Textbook of Remedial Massage

Textbook of Remedial Massage

by Sandra Grace and Jane Graves

Paperback / softback Publication Date: 15/05/2012


This is a comprehensive, practical book for students and practitioners of remedial massage. Textbook of Remedial Massage comprises three sections. The first section reframes assessment of remedial massage clients to align with current research.

The second section provides clear and comprehensive instruction in commonly used and highly valued remedial massage techniques (e.g. trigger points, CRAC stretching, myofascial release, etc), and is accompanied by illustrations and photographs. The exposition of each practical technique is accompanied by a rationale based on physiological principles and current supporting evidence for its efficacy. Crucially, contraindications and precautions are explained for each technique. The final section of the book applies remedial massage techniques to regions of the body (lumbar, cervical, thoracics, head, face, chest and pelvis).

Acknowledging that remedial massage therapists are often primary contact practitioners, the book gives readers essential information for assessing the suitability of clients for remedial massage, and the essential knowledge for adapting techniques to individual clients.

Complementary medicine
Paperback / softback
Publication Date:
Elsevier Australia
Country of origin:
Dimensions (mm):

1. Remedial massage in Australian healthcare 
Defining remedial massage 
The context of remedial massage: use of complementary and alternative medicine in Australian healthcare 
The remedial massage workforce in Australia 
Attitudes towards CAM by medical and other healthcare practitioners 
Evidence for remedial massage practice 
Evidence for the effectiveness of massage therapy 
Future directions 
Appendix 1.1: Massage therapy: systematic reviews 

2. Assessment procedures for remedial massage: an evidence-based approach  
Principles of assessment in remedial massage practice 
Purpose of assessments 
Demonstrating treatment effectiveness 
Assessment procedures 
Client history 
Outcome measures 
Postural analysis 
Gait analysis 
Functional tests 
Legal and ethical requirements for remedial 
massage assessment 
Key messages 
Review questions 
Appendix 2.1: Skin cancer 
3. Planning remedial massage therapy 
Principles of treatment 
Prioritising client safety 
Swedish massage before remedial massage 
Active movements before passive 
Treating within pain tolerance 
Overview of a remedial massage treatment approach 
Short- and long-term treatment plans 
Client education and self-help 
Clients' preferences 
Treatment protocols 
Aligning treatment to assessment findings 
Monitoring and reviewing treatment plans 
Recording remedial massage treatments 
Key messages 
Review questions 
4. Remedial massage techniques for muscles 
Assessing muscle function 
Functional defi cit demonstration 
Postural assessment 
Testing muscles for length 
Testing muscles for strength 
Remedial massage techniques 
Deep gliding (with-fi bre) frictions and cross-fibre frictions 
Deep transverse friction (DTF) 
Soft tissue release (STR) 
Key messages 
Review questions 
5. Muscle stretching 
Functional anatomy 
Tissue range of motion 
Muscle functions 
Types of muscle contractions 
Physical characteristics and neurological refl exesassociated with stretching 
Active and passive insuffi ciency 
Neurological events that mediate stretching 
Types of muscle stretching 
1. Passive stretch 
2. Active, active-assisted stretch 
3. Muscle energy technique 
4. Active isolated stretch 
5. Ballistic stretch 
6. Dynamic stretch 
7. Static stretch 
8. Proprioceptive Neuromuscular Facilitation 
Stretching treatment goals 
Assessing clients' suitability 
Postural analysis 
Gait analysis 
Functional tests 
Evidence for effectiveness 
Contraindications and precautions 
Applying muscle stretching in remedial massage 
Adapting stretches for individual clients 
Therapist's position 
Muscle stretching in practice 
Review questions 
6. Myofascial trigger points 
What is a trigger point? 
Locating trigger points 
Classifying trigger points 
Active and latent trigger points 
What causes trigger points? 
Identifying trigger points 
Characteristics of trigger points 
Treating trigger points 
Manual techniques 
Evidence-base of treatments for trigger points 
Contraindications and precautions 
Key messages 
Review questions 
Appendix 6.1: Some key trigger points 
7. Joint articulation 
What is joint articulation? 
Evidence for the effectiveness of joint articulation and mobilisation 
Assessing clients for treatment 
Functional tests 
Treating clients 
Key messages 
Review questions 
8. Myofascial release 
Functional anatomy review 
What is myofascial release? 
Assessing clients 
Postural analysis 
Functional tests 
Treating clients 
Evidence for the effectiveness of fascial releasing techniques 
Applying the techniques 
Integrating myofascial releasing techniques with remedial massage 
Contraindications and precautions 
Key messages 
Review questions 
9. Lymphatic drainage massage 
Evidence for the effectiveness of lymphatic drainage massage 
Functional anatomy review 
Function of the lymphatic system 
Assessing clients 
Red fl ag conditions for oedema 
Postural analysis 
Functional tests 
Palpation 128 
Differential diagnosis 128 
Treating clients 129 
Basic principles 129 
Length of treatment 129 
Explanation of treatment 129 
Regional lymphatic drainage massage 131 
Contraindications and precautions 135 
Absolute contraindications 136 
Relative contraindications 136 
Local contraindications 136 
Review questions 137 
References 137 
10. The low back and pelvis 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 
Palpation 151 
Remedial massage treatment 152 
Muscle strain 153 
Non-specifi c low back pain 153 
Degenerative joint disease (Osteoarthritis/ 
Degenerative arthritis) 161 
Lower crossed syndrome 163 
Lumbar disc syndrome 164 
Spondylolisthesis 166 
Sacroiliac syndrome 168 
Key messages 171 
Appendix 10.1: McKenzie self-treatments for 
sciatica 171 
Review questions 172 
References 172 
11. The thoracic region 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 
Palpation 182 
Remedial massage treatment 182 
Muscle strain 182 
Thoracic facet syndrome 183 
Degenerative joint disease (Osteoarthritis/ 
Degenerative arthritis) 189 
Hyperkyphosis of the upper thoracic spine 
(Dowager's hump) 191 
Scheuermann's disease (Vertebral 
epiphysitis) 192 
Osteoporosis 193 
Scoliosis 194 
Thoracic outlet syndrome (Anterior scalene 
syndrome) 197 
Key messages 198 
Review questions 198 
References 199 
12. The cervical region 200 
Introduction 200 
Functional anatomy review 200 
Assessment 201 
Case history 201 
Outcome measures 203 
Postural analysis 203 
Functional tests 204 
Palpation 210 
Remedial massage treatment 210 
Muscle strain 211 
Non-specifi c neck pain (including cervical 
sprain, strain and vertebral subluxation) 211 
Degenerative joint disease (Osteoarthritis/ 
Degenerative arthritis) 217 
Upper crossed syndrome 218 
Mechanical/acquired torticollis 220 
Cervical disc syndrome 221 
Whiplash (acceleration/deceleration) associated 
disorders 222 
Key messages 224 
Review questions 224 
References 225 
13. The head and face 226 
Introduction 226 
Headache 226 
Assessment of the headache client 226 
Remedial massage treatment for headache 231 
Sinusitis 233 
Assessment of the client with sinus pain 234 
Remedial massage treatment for sinusitis 235 
Temporomandibular joint disorders 238 
Disorders of the temporomandibular joint 238 
Assessment of the client with TMJ 
disorder 238 
Remedial massage treatments for TMJ 
disorders 240 
Key messages 241 
Headache 241 
Sinusitis 241 
Temporomandibular joint 241 
Review questions 242 
Appendix 13.1: MIDAS (The Migraine Disability Assessment Test) 242 
References 243 
14. The chest 244 
Introduction 244 
Functional anatomy review 244 
Assessment 246 
Case history 246 
Outcome measures 247 
Postural analysis 247 
Functional tests 247 
Palpation 250 
Remedial massage treatment 250 
Muscle strain 250 
Rib subluxation/fracture 251 
Respiratory conditions 254 
Key messages 259 
Review questions 260 
References 260 
15. The shoulder region 261 
Introduction 261 
Functional anatomy 261 
Assessment 261 
Case history 262 
Outcome measures 264 
Postural analysis 264 
Functional tests 264 
Palpation 269 
Remedial massage treatment 271 
Overview 272 
Muscle strain 272 
Shoulder impingement syndrome 282 
Degenerative joint disease (Degenerative 
arthritis, osteoarthritis) 283 
Adhesive capsulitis (frozen shoulder) 284 
Acromioclavicular sprains, clavicle fractures and 
glenohumeral dislocations 285 
Key messages 286 
Review questions 286 
Appendix 15.1: Shoulder Pain and Disability 
Index 287 
References 288 
16. The elbow region 289 
Introduction 289 
Functional anatomy 289 
Assessing the elbow and forearm 290 
Case history 291 
Outcome measures 291 
Postural analysis 295 
Functional tests 296 
Palpation 300 
Remedial massage treatment 301 
Overview 301 
Muscle strain 301 
Olecranon bursitis 308 
Elbow sprain 308 
Fractures and dislocations 308 
Key messages 308 
Review questions 309 
References 309 
17. The wrist and hand 310 
Introduction 310 
Functional anatomy 310 
Assessment 311 
Case history 311 
Outcome measures 314 
Postural analysis 314 
Functional tests 319 
Palpation 325 
Remedial massage treatment 326 
Overview 326 
Tendinitis and tenosynovitis 326 
De Quervain's tenosynovitis 327 
Carpal tunnel syndrome 330 
Sprains 332 
Fractures and dislocations 333 
Degenerative joint disease and rheumatoid 
arthritis 334 
Key messages 335 
Review questions 335 
References 335 
18. The hip region 337 
Introduction 337 
Functional anatomy 337 
Assessment 338 
Case history 340 
Outcome measures 341 
Postural analysis 341 
Gait analysis 341 
Functional tests 341 
Palpation 345 
Remedial massage treatment 347 
Overview 347 
Muscle strain 348 
Degenerative joint disease (Degenerative 
arthritis, osteoarthritis) 353 
Trochanteric bursitis 354 
Key messages 355 
Review questions 355 
References 356 
19. The knee 357 
Introduction 357 
Functional anatomy 357 
Assessment 360 
Case history 360 
Outcome measures 362 
Postural analysis 362 
Gait analysis 362 
Functional tests 362 
Palpation 367 
Remedial massage treatment 368 
Overview 368 
Muscle strain 369 
Iliotibial band syndrome 370 
Patellofemoral pain syndrome 373 
Chondromalacia patella 374 
Patella dislocation 375 
Ligament sprain 375 
Meniscal injury 377 
Degenerative joint disease (Degenerative 
arthritis, osteoarthritis) 377 
Bursitis 379 
Osgood-Schlatter's disease 379 
Key messages 379 
Review questions 380 
References 380 
20. The leg, ankle and foot 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 
Gait analysis 389 
Functional tests 389 
Palpation 396 
Remedial massage treatment 398 
Overview 398 
Leg 398 
Muscle strains of the leg 398 
Gastrocnemius strain (tennis leg) 398 
Shin splints 399 
Chronic compartment syndrome 405 
Stress fracture of the tibia 407 
Varicose veins and spider veins 407 
Ankle 407 
Achilles tendinopathy 408 
Calcaneal bursitis 409 
Sever's disease 409 
Ankle sprain 409 
Degenerative joint disease of the ankle 411 
Foot 411 
Plantar fasciitis (heel spur) 412 
Forefoot 413 
Metatarsalgia 413 
Morton's neuroma (Interdigital 
neuroma) 413 
Key messages 413 
Review questions 414 
References 414 
21. Specific client groups 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 
Review questions 422 
References 422 
Index 424

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