Sports Massage: Enhancing Training, Participation and Recovery for Today's Athlete, 2nd Edition: Summary 78
Example Techniques Body Part
Technique
Ankle
Passive muscle release stretch into Dorsiflexion. Add traction at the heel to draw it out as ankle moves into DF also work inversion and eversion; decompression to reintroduces the spacing between the joint and the structures. Quadratus Lumborum; strip them but go easy great results with this massage pain can be resolved in a day.
Low back
Massage can also help to release the hamstrings in one session; however, the piriformis tends to take longer to release because by the time symptoms are felt it has become very tight usually. The piriformis goes from sacrum to greater trochanter (insertion site for glutes and 6 deep laterals). To locate the greater trochanter, bend the client’s knee and bring them into ER/IR from there the piriformis
is more easily palpated. Trapezius stretch this can be a tender area for most people proceed with caution and gently increasing the stretch. Session Plan for Shoulder Mobilization: 1. Muscle activation: shoulder depression, external rotation 2. Stretching: levator scapula, pec major 3. Stripping: levator scapula, pec minor, subscapularis
CASE STUDY: EXTERNAL FOCUS
Trevor is a 22-year-old male. He plays on his college soccer team. This athlete has reported hamstring soreness after games for approximately 2 months. He has received regular treatment including foam rolling, PNF stretching and exercises of the affected area. He consulted the sports and rehab team for suggestions as his hamstring discomfort returned regularly. Assessment showed full range of motion of hamstrings and adductors bilaterally, although hamstrings were sensitive to direct pressure. His sagittal plane alignment of hip-knee-ankle was excellent. A lateral view did reveal slight to moderate anterior pelvic tilt.
Treatment Strategies Include 1. Addressing the pelvic tilt: tightness in the hip flexors and low spinal erectors & weakness in gluteus maximus and abdominals 2. Muscle activation of the abdominal and gluteal muscles 3. Stretching - PNF stretching of hamstrings, Semi-straddle stretch, Hip flexor stretches 4. Manual hip flexor release Trevor’s Results 1. Noticeable improvement in performance and reduced discomfort within the first 3 sessions 2. Addressed the imbalance between the hip flexors and gluteus maximus - powerful hip extension 3. Restored optimum recruitment of gluteus maximus 4. Decreased compensatory overactivation of the hamstrings **** Key Distinction of the successful results was to expand consideration to the hip flexors. Trevor’s hip flexors presented with increased tightness thus inhibiting the glute max resulting in the hamstrings (synergists) super compensating and performing more hip extension becoming overworked.
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