Principles and Practice of Therapeutic Massage Principles and Practice of Therapeutic Massage Second Edition Akhoury Gourang Sinha BPT (NIRTAR) MSPT, PhD Reader Department of Physiotherapy Punjabi University Patiala (Punjab), India ® JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD St Louis (USA) • Panama City (Panama) • New Delhi • Ahmedabad • Bengaluru Chennai • Hyderabad • Kochi • Kolkata • Lucknow • Mumbai • Nagpur Published by Jitendar P Vij Jaypee Brothers Medical Publishers (P) Ltd Corporate Office 4838/24, Ansari Road, Daryaganj, New Delhi 110 002, India, Phone: +91-11-43574357 Fax: +91-11-43574314 Registered Office B-3, EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi 110 002, India Phones: +91-11-23272143, +91-11-23272703, +91-11-23282021, +91-11-23245672 Rel: +91-11-32558559, Fax: +91-11-23276490, +91-11-23245683 e-mail: [email protected], Website: www.jaypeebrothers.com Branches 2/B, Akruti Society, Jodhpur Gam Road Satellite Ahmedabad 380 015, Phones: +91-79-26926233, Rel: +91-79-32988717 Fax: +91-79-26927094, e-mail: [email protected] 202 Batavia Chambers, 8 Kumara Krupa Road, Kumara Park East Bengaluru 560 001, Phones: +91-80-22285971, +91-80-22382956, Rel: +91-80-32714073 Fax: +91-80-22281761, e-mail: [email protected] 282 IIIrd Floor, Khaleel Shirazi Estate, Fountain Plaza, Pantheon Road Chennai 600 008, Phones: +91-44-28193265, +91-44-28194897, Rel: +91-44-32972089 Fax: +91-44-28193231, e-mail: [email protected] 4-2-1067/1-3, 1st Floor, Balaji Building, Ramkote Cross Road Hyderabad 500 095, Phones: +91-40-66610020, +91-40-24758498, Rel:+91-40-32940929 Fax:+91-40-24758499, e-mail: [email protected] No. 41/3098, B & B1, Kuruvi Building, St. Vincent Road Kochi 682 018, Kerala, Phones: +91-484-4036109, +91-484-2395739, +91-484-2395740 e-mail: [email protected] 1-A Indian Mirror Street, Wellington Square Kolkata 700 013, Phones: +91-33-22651926, +91-33-22276404, +91-33-22276415 Fax: +91-33-22656075, e-mail: [email protected] Lekhraj Market III, B-2, Sector-4, Faizabad Road, Indira Nagar Lucknow 226 016, Phones: +91-522-3040553, +91-522-3040554 e-mail: [email protected] 106 Amit Industrial Estate, 61 Dr SS Rao Road, Near MGM Hospital, Parel Mumbai 400 012, Phones: +91-22-24124863, +91-22-24104532, Rel: +91-22-32926896 Fax: +91-22-24160828, e-mail: [email protected] “KAMALPUSHPA” 38, Reshimbag, Opp. Mohota Science College, Umred Road Nagpur 440 009 (MS), Phones: Rel: +91-712-3245220, Fax: 712-2704275 e-mail: [email protected] North America Office 1745, Pheasant Run Drive, Maryland Heights (Missouri), MO 63043, USA Ph: 001-636-6279734 e-mail: [email protected], [email protected] Central America Office Jaypee-Highlights Medical Publishers Inc., City of Knowledge, Bld. 237, Clayton, Panama City, Panama Ph: 507-317-0160 Principles and Practice of Therapeutic Massage © 2010, Akhoury Gourang Sinha All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher. This book has been published in good faith that the material provided by author is original. Every effort is made to ensure accuracy of material, but the publisher, printer and author will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters are to be settled under Delhi jurisdiction only. First Edition: 2001 Reprint 2002 Reprint 2004 Second Edition: 2010 ISBN 978-81-8448-831-9 Typeset at JPBMP typesetting unit Printed at Ajanta Offset & Packagins Ltd., New Delhi Printed at .... To Ma, Papa, Uru Didi and Babuji Foreword It is my proud privilege to write the Foreword to this edition of Principles and Practice of Therapeutic Massage by AG Sinha. Massage or manipulation of soft tissues is the oldest form of physical therapy mentioned in ancient medical records. Of late due to several reasons Physiotherapists started paying it least attention. However, learning the skills of massage is the basic step to achieve success in specialised manual therapy techniques, as this is one of the main techniques that helps Physiotherapists to develop the palpatory skills and sensory awareness. Most of the books available for Physiotherapists are by the overseas authors and often present diversified explanation of techniques, uses and applications. This always confuses a learner as well as teacher and Mr Sinha, after performing an extensive search of literature, has written this comprehensive book. I strongly feel that this would be of help very much not only to the students but also to the teachers. This book is a great boon for everyone concerned, as this is the first book on massage written by an Indian Physiotherapist. In a situation, where massage as a therapeutic modality is neglected or given least priority, I appreciate the author for his boldness to bring out this book. This may catalyse others to write books on physiotherapy field. I pray His almighty for the success of Mr Sinha in this endeavor. AG Dhandapani Additional Professor of Physiotherapy SRMC and RI (Deemed University) Porur, Chennai (TN), India Formerly Head of the Department of Physiotherapy National Institute of Rehabilitation Training and Research Cuttack (Orissa), India Preface to the Second Edition I am overwhelmed by the response I got for the first edition of the book. The second edition contains several new information and discussion on the recent uses of massage. In the first edition I mentioned that the subject of massage has always gone through the phases of advocacy and denigration. The current phase is one that of resurgent advocacy. The advanced technology is increasingly being used world over to examine its effects and uses. These research on one hand are establishing the basis of its uses in several of the conditions where massage have traditionally not been used by the established practitioners. On the other hand the risk for the misuse/use of the modality is also fast increasing. The second edition of this book examines these issue from closer quarters especially with regards to the uses of massage in AIDS, cancer, hypertension, obesity etc. Information emerged from the recent researches have been incorporated. Black and white photographs have been replaced by the new ones. However the basic structure of the book has not been altered though minor errors of typography are corrected. I hope that the revised edition would be able to satisfy the inquisitiveness of both the students and researchers. AG Sinha Preface to the First Edition This book has been written for all those who are interested in the scientific use of massage— an ancient mode of treatment for painful muscles. Information on various aspects of massage is scattered throughout the literature. The available texts on massage, mostly written by western authors, focus usually on specific dimension of massage. In those places where enough books are not available, it often becomes a problem for a new teacher to collect the teaching material. As a result of this the teaching of massage is often neglected. These problems, which I experienced both as a student and a teacher, have stimulated me to work on this text. In nutshell, it is an attempt to collect the scattered knowledge and present it in a form of systematic and comprehensive exposition of principles, techniques and clinical uses of massage. Divided into 11 chapters, this book attempts to critically evaluate the different aspects of massage. It includes detailed discussions on the general physiological effects of massage, its uses in different conditions and the contraindications. The Chapter on Definition and Classification of Massage assimilates the similarity and dissimilarity of different techniques and classify them accordingly. Different techniques of massage are described in detail along with their specific effects on the body tissue. A Chapter on the Practical Aspect of Massage explains the rationales behind the use of different sequence of techniques and mentions the points to be considered while administering massage. This intends to cater to the practical examination requirement of the students. These two Chapters contain several photographs/illustrations to simplify the subject. The essential features of the application of massage in different pathological conditions are explained in a chapter, which intends to serve as guideline for the beginners. The features of lymphatic system, quite essential for the scientific practice of massage have been presented in a separate chapter. This chapter includes four charts showing schematically the distribution of lymph node and the direction of lymphatic flow in the different parts of body. The important landmarks and milestones in the development of this modality are described under the history of massage, while the Chapter on New Systems of Massage gives a brief introduction of some specific forms of massage which are widely used in different parts of the world. Sports massage has emerged as an important modality in the field of athletic and sports world. A separate chapter presents a detailed account of the various theoretical and practical aspects of this advancing area of massage. While working on this text, I came across a volume of literature on the topic. Out of which, however, I could refer only a portion. These titles are listed out in References. The remaining titles which are not quoted in this book, but I feel, can be of immense help to anyone who wishes to know more about this modality, are listed in Bibliography.