Therapeutic effects of massage.pptx

Therapeutic effects of massage

1. Therapeutic effects of massage C.R. Praveen Kumar ASSISTANT PROFESSOR FACULTY OF PHYSIOTHERAPY SRIHER

2. In this class.... Therapeutic uses of massage Special considerations

3. Therapeutic Effects In physiotherapy, massage is used for the following purposes: To improve the mobility of the soft tissues To reduce muscle spasm and pain To reduce oedema To increase circulation To mobilise secretions in the lung To induce local and general relaxation

4. Mobility of soft tissues Any injury or inflammation to these soft tissues leads to adhesion formation, which decreases their mobility and causes pain. The to and fro movement of massage mechanically breaks down the adhesion and facilitates the free movement of the adherent structure.

5. Mobility of soft tissues Tendinitis Tenosynovitis Fibrositis Muscular injury Ligament sprain Postsurgical scar Post burns contracture Pre-and postoperative cases in plastic, and reconstructive surgery.

6. Muscle spasm and Pain Physiologically, in presence of spasm there occurs capillary constriction which reduces the blood flow. Circulatory restriction results in limitation of the flow of nutrients and oxygen to the area and retention of waste product. More spasm leads to more ischemic pain and less flexible tissue.

7. Muscle spasm and Pain By the stimulation of sensory nerve endings and production of mild pain, massage blocks the pathway of pain The mechanical movement of massage stretches the individual fibers of soft tissue and reduces their tension. Removal of metabolic waste products results due to increased drainage of the massaged area. This results in reduction of pain, as these substances are noxious to the tissue and irritate the free nerve endings.

8. Muscle spasm and Pain By the stimulation of sensory nerve endings and production of mild pain, massage blocks the pathway of pain The mechanical movement of massage stretches the individual fibers of soft tissue and reduces their tension. Removal of metabolic waste products results due to increased drainage of the massaged area. This results in reduction of pain, as these substances are noxious to the tissue and irritate the free nerve endings.

9. Reduction of Oedema Untreated oedema is an established causative factor for delayed healing, pain as well as for decreased mobility with subsequent compromised functional use of the afflicted part. Massage reduces oedema utilising its mechanical effect of forcing the fluid into the drainage channels.

10. Reduction of Oedema When the oedema is due to mechanical factors such as muscle inactivity as in paralysis, valve insufficiency, lymph node blockage, etc. massage procedures are helpful in the reduction of swelling. Should be supplemented with, active exercises, elastic bandages and elevation to offer better and sustained effects.

11. Enhancement of circulation The mechanical compression and relaxation of massage creates a pumping effect and improves the lymphatic and venous drainage. The improved arterial circulation following massage facilitates the exchange of nutritive elements into the paralyzed extremities. In this way the nourishment of the paralyzed muscle is maintained to a certain extent

12. Enhancement of circulation Massage finds a major role in the treatment of those chest disorders where increased and viscid secretions are the source of problem. The mechanical energy transmitted to the lung tissue through the chest walls leads to the loosening up of the viscid secretions. Massage also moves the sputum up in the bronchial tree.

13. Local and General Rela xation The use of massage for ensuring comfort and relaxation has remained one of the most common practice in all cultures and civilizations throughout the world. 20 minutes massage session twice a week for 5 weeks resulted in reduced anxiety, improved mood, better sleep and less low back pain in addition to fewer complications during labour and postnatal period.

14. Massage in Obesity Deep mechanical massage has been advocated as an alternative or adjunctive therapy for the contouring of subcutaneous fat and as a treatment for cellulite

15. Massage in AIDS Some studies reported increase in natural killer cell activity after massage in both AIDS as well in normal individual under stressful condition.

16. Massage in Cancer It is suggested that patients who receive massage have less procedural pain, nausea, and anxiety and report improved quality of life. Increase in the level of dopamine levels, natural killer cells, and lymphocytes following massage in women diagnosed with breast cancer. manual lymph drainage to be an effective adjunct to compression bandaging or sleeves in patients with arm lymphoedema after surgery for breast cancer.

17. Massage in Hypertension manual lymph drainage to be an effective adjunct to compression bandaging or sleeves in patients with arm lymphoedema after surgery for breast cancer. This preliminary study suggests that regular massage may lower blood pressure in hypertensive persons with slow stroking in back region.

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