Massage is recorded as one of the earliest forms of physical therapy, and it is known that very different cultures used it over 3000 years ago. It is only in the much more recent past since travel and communications have enabled other civilisations to meet so many forms of massage have been developed.
Aims of massage
In all types of massage, the therapist has specific aims in mind, and in sport, we focus on the individual needs of the athlete. With the ever-growing number of people taking part in sport, combined with the increasing competitiveness and intensity of physical exercise, the demand for sports massage increases and becomes more and more recognised as a skill that may aid recovery and enhance performance.
Sports massage does have some aims in common with other forms of massage. It is vital to have a thorough understanding of anatomy and physiology, particularly the muscular and skeletal systems. By understanding these systems and the effects of exercise, we may also appreciate how massage may benefit the sports person and becomes an integral part of the athlete's training program.
Athletes looking to improve performance and increase their competitive edge do so by adopting a training schedule to enhance their skill, strength, stamina, suppleness and speed. The degree to which they develop and utilise these qualities will depend on other factors such as the level of competition, the sport played, and possibly their position in a team. However, no matter which sport, the aim is nearly always to increase training level and thereby subject the body to gradual and controlled overuse.
This overuse may often create problems and imbalances in the soft tissues. Suppose these are ignored and allowed to become chronic. In that case, they will hinder the athlete's rate of improvement and, in many cases, their performance may well suffer. Ultimately, the athlete may be susceptible to developing more severe conditions. Indeed, if they cannot perform at their best, they may be more at risk from other more traumatic forms of injury. For example, a player involved in a contact sport who is "carrying" an injury may not have their usual agility level. The result might be that they might suffer extrinsic damage because they are not fully prepared for the contact sustained from an unexpected tackle.
Benefits of Sports Massage
Massage applied skillfully, is the most effective therapy for releasing muscle tension and restoring balance to the musculoskeletal system. Received regularly, this may help athletes prevent injuries, which might otherwise be caused by overuse. A constant build-up of tension in the muscles from regular activity may lead to stresses on joints, ligaments, tendons, as well as the muscles themselves.
These muscle imbalances may develop and often go undiagnosed until they are severe enough to cause the athlete discomfort or impede performance. The skilled massage therapist will detect variations in the soft tissues and use the correct techniques to help the sports person maintain a much healthier physical state.
It may be reasonably claimed that one of the most significant benefits of sports massage is in helping prevent injury.
Contraindications for Sports Massage
There are times when sports massage could be detrimental rather than beneficial. The contraindications to massage are:
For more details on contraindications, see Cash 1996.
The three main categories of massage that are predominantly used in sport are effleurage, petrissage and frictions. Almost all massage techniques are carried out with the pressure being directed towards the heart. This helps increase venous and lymphatic flow and ensures that no pressure of blood is being pushed against closed valves causes any damage to blood vessels. The only exception to this is where short strokes aim to stretch fibres. Because the strokes are limited, there is no risk of pressure being built up.
Effleurage consists of various stroking movements, usually carried out with the whole palm and fingers, which may be used with varying pressure according to the purpose and stage reached during the massage. Effleurage is always used at the start of the massage.
The basic movements comprise stroking with firm pressure using a wide surface area of the palm and fingers. On the return, the therapists' hands maintain, light contact and avoid the upward stroke path. As with all massage, the hands must be relaxed and moulded around the recipient's body's natural contours. Effleurage is always used to commence any massage session, and it has a wide range of purposes that you need to focus on:
Effleurage should be carried out in a rhythmical and relaxed manner starting with a light touch at the start of a session and building up to deeper pressure for increased circulation and stretching of tissues later in the massage. It should not be rushed as it is during this phase you need to focus on any abnormalities in the tissues that may require further attention later in the massage. If the movements are performed too quickly, this will not help the client relax, and if a "tender" area is missed, it will almost certainly be more painful when discovered using deeper techniques later! Effleurage is also used to complete the massage, finishing with light stroking to relax the patient, mainly if more painful movements have been used beforehand.
Petrissage or kneading is used on deeper tissues for mobilising fluids, stretching muscle fibres, and inducing relaxation. Some of these techniques are specifically aimed at the deeper tissue and are both ineffective and difficult to perform on narrow parts of the limbs. Therefore, you must pay particular attention, as with all massage techniques, as to what your purpose is when kneading petrissage is a powerful technique that is particularly effective in mobilising fluids in deep muscles and applying an excellent stretch to the fibres involved.
Frictions may be used for exploratory purposes or deeper and sometimes more painful movements aimed at breaking down lesions, separating muscle fibres, and even breaking down new scar tissue. When performing frictions for exploratory purposes, we tend to use the thumb's sensory pad to "grasp" the skin and move this over the underlying surface to feel for any abnormalities (trigger points) to the tissue concerned. This allows us to palpate, particularly around joints and feel for smaller abnormalities in the tissues. When performing frictions to separate muscle fibres, break down lesions and scar tissues, firstly the client must be warned that these procedures may indeed be painful or at the very least uncomfortable. They only need to be carried out for a short while. Using vigorous frictions for any longer than this may have a significantly detrimental effect by irritating and even causing inflammation.
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