Table Of ContentIntegrated Sports Massage Therapy
ForElsevier
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Integrated Sports
Massage Therapy
A Comprehensive Handbook
Anders Jelve´ us
DN, Leg. Naprapat, MTOM, LAc, CMT
International freelance educator in manual therapies; Founder of the
Swedish Health Institute, Los Angeles, CA, USA
W i t h a c on t r i b u t i o n b y
Kristjan Oddsson
DN, Leg. Naprapat, PETE, Bachelor in Sport Science
Lecturer in Human Biology and Sports Medicine, GIH—Swedish School of Sport and
Health Sciences, Stockholm, Sweden
ã2011,ElsevierLtd.Allrightsreserved.
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Notices
Knowledgeandbestpracticeinthisfieldareconstantlychanging.Asnewresearchandexperience
broadenourunderstanding,changesinresearchmethods,professionalpractices,ormedicaltreatment
maybecomenecessary.
Practitionersandresearchersmustalwaysrelyontheirownexperienceandknowledgeinevaluating
andusinganyinformation,methods,compounds,orexperimentsdescribedherein.Inusingsuch
informationormethodstheyshouldbemindfuloftheirownsafetyandthesafetyofothers,including
partiesforwhomtheyhaveaprofessionalresponsibility.
Withrespecttoanydrugorpharmaceuticalproductsidentified,readersareadvisedtocheckthemost
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beadministered,toverifytherecommendeddoseorformula,themethodanddurationof
administration,andcontraindications.Itistheresponsibilityofpractitioners,relyingontheirown
experienceandknowledgeoftheirpatients,tomakediagnoses,todeterminedosagesandthebest
treatmentforeachindividualpatient,andtotakeallappropriatesafetyprecautions.
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Contents
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
1 An introduction to sports massage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Work postures, hand placements, and basic massage strokes . . . . . . . . . . . . . . 5
3 Sports massage applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
4 Examples of event-based sports massage treatments . . . . . . . . . . . . . . . . . . 35
5 Sports massage applications for different sports . . . . . . . . . . . . . . . . . . . . . 61
6 Soft tissue stretching in sports massage . . . . . . . . . . . . . . . . . . . . . . . . . . 75
7 Applied stretches to common muscle groups . . . . . . . . . . . . . . . . . . . . . . . 97
8 Positional release techniques applied in sports massage . . . . . . . . . . . . . . . . 119
9 Acupressure and Tui Na in sports massage . . . . . . . . . . . . . . . . . . . . . . . . 127
10 Myofascial release techniques and connective tissue massage . . . . . . . . . . . . . 139
11 Myofascial pain syndrome—myofascial trigger points . . . . . . . . . . . . . . . . . . 161
12 Sports injuries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181
Dr. Kristjan Oddsson
13 Taping for sports injuries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
Dr. Kristjan Oddsson
14 Soft tissue treatment techniques for maintenance and
remedial sports massage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207
15 Self-massage and myofascial release techniques for the athlete . . . . . . . . . . . . 235
Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
v
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Preface
Theworkofasportsmassagetherapistranges from “Bindegewebsmassage”(Goats&Keir1991;Ylinen&
basic pre- and post-event massage applications to Cash 1993) is also covered, further demonstrating
handlingmorecomplexscenarios,suchasattempting the possible neural reflexive reactions from manipu-
tooptimize theathlete’sbiomechanicalandphysio- lation of skin and subcutaneous tissues. Lymphatic
logicalperformance,orcontributingtosportsinjury drainage massage techniques are also presented, and
rehabilitation treatment. different related treatment methods and commonly
To accomplish this, it is necessary to integrate affectedmusclesitesinthebodyarediscussed.
a variety of different techniques. I call this way of Sports injuries are common amongst athletes
working Integrated Sports Massage Therapy, to (Connetal.2003;Hootmanetal.2007)andsoacute,
highlight the fact that sports massage can combine overuse, and other common types of injury are dis-
almost any technique or method that may improve cussed, along with basic athletic taping techniques
the athlete’s level of performance and recovery. foraselectionofinjuriesanddysfunctions.Restorative,
This book is intended to illustrate a variety of maintenance,andremedialsportsmassageispresented
sports massage therapy techniques, beginning with a including lymphatic drainage massage techniques,
brief presentation of its history, and physiological/ where assorted treatment methods for commonly
psychological effects, followed by common massage affectedsitesinthebodyaredescribed.
strokesandadiscussionofpre-,post-,andinter-event The last chapter demonstrates a number of self-
therapyapplications.Sincerangeofmotionisaninte- massage techniques utilizing the athlete’s hands,
gralpartofsportsactivity,assortedsofttissuestretch- tennis, exercise ball, and lacrosse balls, or tools like
ing methods, and hands-on applications to common The Stick, myofascial roll, and trigger wheel.
musclegroupsarefeatured.Therearealsodescriptions Myaimwiththisbookisthatthenovicetherapist
of related methods, such as osteopathic positional can gain from it a basic understanding of the highly
releasetechniques(Chaitow1997)andAsianmanual rewarding field of sports massage, and inspiration to
medicinesystemslikeacupressureandTuiNa. study it further; while the more experienced sports
The concept of myofascial release, including massagetherapistcanpickupadditionalconceptsor
Myers’ myofascial lines (Myers 2002) and the com- techniquestoenhancetheirpractice.Itismyaspiration
mon pain-producing dysfunction caused by myofas- andhopethatthisbookwillserveasavaluableaddition
cial trigger points, are outlined. Elisabeth Dicke’s tootherexistingfinepublicationsonsportsmassage.
References
Chaitow,L.,1997.Positionalrelease Goats,G.C.,Keir,K.A.,1991. preventioninitiatives.J.Athl.Train.
techniques,seconded.Churchill Connectivetissuemassage. 42(2),311–319.
Livingstone,Edinburgh. Br.J.SportsMed.25(3),131–133. Myers,T.W.,2002.Anatomytrains.
Conn,J.M.,etal.,2003.Sportsand Hootman,J.M.,etal.,2007. ChurchillLivingstone,Edinburgh.
recreationrelatedinjuryepisodesin Epidemiologyofcollegiateinjuriesfor Ylinen,J.,Cash,M.,1993.
theUSpopulation,1997–99.Inj. 15sports:summaryand Idrottsmassage.ICAbokfo¨rlag,
Prev.9(2),117–123. recommendationsforinjury V¨aster˚as.
vii
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Acknowledgments
Producingabookisseldomtheworkofonlyoneper- Dr Bjo¨rn Jonsson Berg brought Naprapathy to
son.Manypeoplehaveinteractedwithmeoverthe Swedenin1970.TogetherwithIngerBerg,andafine
years, directly or indirectly influencing this book. faculty, his substantial work generated the essence
I want to extend my most profound gratitude for ofwhatistodaytheScandinavianCollegeofNapra-
the support from everyone past or present who pathicManualMedicineinStockholm,Sweden,one
has enriched my life and generated inspiration; to of the foundation stones for my practice of manual
myfamily:mywifeandsonfortheirloveandencour- medicine. The teaching staff at Emperor’s College
agement,andmymother,father,andsisterfortheir inSantaMonicapresentedtheopportunitytofurther
lifelong moral support to continuously venture into my ever-deepening interest in energetic and Asian
new territory. medicine. I also owe gratitude to all the excellent
I am obliged to my friend and colleague, teachersinEurope,USA,andAsiafromwhomIhave
DrKristjanOddsson,forcontributingtwofinechap- been privileged to learn, and who have influenced
ters, which serve as an invaluable part of this book. muchofthecontentofthisbook.Acknowledgment
Warm thanks also to Matthew Raymond Cohen is additionally extended to Hans Axelson, founder
and Ian Olson for acting as models, and to Susan of Axelsons Gymnastiska Institute in Scandinavia,
ValdezCohenforhercontributionasphotographer. for providing instruction and motivation during my
ProfoundhonorgoestoDrLeonChaitowforhis first formal massage studies at his school in Stock-
initialsupport,aboundinggenerositytofellowprac- holm, and to Maria Grove for offering my first
titioners, and vast contribution through a contin- long-term teaching opportunity in the USA, from
uous dedicated effort to broaden the scope and which I learned so much.
understandingofthefieldofmanualmedicine.Grat- I am grateful to Dr Pat E. Belcher, founder and
itudeisalsoextendedtothoseinvolvedatElsevier— developer of “The Stick”; Darryn Starwyn of East
Sarena Wolfaard, Claire Wilson (Commissioning WestMedicine,CustomCraftworks;andPekkaKoski
Editors), Fiona Conn, Clive Hewat (Development atLojergroupinFinland,forsupplyingequipmentor
Editors), Sukanthi Sukumar (Project Manager), picturesoftheirrespectiveproductsusedinthisbook.
Stewart Larking (Designer), Gillian Richards (Illus- Finally,Iwouldliketoexpresstremendousgrati-
tration Manager), Jennifer Rose (Illustrator)—for tudetoallmypatientsandstudentsoverthelast26
their abundant patience and support. years. You are my greatest teachers.
ix
