111 Sports Massage: Enhancing Training, Participation and Recovery for Today's Athlete, 2nd Edition: Summary
Most synovial joints have a joint capsule (set of connective tissue like a cocoon weaving around a joint that creates a negative pressure to increase stability). Joint Considerations • Synovial fluid is also created in the joint that acts a lubricant to prevent the tissues from overheating during movement • Joint capsule can shrink with immobilization so it’s important to move the joint to maintain the integrity of the joint capsule • Joint capsule contracture is a common complication following injures and can lead to a surgical release caused by the increased production of myofibroblasts • Techniques to prevent joint contracture and scar tissue include: circular friction, cross-
fiber, and traction; performed in a multi-plane range of motion
Sports Injuries Injury Shoulder impingement
Description
One of the most common is shoulder impingement caused by improper articulation of the head of the humerus and the scapula. Head of the humerus and the scapula should move together but if instead the humerus pushes up into the scapula these structures (supraspinatus, biceps long head tendon, and subacromial bursa) will impinge between the two bones. To alleviate shoulder impingement, stimulate the hypotonic muscles by actively depressing the shoulders and retracting the shoulders back and stretching and lengthening the hypertonic muscles. Separation of the AC (Acromioclavicular) joint. Acromion process forms a canopy over the clavicle and is separated by an anterior/posterior force. Common in football and wrestling. Humerus becomes dissociated from the glenoid process of the scapula. Common in contact sports. Pain located on the outside of the elbow; inflammation of the elbow extensors caused by repetitive use. Common in tennis and baseball but also found with repetitive manual labor or computer work. Stretching or slight tearing of the adductor muscles. Direct massage work is not indicated but over time flexibility to prevent scar tissue can be performed. Involves three muscles (one medial and two lateral). These strains can be seen throughout the muscle from the origin to the insertion.
Separated shoulder
Dislocated shoulder
Lateral epicondylitis or Tennis Elbow
Groin pull
Hamstring strain
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