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Massage Therapy is used to assist in the
healing process. Among its proven benefits are:
- Reduces heart rate and blood pressure
- Increased joint mobility and flexibility
- Increases serotonin and endorphins, enhancing medical
treatment
- Relief of many common symptoms of headaches, backaches,
and muscle tension
- Improve circulation
- Increases mental alertness and clarity
- Decrease symptoms of depression
- Relieve anxiety and stress relief
- Address symptoms of Carpal Tunnel Syndrome
- Relaxation
- Improve immune function
And Much More
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An in-depth
overview of the effects of massage to the Human Body
The practice of therapeutic massage affects
the body as a whole. Along with this form of complementary
healing there are many aspects of the healing arts. The
focus of this research will emphasize on the benefits of
massage on the Human Body and Lymphatic System. This information
can be useful in educating not only the practitioner the
client as well. With the medical field beginning to except
massage as a complementary form of healing it is important
to educate your clients of the benefits as well. Bringing
awareness will strengthen the field of therapeutic massage
for further recognition.
To assist in educating clients and others
it is important to define massage. The term massage is to
denote using the hands to apply manipulations of the soft
tissue of the body for therapeutic purposes such as promoting
circulation of the blood and lymph, relaxation of muscles,
relief from pain, restoration of metabolic balance, and
other benefits both physical and mental.
Benefits of massage are better understood
when broken down into specific areas.
Physically, massage increases metabolism,
hastens healing, relaxes and refreshes the muscles, and
improves the detoxifying function of the lymphatic system.
Massage helps to prevent and relieve muscle cramps and spasms
and improves circulation of blood and lymph. The delivery
of oxygen and nutrients to the cells can increase 10-15%
as it enhances the removal of metabolic wastes (Beck, 247).
Physiological effects of any massage will
vary according to the intent with which it is given, the
selection of techniques used, and the condition of the client.
There are two physical effects of massage, mechanical and
reflex. Mechanical effects are direct physical effects on
the tissue, which is contacted. Reflex effects of massage
are indirect responses to touch that affect body function
and tissue through the nervous or energy systems of the
body.
One of the beneficial effects of pressure
applied to the skin is the stimulation of the sensory receptors,
which in turn provides general relaxation, body awareness,
and pain reduction (Tappan, 32). Application of different
friction techniques such as light rubbing, rolling and wringing
movement during massage stimulates nerves (Beck, 249). This
in turn creates heat, which promotes perspiration and increases
sebaceous excretions. This suggests that the metabolic rate
increases. Percussion applied to the body by techniques
such as light tapping and slapping movements increases nervous
irritability. Strong percussion for a short period of time
excites nerve centers directly. Prolonged percussion tends
to anesthetize the local nerves. Vibration by shaking and
trembling movements stimulates peripheral nerves and all
nerve centers with which a nerve trunk is connected (Beck,
250). Further, massage can assist the skin in the process
of respiration, the exchanging of carbon dioxide and oxygen.
When nerve injury is present, sensory nerve ending may be
hypersensitive. In these cases, massage may not bring sedation,
but may only increase the pain of the recipient and would
be contraindicated. The pain may be tolerated with a more
firm contact than superficial (Tappan, 33).
Massage can also be beneficial for mental
and emotional well-being of the recipient. Someone with
mental tension, frustrations, and anxieties can result in
stress. Stress causes the release of hormones that create
vasoconstriction and reduce circulation making the heart
work harder to facilitate optimal organ function. Manual
therapy using a faster pace, varied rhythm in a shorter
session assists in the release of endorphins, which will
aid in reduction of stress to the central nervous system.
Benefits such as alertness and clarity are related by increased
sensory stimulation and circulation. The relaxation response
is activated by the parasympathetic nervous system, which
brings balance to the body system. Specific health benefits
of the relaxation response are as follows:
- Decreased oxygen consumption and metabolic rate, thus
less strain on the bodies energy resources
- Increased intensity and frequency of alpha brain waves
associated with deep relaxation
- Reduced blood lactates, blood substances associated
with anxiety
- Significantly decreased blood pressure in hypertensive
individuals
- Reduced heart rate and slower respiration
- Decreased muscle tension
- Increased blood flow to arms and legs
- Decreased anxiety, fears, and phobias, and increased
positive mental health
- Improved quality of sleep (Tappan, 34)
Massage may be used with psychotherapy
to help reduce anxiety, improve body awareness, and open
patients' receptivity to pleasurable nonsexual touch (Tappan,
354).
An effect of massage on the muscular system
encourages the nutrition and development of the muscular
system by stimulating its circulation, nerve supply, and
cell activity. Regular massage causes muscles to become
firmer and more elastic. Further, massage prevents and relieves
stiffness and muscle soreness. Injury to the body heals
more quickly when regular massage is given because it decreases
connective tissue build-up and scarring. Deep transverse
friction is used in rehabilitation to help the body form
strong mobile scar tissue during the remodeling phase of
soft tissue healing (Tappan, 38). This in turn helps produce
more parallel fiber arrangement and fewer transverse connections
in the tissue that inhibit movement (Cyriax & Cyriax,
1993). Subcutaneous scar tissue may at times be loosened
by careful and persistent friction; however, it remains
to be seen whether deeper scarring in connective tissue
can be relieved once it is formed (Tappan, 38). In turn,
massage is beneficial with improving range of motion. Both
passive and active joint movements assist in the healing
process of damaged areas. Passive massage movements benefit
circulation of the blood and lymph, nourish the skin, relax
and lengthen the muscles, and soothe the nerves. Active
joint movement has beneficial effects similar to exercise.
They help to firm and strengthen muscles, improve circulation,
and aid the function of related internal organs (Beck, 249).
Increased flexibility lasts for at least seven days after
the massage. The massage techniques used were light and
deep effleurage, stretching effleurage, kneading, as well
as friction both deep circular and deep transverse (Tappan,
38).
Blood Circulation to superficial veins
is also a benefit of massage. When heat and redness occurs
as well as deep effleurage and kneading, which increases
blood volume as well as facilitate the lymphatic system,
on the body these manipulations should always be "towards
the heart" (Tappan, 35). It increases venous flow;
in turn it increases arterial circulation. The result of
massage brings nutrients to an area, as well as removing
metabolic waste products (Tappan, 35). Massage towards the
heart is important with improvement of circulation if the
techniques where performed in the opposite direction the
valves in the veins, which prevent back flow, could be damaged.
Massage movements affect blood and lymph channels in the
following ways:
- Light stroking produces temporary dilation of the capillaries
- Deep stroking more lasting dilation and flushing of
the massaged area
- Light percussion causes a contraction of the blood
vessels, which tend to relax as the movement is continued.
- Friction increases the permeability of the capillary
beds, and produces an increased flow of interstitial fluid.
This creates a healthier environment for the cells.
- Kneading stimulates the flow of blood through the deeper
arteries and veins.
- Friction, kneading and stroking stimulate lymph circulation
- Compression produces a hyperemia an increase in the
amount of blood stored in the muscle tissue. (Beck, 250).
Manual Lymph Drainage, pioneered by Dr.
Emil Vodder, Ph.D, of Copenhagen, Denmark in the 1930's,
is a technique in massage work that is applied with light,
slow, rhythmical, and spiral-like movements that help move
the lymph fluid through the system of vessels and nodes.
These techniques are performed to remove accumulation of
fluid in the tissues, to improve healing, and to treat lymphedema
(Tappan, 225). Lymphedema is an abnormal accumulation of
lymph fluid in tissues, which may be caused by injury, scarring,
chronic infections, or surgery involving lymph nodes of
the neck, axilla, pelvis, or groin. Many of the treatments
for breast cancer result in lymphedema (Tappan, 226).
A brief overview of the lymphatic system
will help one understand its structure and importance in
the human body. This system consists of a network of vessels
and nodes that function in the circulation of body fluids.
The movement of the lymph is stimulated through contraction
of skeletal muscle, the action of the diaphragm in breathing,
and contraction of smooth muscles in the walls of larger
lymphatic vessels (Tappan, 226). Lymph is a clear colorless
interstitial fluid that is derived from blood plasma and
continuously bathes the cells and connective tissues. Ninety
percent of this fluid, containing dissolved gasses, waste
products of metabolism, and water is reabsorbed into the
blood vessels. The other ten percent, containing excess
water, cellular debris, bacteria, viruses and other inorganic
materials, is absorbed into the lymphatic system (Beck,
542).
The function of lymph is to remove excess
fluid, bacteria, viruses, and waste products away from interstitial
spaces of the body tissue and transports proteins back to
blood circulation through lymphatic pathways (Tappan, 226).
Lymph vessels are arranged in superficial
and deep systems. A typical lymphatic movement may be described
as follows: Tissue fluid leaves the interstitial spaces
and is called lymph after it enters the lymphatic capillaries
(Tappan, 226). Lymph capillaries are small, thin-walled
tubes that collect lymph from interstitial fluid in the
tissues and join to form other lymphatic vessels (Beck,
542). The capillaries merge into larger vessels called afferent
vessels, which take the lymph to nodes, where it is filtered.
Lymph nodes are often bead-like or bean-shaped compact structures
that lie in groups along the course of lymphatic vessels.
When inflamed and swollen, the nodes can be felt beneath
the skin. Here, antigens, damaged cells, and toxins are
acted on, broken down, or devoured by the lymphocytes, which
are produced by the lymph nodes that act as a filtering
system (Beck, 543). A lymphocyte is a white blood corpuscle
found in the lymphatic tissue, blood and lymph. Lymphocytes
are active in the immune responses of the body and play
a major role in the healing of wounds and fighting of infections.
They are turned into harmless substances and passed out
of the lymph nodes through efferent vessels. Efferent vessels
then move the fluid to larger vessels called trunk vessels,
which merge into collecting ducts, which empty into the
subclavian vein, where lymph is added to the blood. The
large lymphatic vessels have valves, similar to those in
veins, which prevent backflow of lymph fluid (Tappan, 226).
There are four manual massage techniques
used to gently move lymph fluid into and through the superficial
vessels. Techniques are repeated rhythmically usually five
to seven times. They are stationary circles, pump, scoop,
and rotary techniques. These techniques are based on alternate
pressure and release movements and light stroking. Light
compression creates a pumping action that encourages the
movement of lymph. Decreased pressure opens lymph valves,
while increased pressure closes them. Light stroking promotes
the movement of superficial lymph, while deeper stroking
moves lymph through the deeper channels (Beck, 544).
Lymph massage is done to encourage, but
not force, the movement of lymph through the lymphatic system.
The amount of pressure used depends on the condition of
the tissues with softer tissues requiring softer pressure.
The skin does not usually redden, and there should be no
pain during the application of these techniques (Tappan,
230).
The lymphatic and circulatory systems function
together to ensure the healthy circulation of fluids in
the body. The uninterrupted movement of lymph is necessary
for the proper fluid and chemical environment for the cells
(Tappan, 226).
Hippocrates, the Father of Medicine, understood
the effects of massage and believed that all physicians
should be trained in massage as a method of healing (Beck,
7).
In conclusion, therapeutic massage has
many benefits to the human body. Massage is not only a science
with documented effects to the body, it is more important
to recognize the art in which it is given. Although the
information provided does not cover every benefit of therapeutic
massage it is a good introduction. The focus of a licensed
massage therapist is to provide their client with a complementary
form of health maintenance, which is achieved through utilizing
techniques and principles of therapeutic massage.
| Summary
of The Potential Effects of Massage on the Body-Mind |
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| Physical
Effects |
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| Integumentary
system |
Stimulate
sensory receptors in skin
Increase superficial circulation
Remove dead skin
Add moisture with oil or lotion
Increase sebaceous gland excretions |
| Connective
tissue (fascia) |
Improve pliability
of fascia
Separate tissue |
| Circulatory
system |
Increase local
circulation
Enhance venous return
Reduce blood pressure and heart rate with regular relaxation
massage |
| Muscular system |
"Milk"
metabolic wastes into venous and lymph flow
Relax muscles (general and specific)
Relieve myofascial trigger points |
| Skeletal system |
Increase joint
mobility and flexibility |
| Nervous system |
Stimulate
parasympathetic nervous system (relaxation)
Reduce pain (neural-gating mechanism)
Increase body awareness |
| Endocrine
system |
Release of
endorphins |
| Immune system |
Increase lymphatic
flow
Improve immune function via stress reduction |
| Digestive
system |
Movement of
contents of the large intestines
Better digestion with relaxation
Stimulates the liver and kidneys to alleviate faulty
elimination |
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| Mental
and Emotional Effects |
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| Mental |
Increased
mental clarity |
| Emotional |
Reduced anxiety
Release of unexpressed emotions |
| Works
Cited |
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| Beck, Mark F. (1994).
Theory and Practice of Therapeutic Massage, 2nd ed.
Albany, NY: Milady Publishing Company. |
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| Cyriax, J.H., & Cyriax,
P.J. (1993). Illustrated manual of orthopedic medicine,
2nd ed. Boston: Butterworth & Heinemann. |
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| Tappan, Frances M., &
Benjamin, Patricia J. (1998). Tappan's Handbook of Healing
Massage Techniques: Classic, Holistic, and Emerging
Methods, 3rd ed. Stanford, CT: Appleton & Lange. |
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