Clinical Massage Therapy: Assessment and Treatment of Orthopedic Conditions

558 Pages·2008·23.93 MB·English

by  Steven Jurch

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