113 Sports Massage: Enhancing Training, Participation and Recovery for Today's Athlete, 2nd Edition: Summary
Osteoarthritis Considerations • Common complication following an injury is decreased stability due to the integrity of the joint being compromised • More pressure is placed on the joint creating more wear and tear on the joint and increasing the risk of osteoarthritis • Cartilage loss can lead to bone degeneration and eventually osteoarthritis • Once the cartilage begins to deteriorate the bones exhibit great fiction with movement and it can lead to Osteoarthritis • Osteoarthritis then results in Inflammation and discomfort within the joint • Osteoarthritis of the knee; avoid working directly on the knee instead perform light superficial effleurage using a flat hand (with no pressure) to try and get some blood flow going and some warmth • Work the muscles proximal and distal to the joint • Arthritis can’t be reversed however nerves stoke to of all aspects of the joint may help to alleviate pain
Duration of post-event massage is 20-30 minutes. Static flexibility – moving a muscle into an extended position and holding 20-30 sec. Dynamic flexibility – moving a muscle into an extended position and returning to the starting position with no hold. Examples of stretching techniques include: • Static • Proprioceptive Neuromuscular Facilitation (PNF) • Antagonist activation PNF techniques are very powerful and effective and the details of how PNF is performed are very important. Key components of PNF include: • Optimal body position of the therapist to protect the integrity of their bodies; maintaining stamina for their case load • Communication- essential to explain to the client the plan for the massage session • Move client into the stretch, perform a static hold for 15-second followed by a 6-second hold (counting down from 6) client resisting the stretch at 20% of their effort (isometric hold) relax and repeat 2-3 times • Not necessary to go beyond 20% because results are seen at this effort and greater effort may result in injury to the client • Going beyond 20% also decreases the stamina of the therapist to be able to perform several sessions in one day • Incorporating PNF into a session- start with one body part and increase from there • Common muscles to stretch: hip flexors and hamstrings but any stretch can be performed using PNF • Range of motion of the stretch it is determine by either a) client expressing they feel the stretch or b) therapist feels the tension barrier whichever comes first • Remember the first rule is to do no harm more aggressive stretching does not necessarily yield greater results
LEARNING TIP! Post and between event massage will address: • Break up adhesions • Restore muscle balance • Clear metabolic waste • Induce parasympathetic nerve activity • Normalize circulation
Other Techniques Techniques that may be utilized during a post- event and between event include: • Longer, slower, deeper strokes • Static stretching • PNF • Massaging major muscles groups working tendon to tendon • Crrective muscle imbalance techniques
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