Tag: Range Of Motion

DYSFUNCTIONS RESPONDING TO CLINICAL MASSAGE

Occasionally referred to as an orthopedic massage, Clinical massage is an entire array of manipulation techniques designed to assess and then to minister to soft tissue injuries and these may include but are not limited to: massage therapy, trigger point therapy, myofascial release, muscle-energy techniques, craniosacral therapy, deep tissue massage and so on. The Clinical massage therapy is usually based on a physicians prescription and directives as a series of treatment sessions to be performed over a set period of time and at specified frequency as related only to a specific need. In that regard, this therapy is most often performed with a particular and purposeful outcome in mind, and its first and foremost objectives are to relieve pain, to increase the range of motion and to help repair and restore soft tissues such as muscles, tendons and ligaments to their normal and healthy functions.

The first of the doctor-prescribed set of sessions is predominantly devoted to assessment or diagnostics of the clients true condition and with all the data collected an action plan can be formulated:

* By using various levels of palpation or touching of the ailing body part, the massage therapist will pinpoint the exact location as well as determine the levels of pain.

* The range of motion and the strength of the muscles is tested through a sequence of movements such as a passive movement which involves the massage therapist moving the relevant muscle groups while the client is inert; an active movement which involves the clients own movement of the muscles in questions; and the resisted movement which involves the clients movement against a resisting force.

* If clinical data related to previous soft tissue injuries and massage therapy is available, it will be reviewed for comparison to the current situation and the phase of healing will be determined.

* The findings are closely reviewed along with the doctors orders and a customized Clinical massage therapy is drawn up.

Most every condition of the soft tissues can benefit from Clinical massage to some extent, but the following list displays dysfunctions which respond most advantageously to its application:

Myofascial Pain. Pain and physiological dysfunctions are known to begin at specific points within muscles and their connective tissues which are also known as fascia. These are appropriately referred to as trigger points because they tend to set off or trigger reactions at remote locations.

Scientists and researchers have successful recorded comprehensive map systems of myofascial trigger points and they have been able to identify dozens of dysfunctions relating to them. The most common of these are: carpal tunnel syndrome, TMJ dysfunction, PMS, headache, diarrhea, dizziness, cardiac arrhythmia, indigestion, tennis elbow, urinary frequency, sinusitis, deafness and blurred vision.

Fascial Plane Dysfunction. Fascia covers nearly the entire body in large endlessly connected sheets which can be distorted and bound to themselves and nearby tissues when inflicted with injury, misalignment or a chemical imbalance. To promote optimal health, the fascial sheets and the blood vessels and nerves which follow them must be in good conditions.

Neuromuscular Dysfunction. Even the simplest and the tiniest of movements of the body requires armies of nerve impulses to be sent to the muscle which is directly involved, as well as to the adjoining and opposing muscles. And it must all be accomplished with precision of timing and proportions. When the mechanics of any part of these functions break down, muscle fibers or entire muscles lock.

Tonus System Dysfunction. Overused muscles become hypertonic or lose their ability to relax. Consequently, they tighten and cause stress on opposing muscles and on the joints they cross.

Dermatomic Dysfunction. When nerves are pinched anywhere along their path, pain will be delivered to the area they serve.

Spondylogenic Dysfunction. When joints of the spine are impaired or compressed, pain will occur in that specific area.

Stated more simply, people suffering from muscle or joint pains or tightness, muscle fatigue or tension, shooting or spreading pains, allergies or asthma, anxiety or depression, irregularity of the digestive system, arthritis or circulatory problems, sleep disorders, headaches, immune function disorders or stress, they can be helped as their symptoms can be relieved through Clinical massage.

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THE SPORTS MASSAGE

Describing it in a nutshell, the Sports Massage is a specialty massage technique that was created and developed with athletes in mind. And as such, the Sports Massage prepares the bodies of professional and amateur sportspersons for their best possible performance before participating in a sport and it then helps their bodies to recover afterwards. However, just because the Sports Massage was designed for those participating in sports, you do not have to be an athlete to reap the benefits from it. After all, athletes are not the only people who get injured and they by no means hold the monopoly on pain.

The Sports Massage is, in effect, one of several forms of the Swedish massage and it promotes an increased circulation of blood and lymph fluids in the body. To break down or dissolve adhesions, which are painful clumps or knots within the muscles, and to widen the range of motion of stiffened joints, trigger point therapy is incorporated as part of the Sports Massage session. There are four different types of Sports Massage therapies and their distinction is made primarily by its time of performance in relations to the athletes sport activity. In other words, it is mainly their timing which makes them different from one another. The four types of Sports Massages are designated as follows:

* Pre-Event Sports Massage. The Pre-Event Sport Massage is a vigorous but shortened massage treatment that lasts anywhere from 15 to 45 minutes and is performed right before the sports event. Its main focus is on those specific parts of the athletes body which will be most intensively involved in the action.

* Post-Event Sports Massage. The Post-Event Sport Massage is performed within an hour or two of the event and its aim is to return bodies to their normal state by helping them recover from the hard work in the shortest time possible.

* Restorative Sports Massage. The Restorative Sports Massage is applied while the athlete is in training and it helps him or her practice harder while, at the same time, decreasing the chances of incurring injuries.

* Rehabilitative Sports Massage. The Rehabilitative Sports Massage is there to pick up the proverbial pieces by treating the injuries which resulted from the exertion of the sport. The foremost objective of Rehabilitative Sports Massage is to relieve pain and to return the body to its former, pre-injury state.

So, whether you are a professional or an amateur athlete or simply a citizen of the world who happens to have a precise problem such as a sore knee from your morning jog around the block or a frozen should because you slept on the wrong side of the bed or a stiff back because you forgot to use your legs when lifting the grocery back and so on, do yourself a favor and see a Sports Massage therapist. And the best way to find one is by getting referrals from reliable sources or by doing some research. The National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) and the American Massage Therapy Association (AMTA) suggests that you ask the following questions when interviewing a potential Sports Massage therapist or any other type of massage therapist, for that matter:

* Did you graduate from a program accredited by the Commission on Massage Therapy Accreditation (COMTA)?
* Are you licensed or registered as a massage therapist in this state?
* Are you certified by the national Certification Board of Therapeutic Massage and Bodywork (NCBTMB)?
* Do you have training in any specific massage modalities?

Beyond all that, you should just relax and enjoy the process while your body is being directed onto the path of healing.

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No Pain, No Gain Isn’t True of Arthritis, But Exercise

No Pain, No Gain Isn’t True of Arthritis, But Exercise Is Still Important
David Silva

National Institute of Arthritis and Musculoskeletal and Skin DiseasesRecent studies have shown that exercise may acually help people with arthritis in a number of ways. It can reduce joint pain and stiffness. It can increase flexibility, muscle strength, and endurance. And it can also help with weight reduction and contribute to an improved sense of well-being.Most comprehensive arthritis treatment plans should include an exercise regiment. Rest and relaxation, proper diet, medication, and instruction about proper use of joints and ways to conserve energy (that is, not to waste motion), as well as the use of pain relief methods should also be included in treatment plans.What types of exercises are best for people with arthritis? Try these three:Range-of-motion exercises to help maintain normal joint movement, relieve stiffness, and increase flexibility.Strengthening exercises to help keep or increase muscle strength. Strong muscles help support and protect joints affected by arthritis.Aerobic or endurance exercises to improve cardiovascular fitness, help control weight, and improve overall function. Weight control can be important to people who have arthritis because extra weight puts extra pressure on joints. As always, people with arthritis should discuss their options with their doctors before starting on an exercise program. Easy, range-of-motion exercises and low-impact aerobics are gennerally a good way to get started. And make sure to ask your doctor about any sports or exercise programs in which you currently participate. Some programs may do more harm than good.You should also be aware that your doctor may decide to refer you to a physical therapist. A therapist with experience in arthritis can design an appropriate home exercise program and teach you about pain-relief methods, proper body mechanics, joint protection, and conserving energy.So what’s the best way to get going? First, always first, discuss your exercise plans with your doctor.Next, start with supervision from a physical therapist or a qualified athletic trainer.Apply heat to sore joints.Stretch and warm up with range-of-motion exercises.Start strengthening exercises slowly with small weights (a 1 or 2 pound weight can make a big difference).Progress slowly.Use cold packs after exercising.Add aerobic exercise.Ease off if joints become painful, inflamed, or red and work with your doctor to find the cause and eliminate it.Like any exercise program, choose a program you enjoy and make it a habit.Range-of-motion exercises should be done at least every other day. Strengthening exercises also should be done at least every other day unless you have severe pain or swelling in your joints. Endurance exercises should be done for 20 to 30 minutes three times a week unless you have severe pain or swelling in your joints.Additional information on arthritis and exercise can be found at the following resources:Arthritis FoundationThe Foundation publishes a free pamphlet on exercise and arthritis and a monthly magazine for members that provides up-to-date information on all forms of arthritis. http://www.arthritis.orgAbout Arthritis TodayInformation on the causes, symptoms, and treatments of arthritis.http://www.aboutarthritistoday.com/arthritisexercise/Spondylitis Association of America (SAA)SAA sells books, posters, videotapes, and audiotapes about exercises for people who have arthritis of the spine.http://www.spondylitis.orgAmerican College of Rheumatology/Association of Rheumatology Health ProfessionalsThis association provides referrals to physical therapists who have experience designing exercise programs for people with arthritis. The organization also provides exercise guidelines developed by the American College of Rheumatology.http://www.rheumatology.org About the Author
About Arthritis Todayhttp://aboutarthritistoday.com

Why Physiotherapy Is So Important in Stroke Rehabilitation

Stroke rehabilitation is sometimes an uphill climb. After a stroke, patients can be left with paralysis, especially one-sided paralysis. Pain, as well as sensory deficits, has to be managed. Physiotherapy is a key part of the treatment plan.

Physiotherapists begin stroke rehabilitation very soon after the stroke has occurred, while the patient is still in acute care. The physiotherapist will first do an evaluation to determine what disabilities must be dealt with during stroke rehabilitation.

Some of the possible problems are: lack of strength and endurance, limited range of motion, problems with sensation in the limbs, and troubles walking. Stroke rehabilitation will focus on the problems that the patient displays. A plan for treatment will be devised.

Patients will learn to use limbs that the stroke has made temporarily useless. During stroke rehabilitation, it will be determined whether these limbs will reach their previous potential. If not, the physiotherapist will teach the patients ways to manage without their full use of the limbs.

One problem of stroke rehabilitation is called learned nonuse. This is when stroke patients do everything in their power to avoid using limbs that have been affected by the stroke. If left to their own devices, they will cripple the limb further by letting it atrophy through nonuse.

Physiotherapists use stroke rehabilitation to make sure that patients do indeed work to use their impaired limbs. They can do this in a number of ways. Sometimes it helps for the physiotherapist to tap or stroke the limb they want the patient to use.

If the patient will not easily participate in active range of motion exercises, passive ones can be used where the physiotherapist moves the limb herself. Other times, the patient will try to use the affected limb but will naturally fall back on the limb that is functioning well. In this case, stroke rehabilitation may involve gently restraining the healthy limbs.

It can be a difficult task of stroke rehabilitation to help victims relearn switching from one task to another. This is partly because of problems in the brain. The cues to move the muscles and joints in order to change movements are slow in coming. This is why practice is so important. The more times physiotherapists help a patient with this, the easier it becomes.

Recent studies have revealed that stroke rehabilitation can continue long after the hospital stay. In the past, stroke victims were given a short round of physiotherapy during the time they were in the hospital and for a few weeks shortly afterwards.

New research shows that physiotherapy can promote more advanced stroke rehabilitation if it is continued progressively at home. Patients will learn to walk better. They will gain strength to do daily chores. They will also achieve better posture and more balance, which can prevent falls.

Stroke rehabilitation involves a number of therapies, all designed to restore function to the patient’s affected limbs. Electrical stimulation, hydrotherapy, and games have all been used. Stroke rehabilitation is not complete without the help of physiotherapy services.