Clinical Massage Therapy ASSESSMENT AND TREATMENT OF ORTHOPEDIC CONDITIONS jjuurr1100993399__ffmm__ii--xxxxiiii..iinndddd ii 11//88//0088 11::1199::2266 PPMM jjuurr1100993399__ffmm__ii--xxxxiiii..iinndddd iiii 11//88//0088 11::1199::2299 PPMM Clinical Massage Therapy ASSESSMENT AND TREATMENT OF ORTHOPEDIC CONDITIONS Steven E. Jurch, M A, ATC, LMT Medical University of South Carolina and Trident Technical College Charleston, South Carolina jjuurr1100993399__ffmm__ii--xxxxiiii..iinndddd iiiiii 11//88//0088 11::1199::2299 PPMM CLINICAL MASSAGE THERAPY: ASSESSMENT AND TREATMENT OF ORTHOPEDIC CONDITIONS Published by McGraw-Hill, a business unit of The McGraw-Hill Companies, Inc., 1221 Avenue of the Americas, New York, NY, 10020. Copyright © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. No part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written consent of The McGraw-Hill Companies, Inc., including, but not limited to, in any network or other electronic storage or transmission, or broadcast for distance learning. Some ancillaries, including electronic and print components, may not be available to customers outside the United States. This book is printed on acid-free paper. 1 2 3 4 5 6 7 8 9 0 DOW/DOW 0 9 8 ISBN 978-0-07-351093-4 MHID 0-07-351093-9 Vice President/Editor in Chief: Elizabeth Haefele Vice President/Director of Marketing: John E. Biernat Developmental Editor: Connie Kuhl Marketing Manager: Kelly Curran Lead Media Producer: Damian Moshak Director, Editing/Design/Production: Jess Ann Kosic Project Manager: Marlena Pechan Senior Production Supervisor: Janean A. Utley Designer: Marianna Kinigakis Senior Photo Research Coordinator: Carrie K. Burger Media Project Manager: Mark A. S. Dierker Typeface: 10/12 Melior Compositor: Electronic Publishing Services Inc., NYC Printer: R. R. Donnelley Photo Credits Figure 1.1 : © Bettmann/Corbis; 1.2 : © Brown Brothers; 3.2a : © Ed Reschke; 3.2b-c : © The Mc- Graw-Hill Companies, Inc./Photo by Dr. Alvin Telser; 4 .1 : © Vol. 1 PhotoDisc/Getty; 5.2 , 5.4 , 5.6 , 6.3a-b : © The McGraw-Hill Companies, Inc./Joe DeGrandis, p hotographer; 7.18 : © The Mc- Graw-Hill Companies, Inc./Timothy L. Vacula, photographer; 8.5 , 8 .18 , 1 0.2a-b : © The McGraw- Hill Companies, Inc./Joe DeGrandis, photographer; A ll Other Photographs: © The McGraw-Hill Companies, Inc./Jack Alterman, p hotographer. Library of Congress Cataloging-in-Publication Data Jurch, Steven E. Clinical massage therapy : assessment and treatment of orthopedic conditions / Steven E. Jurch. p. ; cm. Includes bibliographical references and index. ISBN-13: 978-0-07-351093-4 (alk. paper) ISBN-10: 0-07-351093-9 (alk. paper) 1. Massage therapy. 2. Orthopedics. I. Title. [DNLM: 1. Massage--methods. 2. Musculoskeletal Diseases--therapy. WB 537 J955c 2009] RM721.J87 2009 615.8'22--dc22 2007039928 www.mhhe.com jjuurr1100993399__ffmm__ii--xxxxiiii..iinndddd iivv 11//88//0088 11::1199::3322 PPMM Dedication To my wife, Jennifer, for her continuous love and support throughout this process and for being my “in house” editor and sounding board. To my children, Owen and Molly, for providing me with the motivation for this project. To my parents, for helping me understand the value of education. jjuurr1100993399__ffmm__ii--xxxxiiii..iinndddd vv 11//88//0088 11::1199::3333 PPMM About the Author Steven Jurch, MA, ATC, LMT Medical University of South Carolina, Charleston Trident Technical College, Charleston, South Carolina Steve has been involved in the health care industry for the past 15 years in numerous capacities ranging from a practitioner to a program director. Originally from Brandon, Florida, Steve began his education at Florida State University, receiving a bachelor’s degree in Nutrition and Fit- ness. Along the way, he developed an interest in massage therapy after encountering some therapists working with athletes at a triathlon. After he completed his studies at Florida State, he attended Suncoast School of Massage Therapy in Tampa, Florida, and specialized in Sports Massage. Enjoying his work with athletes, Steve entered a 2-year internship pro- gram at the University of Tampa to receive his certifi cation as an Athletic Trainer. During this time he was able to put his massage therapy skills into practice on a daily basis with the athletes as part of their rehabilitation programs. While he was at the university, he was chosen to work as an athletic-trainer intern with the Tampa Bay Buccaneers and eventually be- came the massage therapist for the team. To further his education in sports medicine, Steve went to Murray State University and worked as a graduate assistant for the football, women’s basketball, and baseball teams while re- ceiving his master’s degree in Health, Physical Education, and Recreation, with an emphasis in Human Performance. Once he completed his degree, he took the position of head football trainer at Wingate University, where he also taught courses and supervised student athletic trainers. Given an opportunity to move to Charleston, South Carolina, Steve took a job with a physical therapy group before beginning to teach at Tri- dent Technical College in the Massage Therapy program. He took over the program as its coordinator in the fi rst few months. Rewriting the entire curriculum, Steve spent 8 years as the coordinator before stepping down to pursue other opportunities. He still remains on staff as an adjunct in- structor and also is an adjunct faculty member at the Medical University of South Carolina, teaching in its doctorate-level Physical Therapy and master’s-level Occupational Therapy programs. In addition to his teaching, Steve is the founder of the Wellness Educa- tion and Research Alliance and the owner of the Center for Therapeutic Massage. His years of education and experience working with college, pro- fessional, and international athletes both as a massage therapist and as an athletic trainer give him a unique perspective in the profession. Through- out his career, Steve has had the opportunity to work in exciting and chal- vi jjuurr1100993399__ffmm__ii--xxxxiiii..iinndddd vvii 11//88//0088 11::1199::3333 PPMM lenging settings. In addition to working with the Buccaneers, he acted as the massage therapist for the Tampa Bay Rowdies professional soccer team and was involved in arena football, jai alai, professional ballet, and college athletics. Since his relocation, Steve has become a pioneer in the massage therapy fi eld in Charleston. His approach to massage has provided unique opportunities for him and his business. The Center for Therapeutic Mas- sage is the offi cial massage therapy provider for the College of Charleston athletic teams and continues to work with U.S. Soccer to provide massage and athletic training coverage for its national soccer teams. Numerous lo- cal and visiting teams have utilized its services such as the NY Red Bulls and DC United of the MLS, the NBA Washington Wizards, and the players of the WTA at the Family Circle Cup Tournament. Steve, his wife Jennifer, and their two children Owen and Molly enjoy the wonderful lifestyle of the Lowcountry, and through all of his efforts, Steve hopes to continuously enrich the profession of massage therapy. About the Author vii jjuurr1100993399__ffmm__ii--xxxxiiii..iinndddd vviiii 11//88//0088 11::1199::4422 PPMM Brief Contents PART I GENERAL PRINCIPLES 1 Chapter Introduction to Clinical Massage 2 2 Chapter Review of the Basics 11 3 Chapter Advanced Concepts 31 PART II REGIONAL APPROACH TO TREATMENT 4 Chapter Formulating a Treatment Plan 64 5 Chapter Conditions of the Head and Neck 94 6 Chapter Conditions of the Lumbar Spine and Sacrum 156 7 Chapter Conditions of the Shoulder 214 8 Chapter Conditions of the Elbow, Forearm, Wrist, and Hand 279 9 Chapter Conditions of the Hip and Knee 338 10 Chapter Conditions of the Lower Leg, Ankle, and Foot 402 11 Chapter General Conditions 450 A Appendix State-by-State Requirements 487 B Appendix References and Resources 492 Glossary 504 Index 513 viii jjuurr1100993399__ffmm__ii--xxxxiiii..iinndddd vviiiiii 11//88//0088 11::1199::4422 PPMM Contents PART I GENERAL PRINCIPLES Elements of Application 23 Swedish Massage Strokes 24 1 Introduction to Clinical Massage 2 Repetitive Motion Injuries 28 Introduction 3 Signs and Symptoms 28 History of Massage Therapy 3 Prevention Tips 29 Defi ning Touch Therapy 4 Summary 29 Systems of Clinically Relevant Massage 4 Review Questions 29 Medical Massage 4 Critical-Thinking Questions 30 Orthopedic Massage 5 3 Components of Clinical Massage 6 Advanced Concepts 31 Advanced Knowledge of Anatomy Introduction 32 and Physiology 6 Connective Tissue Massage 32 Profi cient Palpation Skills 7 What Is Connective Tissue? 32 Competent Assessment Ability (Special Tests) 7 Components of Fibrous Connective Tissue 32 Detailed History and Visual Observation 8 Connective Tissue and Its Relation Assembling the Pieces 8 to Massage Therapy 34 Clinical Reasoning 9 Types of Connective Tissue Massage 35 Summary 9 Trigger-Point Therapy 43 Review Questions 10 History 43 Critical-Thinking Questions 10 Defi nitions 43 Background 44 2 Review of the Basics 11 Causes 45 Introduction 12 Characteristics 46 Tools of the Trade 12 Pathophysiology 47 Massage Tables 12 Treatment 48 Lubricants 13 Advanced Strokes 50 Positioning 13 Deep Parallel Stripping 50 Prone Positioning 14 Compression 50 Supine Positioning 14 Perpendicular Compressive Effl eurage 51 Side-Lying Positioning 14 Cross-Fiber Fanning 51 Principles and Purposes of Draping 14 Incorporating Movement 52 Prone-Position Draping Techniques 15 Flexibility Training 55 Supine-Position Draping Techniques 17 Benefi ts 55 Side-Lying-Position Draping Techniques 18 Obstacles 56 Body Mechanics and Stances 20 Research Findings 56 Principles of Body Mechanics 20 Methods of Stretching 58 Stances 20 Summary 61 Massage Strokes 22 Review Questions 61 Effects of Massage Strokes 22 Critical-Thinking Questions 62 ix jjuurr1100993399__ffmm__ii--xxxxiiii..iinndddd iixx 11//88//0088 11::1199::4433 PPMM
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