Integrated Sports Massage Therapy ForElsevier CommissioningEditor:ClaireWilson DevelopmentEditor:CliveHewat,FionaConn ProjectManager:SukanthiSukumar Designer:StewartLarking IllustrationManager:GillianRichards Illustrator:JenniferRose 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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PrintedinChina This page left intentionally blank This page left intentionally blank 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 This page left intentionally blank 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