Comprehensive patient assessment in medical massage

K. Kassolik, W. Andrzejewski, Z. Sawicki

K. Kassolik, W. Andrzejewski, Z. Sawicki – Comprehensive patient assessment in medical massage. Fizjoterapia Polska 2003; 3(3); 281-286

Abstract

The purpose of this article is to discuss the role of patient assessment in medical massage. The effect of massage therapy on the human organism has been known and appreciated for centuries, even millennia. Many massage therapist, however, tend to rely on intuition and routine. In order to improve the efficiency of massage therapy we have made an attempt to provide sound theoretical and methodological foundations based on anatomy, physiology, histology, and other fields of medical science. From our experience we know that the duration of therapy is effectively reduced by half in comparison with traditional methods, usually limited to treatment of the painful area without diagnosis of any possible distortions of tissues that are structurally and functionally connected with such areas.

Key words:
medical massage, comprehensive assessment
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Assessment of the effectiveness of medical massage in patients with low back pain

Waldemar Andrzejewski, Krzysztof Kassolik, Anna Karaś, Grzegorz Karaś, Ewa Trzęsicka

Waldemar Andrzejewski, Krzysztof Kassolik, Anna Karaś, Grzegorz Karaś, Ewa Trzęsicka – Assessment of the effectiveness of medical massage in patients with low back pain – research report. Fizjoterapia Polska 2006; 6(2); 150-156

Abstract

Background. Low back pain is a very often reported disorder in physiotherapist’s office. Medical massage is one of the most popular method to treat this kind of problem. The main difference between medical and classical massage depends on its methodology. In medical massage it is crucial to include the structural relationship between soft tissues. In order to find an effective treatment method therapist must treat patients as a whole, as a number of connected with each other structures. To assess the effectiveness of medical massage in people with low back pain problems. Material and methods. Twenty eight patients with low back pain have taken part in the research. Anamnesis was taken from all the patients, they also had a palpation examination to evaluate the intensity of pain in tissues. The evaluation was taken before the treatment, after the sixth and the last procedure of medical massage. Patients had one set consisting of 10 procedures. Time duration of each procedure was between 40-70 minutes. It was supposed that the painful area means disorder with an increased tension in this place. Structures which had bigger tenderness were massaged. Subjects were in prone or lying on their side position in order to maintain relaxed conditions. Classical techniques were used: stroking, petrissage, kneading, and vibration by the same therapist in all subjects. Results. There has been a significant decrease in both number of painful areas and pain intensity reported by patients. Conclusion. Medical massage is an effective therapeutic method to work on patients with low back pain. The effectiveness of massage was observed after six procedures, and after the sixth massage patients reported only slight pain.

Key words:
low back pain, medical massage, pain evaluation
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The evaluation of the efficacy of medical massage in degenerative changes of the lumbar spine

Waldemar Andrzejewski, Krzysztof Kassolik, Paweł Adam

Waldemar Andrzejewski, Krzysztof Kassolik, Paweł Adam – The evaluation of the efficacy of medical massage in degenerative changes of the lumbar spine. Fizjoterapia Polska 2006; 6(3); 198-205

Abstract
Background. Low back pain caused by degenerative changes is a common reason for long-term pharmacological treatment utilizing analgesic medications, anti-inflammatory medications and medication decreasing muscle tension. Also therapeutic methods from the realm of physiotherapy are used in the treatment: kinesitherapy, physiotherapy and massage. In the case of medical massage based on the principle of tensegrity, therapists have individual approach to the patient. They assess tonus of soft tissue of the motor apparatus, localize pain and the ways it spreads. Such approach increases the likelihood that the therapy will succeed and can improve its efficacy. The study is an attempt to evaluate the efficacy of medical massage performed in people with degenerative changes of the low back. Material and methods. The participants of the study were 30 people in the age range 42-65 (mean age 53.5): 19 women and 11 men, who reported to the physicians with low back pain. Medical examination and X-Ray images indicated degenerative changes in the lumbar spine. The procedures were performed 3 times a week for 2 weeks. Each procedure lasted 45-60 min. Health evaluation record was used to evaluate the efficacy of the therapy. Medical history of a patient was taken on the basis of the record and physical examination of pressure sensitivity of soft tissue of the motor apparatus was performed. Another tool of the research method was a survey checking the patient’s subjective assessment of the state of health as well as frequency and intensity of the lumbar spine pain and lower limbs pain. Results. Pressure sensitivity of the examined structures decreased or regressed in all patients as a result of the therapy. After a series of procedures, pain, overall feeling of well-being and current state of health improved to various degrees. In all cases, the incidence and intensity of pain in the lower limbs decreased after the therapy. Conclusions. Medical massage can be an effective method of physiotherapeutic treatment in cases of pain connected with degenerative changes of the lumbar spine.

Key words:
medical massage, degenerative changes of the lumbar spine, pain

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传统按摩与罗米按摩对人的心理物理状态的影响比较

Agata Gajos, Marek Kiljański

A. Gajos, M. Kiljański – Comparison of the impacts of classic massage and Lomi Lomi Nui massage on the mental and physical condition of the patient. Fizjoterapia Polska 2018; 18(4); 38-49

摘要
研究目的在比较传统按摩与罗米按摩对因压力所引起心理物理疲劳在治疗上的影响,另一目的在比较按摩对身体水合作用和细胞外水位的影响
材料和方法。一共30名25-65岁的人士参与研究,患者被分成二组。第一组有15人(包括7名女性及8名男性),他们接受传统式按摩。第二组同样由7名女性及8名男性共15人组成,他们接受罗米按摩。
两组人士在按摩前均量体重和身高,然后进行生物电阻抗测试,以测量身体水合作用和细胞外水份的水平。按摩后再进行第二次阻抗测量,以区分疗程后的结果差异。之后受试者被要求填写问卷,当中问及按摩对生理物理疲劳缓和的效果及疗程进行后的感受等方面的评价。
结果。此二种按摩在缓和因压力引起的心理物理疲劳症状上均有效,结果无统计学意义。
传统按摩在降低疼痛和肌肉紧张上有影响,罗米按摩则在情绪领域上有影响 – 受试者变得安静,身体和心灵上的平衡恢复,此具统计学意义。生物电阻抗测试结果显示按摩对身体水合作用及细胞外水位的变化有影响。结果的算术平均比较显示出传统按摩比罗米按摩有更大的依赖性,此具统计学意义。

关键词:
压力、传统按摩、生物电阻抗

 

 

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