise. Therapeutic massage helps you avoid over-training by facilitating recovery
through general relaxation, and its other physiological effects.
Trouble spots. . . You
may also have your own unique trouble spots, perhaps from past injuries. A massage
therapist can pay special attention to these areas, monitor them for developing problems,
and help keep them in good condition. An experienced massage therapist can also compliment
treatment received from other health care professionals for various injuries. You
may also have your own unique trouble spots, perhaps from past injuries. A massage
therapist can pay special attention to these areas, monitor them for developing problems,
and help keep them in good condition. An experienced massage therapist can also compliment
treatment received from other health care professionals for various injuries.
Sports massage may involve prevention and maintenance
programs, on-site treatment before and after an athletic event, and rehabilitation
programs for those who are injured during the program.
An effective maintenance program is based on the massage
therapist's understanding of anatomy and kinesiology, combined with an expert knowledge of
which muscles are used in a given sport and which are likely candidates for trouble. By
zeroing in on particular muscle groups and working specific tissues, the sports massage
therapist can help the athlete maintain or improve range of motion and muscle flexibility.
The overall objective of a maintenance program is to help the athlete reach optimal
performance through injury-free training.
Pre-event. Pre-event
sports massage is given within the four hours preceding an event to improve performance
and help decrease injuries. It is used as a supplement to an athlete's warm-up to enhance
circulation and reduce excess muscle and mental tension prior to competition. It is
normally shorter (10-15 minutes) than a regular conditioning massage, and focuses on
warming-up the major muscles to be used, and getting the athlete in a good mental state
for competition. It also improves tissue pliability, readying the athlete for top
performance. Certain massage techniques can help calm a nervous athlete, and others can be
stimulating. Pre-event. Pre-event
sports massage is given within the four hours preceding an event to improve performance
and help decrease injuries. It is used as a supplement to an athlete's warm-up to enhance
circulation and reduce excess muscle and mental tension prior to competition. It is
normally shorter (10-15 minutes) than a regular conditioning massage, and focuses on
warming-up the major muscles to be used, and getting the athlete in a good mental state
for competition. It also improves tissue pliability, readying the athlete for top
performance. Certain massage techniques can help calm a nervous athlete, and others can be
stimulating.
Inter/Intra-event.
Inter-
and intra-event massage is given between events or in time-outs to help athletes recover
from the preceding activity, and prepare for the activity coming up. It is also short, and
focuses on the major muscles stressed in the activity. Inter-
and intra-event massage is given between events or in time-outs to help athletes recover
from the preceding activity, and prepare for the activity coming up. It is also short, and
focuses on the major muscles stressed in the activity.
Post-event.
Post-event
sports massage is given after a competition and is mainly concerned with recovery. It is
geared toward reducing the muscle spasms and metabolic build-up that occur with vigorous
exercise. Recovery after competition involves not only tissue normalization and repair,
but also general relaxation and mental calming. A recovery session might be 15 minutes to
11/2 hours in length. Post-event
sports massage is given after a competition and is mainly concerned with recovery. It is
geared toward reducing the muscle spasms and metabolic build-up that occur with vigorous
exercise. Recovery after competition involves not only tissue normalization and repair,
but also general relaxation and mental calming. A recovery session might be 15 minutes to
11/2 hours in length.
Even with preventive maintenance, muscles cramp, tear, bruise, and ache. Sports massage
can speed healing and reduce discomfort during the rehabilitation process.
Soft tissue techniques employed by sports massage
therapists are effective in the management of both acute and chronic injuries. For
example, adding lymphatic massage to the "standard care" procedure in the acute
stage of injury will improve control of secondary, hypoxic injury and enhance edemous
fluid removal throughout the healing cycle. Trigger point techniques reduce the spasms and
pain that occur both in the injured and "compensation" muscles. Cross-fiber
friction techniques applied during the subacute and maturation phases of healing improve
the formation of strong and flexible repair tissue, which is vital in maintaining full
pain-free range of motion during rehabilitation.
In all cases, such massage techniques are employed in
collaboration with other appropriate medical care. For example, encouraging circulation
around a bruise, but not directly on it, through the use of compression, cross-fiber
techniques or even long, deep strokes is only used after appropriate medical referral and
diagnostics indicate that there are no clots formed in the area which may embolize.
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