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Clinical massage may include styles of massage often used for other principal goals. Relaxation massage may include styles of massage that are more commonly used to address non-relaxation goals if such styles are applied with the intent to relax the body. Finally, we wish to emphasize that massage therapists recognize the importance of creating a warm and caring relationship in the healing process and that they regard touch itself as a central healing feature of all techniques they employ.

Sorry, a shareable link is Girls getting fucked sex currently available for this article. Consistent with our focus on clinical massage, we also limited the use of energy work e.

Alternative Medicine: Expanding Medical Horizons. Massage therapists believe the healing power of touch, common to all of the forms of massage, is a fundamental factor in their success in facilitating their clients' goals for health.

Its focus is to optimize the function of the fascial system.

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Touch given with the intention of healing, the common factor in all forms of massage, is believed not only to have beneficial effects on tissue, body fluids and other systems of the body but also to communicate caring with another human being 23.

Discussion This taxonomy is a first step in enabling researchers and massage therapists to more clearly communicate about the nature of the massage treatments they are giving by using common language describing specific techniques that may have originally been learned as part of training in different styles of massage.

Search all BMC articles Search. We propose a classification system whereby practitioners using different styles of massage can describe their techniques using common language. It includes 15 component techniques: application of cold and heat, compression, cross-fiber friction, direct pressure, friction, J-stroke, manual stretching, percussion with stretch, scraping, stripping, and vibration focused on trigger points, and three types of resistive stretching: lengthening, contracting the agonist; lengthening the agonist, contracting the antagonist; and lengthening the agonist, contracting agonist and antagonist.

Its contents are solely the responsibility of the authors and do not necessarily represent the official view of the Erotic birkenhead for couples.

Rock Helping hands massage reston oregon.

As part of a study of massage for neck pain, we surveyed the massage treatment literature and developed a taxonomy of techniques using neutral language to describe what is being done to the body.

Finally, the last element of the protocol, trigger point therapy, was a subcategory of friction or direct pressure technique with a specific intention i.

Its intent is to relieve pain and restricted movement.

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Because our taxonomy was developed in the context of a study for neck pain, it will likely be most useful when describing the treatment of musculoskeletal conditions.

Background Massage therapy, the manual manipulation of soft body tissues to enhance health and well-being, is one of the oldest forms of medicine known to mankind and has been practiced worldwide since ancient times 1. Download citation. Sherman, K.

Development of a taxonomy to describe massage treatments for musculoskeletal pain.

Table 2 Components Helping hands massage reston oregon treatment protocol in study of massage for neck pain.

Massage therapy, the manual manipulation of soft body tissues to enhance health and well-being, is one of the oldest forms of medicine known to mankind and has been practiced worldwide since ancient times 1.

Conclusion A new classification system is presented whereby practitioners using different styles of massage can describe the techniques they employ using consistent terminology. Other common styles include spa massage and sports massage.

In the US, the most widely taught and practiced style of relaxation massage is Swedish massage 13which employs five basic strokes: effleurage glidingpetrissage kneading and liftingfriction moving the tissue layers underneath the skinvibration, and percussion.

Authors' contributions KJS obtained funding, participated in the conception of the taxonomy and drafted the manuscript; MWD conceived of creating the taxonomy, reviewed the literature and drafted the taxonomy, and participated in discussions of the manuscript content; DT reviewed the taxonomy, lead the discussion of the neck pain protocol with the massage therapists in the neck pain study and participated in discussions of the manuscript contents; DC participated in the de of the overall study and revised the manuscript for critical intellectual content.

Correspondence to Karen J Sherman. Each The girl who bought me cigarettes goal of treatment could be met using a of different styles, with each style consisting of a of specific techniques.

Techniques may be used with different intentions that depend on the circumstances in which they are performed.

The experience of low-grade, habitual tension can contribute to Helping hands massage reston oregon hormonal, biochemical and neurological problems of all kinds.

Neuromuscular therapy focuses on relieving local dysfunctions of the tissue, including trigger points, ischemia, inflammation, muscle hypertonia, and nerve impingement. Movement re-education emphasizes using movement to enhance posture, body awareness and movement 3. One of the challenges in conducting research in the field of massage and bodywork is the lack of consistent terminology for describing the treatments given by massage therapists.

Massage therapists were permitted to use up to 10 minute treatments for each patient over a 10 week period. Alternative Erotic massage portland area Complementary Treatment in Neurologic Illness.

Our protocol allowed therapists using craniosacral therapy and manual lymph drainage two styles which are not focused on the treatment of muscle or general connective tissue in a session to record these as styles because these two styles typically use their full set of techniques in a massage session.

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Other styles focus on Shemale massage parlour mansfield in which the practitioner induces, assists or resists movement for a patient e.

The section presented examples of the more common styles of massage used to address each of the principal goals of massage.

Although various descriptions of massage exist 315we are unaware of other taxonomies that use a multi-level system of classification, include the concept of "intent", and that describe what massage therapists are actually doing in a way that is reproducible.

Principal goals, styles and techniques are Massage chantilly wakefield in more detail below.

Relaxation massage has the intention of moving body fluids such as lymph and bloodnourishing cells, removing wastes from cells, relaxing muscles and diminishing any pain.

Some massage styles with different names may be essentially the same e. Even though many challenging issues regarding de and conduct of studies of massage therapy remain, our proposed taxonomy provides an initial step toward standardized descriptions of massage interventions.

A total of 36 distinct techniques were identified and described, many of which could be included in multiple styles. Also, the technique of holding could be used to relax the tissues in Swedish massage, to warm tissues before stretching them in myofascial release, and is hypothesized to "balance energy" in polarity therapy.

These include Reiki, Polarity and Therapeutic Touch as well as massage traditions deriving from Eastern cultures, such as acupressure, Amma, Shiatsu and Tuina. In those situations, the related techniques are listed together and deated by one or more capitalized letters before the name of the technique.

In this report, we describe the development of our taxonomy, including the appropriate application of "intent" or purpose, and illustrate its use in a study evaluating massage for neck pain. However, we excluded styles of massage originating in Asia because most are not commonly taught to massage therapists and because Shiatsu has been associated with serious adverse events in patients with neck pain 21.

Each of these goals can be accomplished using a of different styles of massage, some of which are trademarked e. Methods After conducting a review of the massage treatment literature for musculoskeletal pain, a list of candidate techniques was generated for possible inclusion in the taxonomy.

Finally, we restricted the use of some movement re-education techniques i. Download PDF. Abstract Background One of the challenges in conducting research in the field of massage and bodywork is the lack of consistent terminology for describing the treatments given by massage therapists.

Juhan D: Jobs's Body. Table 1 Proposed taxonomy of massage practice Full size table. For example, Muscle Energy Technique, often used for enhancing ease of movement movement re-educationcan also be used as a clinical technique, for example, to reduce muscle spasms in a patient with whiplash.

This taxonomy is a first step in enabling researchers and massage therapists to more clearly communicate about the nature of the massage treatments they are giving by using common language describing specific techniques that may have originally been learned as part of training in different styles of massage.

Electronic supplementary material. Journal of Bodywork and Movement Therapies. Today, more than 80 different forms of Timmins backpages escort have been identified, many developed in the last 30 years.

Myofascial release is a style of manual therapy that Barnes 6 defines as a "whole body, hands-on approach for the evaluation and treatment of the human structure.

Consistent terminology would make it easier for US students who are taking the national certification exam in massage administered by the National Certification Board for Therapeutic Massage and Bodywork, which is required for licensure in at least 24 states 22.

For example, Structural Integration, can be used to enhance athletic performance relaxation massageaddress a clinical condition such as scoliosis clinical massage or improve posture Blackburn united kingdom ladyboy show re-education.

Typically, massage students are taught a sample of styles in their basic massage training and then enhance their skills and learn other styles through continuing education workshops.

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Techniques are the "building blocks" of a massage treatment session. You can also search for this author Barnsley escort latinas PubMed Google Scholar.

Movement re-education is generally intended to induce a sense of freedom, ease and lightness in the body. The taxonomy was conceptualized as a three level classification system, principal goals of treatment, styles, and techniques.

Specific techniques, which refer to physical manipulations of the tissue, are the most fundamental and specific level of classification and are the building blocks of each of the styles Additional file 1.

Some styles of movement re-education focus on active exercises to teach healthier ways of moving e. Students receiving their basic training in massage school would benefit from having the entire faculty use the same language to describe a particular technique and using neutral language describing hand movements could help students more clearly understand what they are doing.

Ballentyne F, Fryer G, McLaughlin P: The effect of muscle energy technique on hamstring extensibility: the mechanism of altered flexibility. A Anna littlehampton escort of the techniques was then incorporated into the protocol for the neck pain study.

This system could help facilitate standardized reporting of massage interventions. One of the authors MWDan experienced massage educator, reviewed 18 textbooks 135 — 20 and 3 databases Massage Therapy Foundation database, Bodywork Knowledgebase and MEDLINE that include descriptions of the commonly used styles of massage and their component techniques used to treat patients with musculoskeletal pain.

Additional File 1: Massage therapy techniques.

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After conducting a review of the massage treatment literature for musculoskeletal pain, a list of candidate techniques was generated for possible inclusion in the taxonomy. One consequence of their training is that massage therapists do not believe that a "placebo" massage exists and thus researchers who wish to study massage within its own worldview would need to de studies with more appropriate controls than, for example, light touching.

Researchers will need to consider the qualifications of the massage therapists providing treatment and specify any restrictions regarding: 1 the anatomic sites to be massaged, 2 the pressure applied using various techniques, and 3 the intention to be used with specific techniques.

Alternatively, researchers could provide training sessions to illustrate the specific techniques to ensure that terminology was being Mongolia girls fuck consistently.

In this section, we illustrate the use of our proposed classification system in our neck pain study.

J Osteopathic Me. Download references. While these are among the most common reasons people seek out massage 22we believe that additional refinement of this taxonomy would be needed to extend its use in studies of such topics as massage for cancer patients, geriatric patients or for somatic psychotherapy.

Table 2 Components of treatment protocol in study of massage for neck pain Full size table. Massage therapists have typically used inconsistent terminology to describe their treatments.

Styles, consisting of a of distinct techniques, are commonly distinguished by a unique combination of these techniques, and by the underlying intent of when and why to apply the techniques.

Using those sources and her general knowledge of the field, she generated a list of candidate techniques. The intention of energy work is to move stagnant or blocked "energy" so it can circulate freely throughout the body.

In this section, we present more detailed information on two common styles of massage that are often used when addressing clinical concerns: myofascial release and neuromuscular therapy. This absence of a common language makes it difficult to ensure that different massage therapists are consistently describing what they are actually doing in treatment sessions and that research protocols for massage studies are reproducible.

Article Google Scholar. In a typical massage therapy session, more than one goal is addressed and when addressing the broad goals described above, more than one style of massage is used in a course of treatments and even within a single treatment session.

Although massage is used for a variety of specific reasons e. We expect that our taxonomy will offer practical applications for communication among massage therapists in their educational process. The document was further refined during discussions with the seven massage therapists who were treating patients in the neck pain study.

Edited by: Oken B. Dixon MW: Myofascial Massage. Finally, the technique of positional release is used in sports Madera county hookers to restore normal muscle length and in Aston patterning to convey a sense of ease and comfort and body awareness.

However, some commonly used styles of massage therapy, including "deep tissue" and neuromuscular therapy, are not consistently defined. We chose to distinguish the application of direct pressure to trigger points from the application of direct pressure to other soft tissue components because relief of trigger points was anticipated to be an important part of the massage treatment for neck pain.

Consumer Reports: The mainstreaming of Alternative Medicine. Four described the principal goal of treatment i. This system could serve as an important step in facilitating standardized reporting of massage interventions for descriptive and clinical studies. We were motivated to collect information on what the massage therapists actually did during the session, by the desire to describe their treatment in as simple and unambiguous terminology as possible and at the level of detail necessary to reproduce the treatments.

DOC 58 KB. Reprints and Permissions. Even though only two massage therapists were involved in the development of this taxonomy, seven others were involved in a study that employed many of the described techniques and were comfortable using them to characterize the component techniques of their sessions.

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Peer Review reports. Finally, we discuss the strengths and weaknesses of our taxonomy and provide suggestions for its future refinement.

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Dixon MW: Massage Therapy. Edited by: Weintraub MI. Claire T: Bodywork. Tsuboi K, Tsuboi K: Retinal and coronary artery embolism after "shiatsu" on the neck. Barnes JF: The basic science of myofascial release. For example, lymphatic drainage, commonly used as part of clinical massage e.

Lewit K, Simons D: Myofascial pain: relief by post-isometric relaxation. View author publications.

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With the burgeoning interest in complementary and alternative medicine CAM in developed countries has come increased scientific interest in undertaking studies of CAM therapies, including massage.

Submission enquiries: bmccomplementarymedicineandtherapies biomedcentral. Techniques are listed in alphabetical order and include descriptions as well as examples of styles wherein these techniques have been commonly used.

Google Scholar. Finally, the same technique or stroke is often given different names in different styles e. These styles may be used by non — massage therapists. CAS Google Scholar. Methods One of the authors MWDan experienced massage educator, reviewed 18 textbooks 135 — 20 and 3 databases Massage Therapy Foundation database, Bodywork Knowledgebase and MEDLINE that include descriptions of the commonly used styles of massage and their component techniques used to treat patients with musculoskeletal pain.

The protocol for our neck pain study was deed to allow massage therapists sufficient flexibility in their application of techniques to provide appropriate care for each patient's presenting condition, while remaining within the realm of "common practice". Some styles of massage commonly used for a different treatment goal, can be used to increase function and movement e.

Archives Phys Med Rehabil. We believe, however, that future development of this taxonomy should include feedback from a broader range of massage therapists in the US and other Western countries as well as from manual medicine practitioners, such as osteopaths and physical therapists, who have different basic training.

Provided by the Springer Nature SharedIt content-sharing initiative. Thus, our protocol involved substantial detail on the techniques most likely to be applied to muscles and Huntsville al ts escort connective tissue.

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Our example of the use of this taxonomy for the development of treatment protocols in our neck pain study illustrates how researchers need to carefully consider the condition being treated and the likely nature of the treatment in order to specify the protocol in sufficient detail.

Three of these techniques involve application of a foreign substance on or near the body e. This list was modified after discussions with a senior massage therapist educator and seven experienced massage therapists participating in a study of massage for neck pain.

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In addition, we included three distinct sets of "related techniques" i. This polyglotat least in part, from the numerous trademarked styles of massage that have been developed and taught by individuals who use specialized language to describe their component techniques i.

They differ from relaxation massage because they include focused therapeutic goals e.

KJS obtained funding, participated in the conception of the taxonomy and drafted the manuscript; MWD conceived of creating the taxonomy, reviewed the literature and drafted the taxonomy, and participated in discussions of the manuscript content; DT reviewed Wife wants nsa oh wheelersburg 45694 taxonomy, lead the discussion of the neck pain protocol with the massage therapists in the neck pain study and participated in discussions of the manuscript contents; DC participated in the de of the overall study and revised the manuscript for critical intellectual content.

Such studies have revealed a lack of fundamental information on many CAM therapies that has impeded the research process.

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Finally, a single style of massage may be used to address different goals. For example, the technique of direct pressure may be used in trigger point therapy to release trigger points, in sports massage to decrease pain and muscle spasms and in neuromuscular therapy to soften adhesions and Lester wv sexy women them more pliable.

A new classification system is presented whereby practitioners using different styles of massage can describe the techniques they employ using consistent terminology.

Therefore, we did not always ask the therapists to record their treatment details using one of the 36 techniques shown in Additional file 1. Metrics details. Our literature review identified 36 techniques, where techniques are considered to be the "discrete" and "distinct" strokes and manipulations performed by a massage therapist e.

While our protocol also permitted self-care recommendations, a discussion of those is beyond the scope of this manuscript. About this article Cite this article Sherman, K.

Copy to clipboard. Future clinical research studies, regardless of whether they are evaluating massage as a whole system of care or investigating specific styles of massage, may benefit from creating a video or DVD that illustrates the application of specific techniques in a variety of circumstances to ensure that there is no confusion among massage therapists about each hands-on technique.

In some cases, techniques may be related, either because they are similar in how they are performed e. She produced a document that was then shared with another author DT and they discussed and resolved any differences. Received : 12 September Accepted : 23 June Published : 23 June Anyone you share the following link with will be able to read this content:.

Conclusion Massage therapists have typically used inconsistent terminology to describe their treatments. Each candidate technique included a mechanical description of the stroke using neutral descriptive language, notes regarding appropriate application e.

Even though the study goal was to evaluate massage as a treatment for neck pain, which clearly falls within the principal goal of clinical massage, our protocol Table 2 was quite broad. Complementary Therapies in Neurology: an evidence-based approach. All authors read and approved the manuscript.

One of the challenges in conducting research in the field of massage and bodywork is the lack of consistent terminology for describing the treatments practitioners employ.

The proposed taxonomy was conceptualized as a system with three levels of detail: principal goals of treatment, styles and techniques Table 1.

The 13 specific Koreatown massage new maple grove were: application of cold; application of heat; compression; cross-fiber friction; friction or direct pressure; gliding effluerage — Swedish; gliding — deep deep effluerage, longitudinal friction, stripping — clinical massage; holding; kneading petrissage Sex in the bradford percussion tapotement ; skin rolling; stretching — manual; traction.

We suspect that such standardization will be useful for studying massage from a wide variety of perspectives.

For example, some practitioners consider "deep tissue" work to be a synonym for neuromuscular therapy, while others consider "deep tissue" to mean the application of Swedish massage strokes with strong pressure, the Tall girl needed of acupressure, or the use of myofascial release 4.

Relaxation massage is massage that is specifically given to relax the body and promote wellness. The objective of this study was to develop a taxonomy to describe what massage therapists actually do when giving a massage to patients with musculoskeletal pain.

A Handbook for Nombor telefon call girl saint peters. Specific techniques are commonly used in more than one style of massage and may be practiced by other professionals, such as osteopaths, physiotherapists, and movement educators.

At the most general level, four principal goals of treatment can be elucidated: 1 to promote relaxation and wellness relaxation massage2 to address clinical concerns clinical massage3 to enhance posture, movement and body awareness movement re-educationand 4 to balance and "move" subtle energy energy work.

A list of the 36 distinct techniques that form the third level of our taxonomy. We also believe that participants in continuing education programs, which are required for continued licensure in many states, would benefit from the consistent terminology.

Energy work also called subtle energy techniques or body-mind therapies are believed to "assist the flow of energy in the body" by employing very light touch or by holding the hands just above the skin 6.

Additional information Competing interests The author s declare that they have no competing interests.

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