Textbook of Remedial Massage book cover

Textbook of Remedial Massage

A practical massage textbook + DVD for both massage students and established practitioners of remedial massage

The content in the comprehensive Textbook of Remedial Massage is drawn from cutting-edge research as well as the authors’ lengthy experience in massage education.

Covering essential topics, from history-taking to contraindication, Textbook of Remedial Massage is an excellent resource for Diploma of Massage students. Indeed, much of the textbook’s content aligns with the HLT07 training package.

Client Assessment - The first of Textbook of Remedial Massage’s three sections addresses practitioner assessment of remedial massage clients. This includes information on how to adapt massage techniques for clients’ individual needs.

Massage techniques - The second section provides readers with clear instruction in common remedial massage techniques, such as trigger points, CRAC stretching and myofascial release. Each of these techniques is explained through illustrations and photographs, along with a detailed rationale on its physiological principles and evidence base. Crucially, contraindications and precautions are explained for each massage technique.

Body regions - The final section of this excellent health title applies remedial massage techniques to specific body regions, all of which are demonstrated in detail on the accompanying DVD.

The authors’ evidence-based approach is in keeping with the wider Allied Healthcare community. This approach is a key determinant of Medicare client rebates, as well as rebates from many private health funds, making it an essential aspect of contemporary massage.


Students of Remedial Massage

Paperback, 448 Pages

Published: May 2012

Imprint: Churchill Livingstone

ISBN: 978-0-7295-3969-2


  • Preface





    1. Remedial massage in Australian healthcare

    Defining remedial massage

    The context of remedial massage: use of complementary and alternative medicine in Australian healthcare

    The remedial massage workforce in Australia

    Attitudes towards CAM by medical and other healthcare practitioners

    Evidence for remedial massage practice

    Evidence for the effectiveness of massage therapy

    Future directions

    Appendix 1.1: Massage therapy: systematic reviews


    2. Assessment procedures for remedial massage: an evidence-based approach 


    Principles of assessment in remedial massage practice

    Purpose of assessments

    Demonstrating treatment effectiveness

    Assessment procedures

    Client history

    Outcome measures

    Postural analysis

    Gait analysis

    Functional tests


    Legal and ethical requirements for remedial

    massage assessment

    Key messages

    Review questions

    Appendix 2.1: Skin cancer



    3. Planning remedial massage therapy


    Principles of treatment

    Prioritising client safety

    Swedish massage before remedial massage

    Active movements before passive

    Treating within pain tolerance

    Overview of a remedial massage treatment approach

    Short- and long-term treatment plans

    Client education and self-help

    Clients’ preferences

    Treatment protocols

    Aligning treatment to assessment findings

    Monitoring and reviewing treatment plans

    Recording remedial massage treatments

    Key messages

    Review questions


    4. Remedial massage techniques for muscles


    Assessing muscle function

    Functional defi cit demonstration

    Postural assessment

    Testing muscles for length

    Testing muscles for strength


    Remedial massage techniques

    Deep gliding (with-fi bre) frictions and cross-fibre frictions

    Deep transverse friction (DTF)

    Soft tissue release (STR)

    Key messages

    Review questions


    5. Muscle stretching


    Functional anatomy

    Tissue range of motion

    Muscle functions

    Types of muscle contractions



    Physical characteristics and neurological refl exesassociated with stretching

    Active and passive insuffi ciency

    Neurological events that mediate stretching

    Types of muscle stretching

    1. Passive stretch

    2. Active, active-assisted stretch

    3. Muscle energy technique

    4. Active isolated stretch

    5. Ballistic stretch

    6. Dynamic stretch

    7. Static stretch

    8. Proprioceptive Neuromuscular Facilitation

    Stretching treatment goals

    Assessing clients’ suitability


    Postural analysis

    Gait analysis

    Functional tests


    Evidence for effectiveness

    Contraindications and precautions

    Applying muscle stretching in remedial massage

    Adapting stretches for individual clients

    Therapist’s position


    Muscle stretching in practice

    Review questions


    6. Myofascial trigger points


    What is a trigger point?

    Locating trigger points

    Classifying trigger points

    Active and latent trigger points

    What causes trigger points?

    Identifying trigger points

    Characteristics of trigger points

    Treating trigger points

    Manual techniques

    Evidence-base of treatments for trigger points

    Contraindications and precautions

    Key messages

    Review questions

    Appendix 6.1: Some key trigger points


    7. Joint articulation


    What is joint articulation?

    Evidence for the effectiveness of joint articulation and mobilisation

    Assessing clients for treatment


    Functional tests


    Treating clients




    Key messages

    Review questions


    8. Myofascial release


    Functional anatomy review

    What is myofascial release?

    Assessing clients


    Postural analysis

    Functional tests


    Treating clients

    Evidence for the effectiveness of fascial releasing techniques

    Applying the techniques

    Integrating myofascial releasing techniques with remedial massage

    Contraindications and precautions

    Key messages

    Review questions


    9. Lymphatic drainage massage


    Evidence for the effectiveness of lymphatic drainage massage

    Functional anatomy review

    Function of the lymphatic system


    Assessing clients


    Red fl ag conditions for oedema

    Postural analysis

    Functional tests



    Palpation 128

    Differential diagnosis 128

    Treating clients 129

    Basic principles 129

    Length of treatment 129

    Explanation of treatment 129

    Regional lymphatic drainage massage 131

    Contraindications and precautions 135

    Absolute contraindications 136

    Relative contraindications 136

    Local contraindications 136

    Review questions 137

    References 137

    10. The low back and pelvis 138

    Introduction 138

    Functional anatomy review 138

    Assessment of the lumbar and sacroiliac

    region 139

    Case history 140

    Outcome measures 143

    Postural analysis 143

    Gait assessment 144

    Functional tests 144

    Palpation 151

    Remedial massage treatment 152

    Muscle strain 153

    Non-specifi c low back pain 153

    Degenerative joint disease (Osteoarthritis/

    Degenerative arthritis) 161

    Lower crossed syndrome 163

    Lumbar disc syndrome 164

    Spondylolisthesis 166

    Sacroiliac syndrome 168

    Key messages 171

    Appendix 10.1: McKenzie self-treatments for

    sciatica 171

    Review questions 172

    References 172

    11. The thoracic region 173

    Introduction 173

    Functional anatomy review 173

    Typical vertebrae - T2-T8 173

    Special features of T1 and T9-12 173

    Assessment 174

    Case history 176

    Outcome measures 176

    Postural analysis 176

    Gait analysis 176

    Functional tests 176

    Palpation 182

    Remedial massage treatment 182

    Muscle strain 182

    Thoracic facet syndrome 183

    Degenerative joint disease (Osteoarthritis/

    Degenerative arthritis) 189

    Hyperkyphosis of the upper thoracic spine

    (Dowager’s hump) 191

    Scheuermann’s disease (Vertebral

    epiphysitis) 192

    Osteoporosis 193

    Scoliosis 194

    Thoracic outlet syndrome (Anterior scalene

    syndrome) 197

    Key messages 198

    Review questions 198

    References 199

    12. The cervical region 200

    Introduction 200

    Functional anatomy review 200

    Assessment 201

    Case history 201

    Outcome measures 203

    Postural analysis 203

    Functional tests 204

    Palpation 210

    Remedial massage treatment 210

    Muscle strain 211

    Non-specifi c neck pain (including cervical

    sprain, strain and vertebral subluxation) 211

    Degenerative joint disease (Osteoarthritis/

    Degenerative arthritis) 217

    Upper crossed syndrome 218

    Mechanical/acquired torticollis 220

    Cervical disc syndrome 221

    Whiplash (acceleration/deceleration) associated

    disorders 222

    Key messages 224

    Review questions 224

    References 225

    13. The head and face 226

    Introduction 226

    Headache 226

    Assessment of the headache client 226

    Remedial massage treatment for headache 231



    Sinusitis 233

    Assessment of the client with sinus pain 234

    Remedial massage treatment for sinusitis 235

    Temporomandibular joint disorders 238

    Disorders of the temporomandibular joint 238

    Assessment of the client with TMJ

    disorder 238

    Remedial massage treatments for TMJ

    disorders 240

    Key messages 241

    Headache 241

    Sinusitis 241

    Temporomandibular joint 241

    Review questions 242

    Appendix 13.1: MIDAS (The Migraine Disability

    Assessment Test) 242

    References 243

    14. The chest 244

    Introduction 244

    Functional anatomy review 244

    Assessment 246

    Case history 246

    Outcome measures 247

    Postural analysis 247

    Functional tests 247

    Palpation 250

    Remedial massage treatment 250

    Muscle strain 250

    Rib subluxation/fracture 251

    Respiratory conditions 254

    Key messages 259

    Review questions 260

    References 260

    15. The shoulder region 261

    Introduction 261

    Functional anatomy 261

    Assessment 261

    Case history 262

    Outcome measures 264

    Postural analysis 264

    Functional tests 264

    Palpation 269

    Remedial massage treatment 271

    Overview 272

    Muscle strain 272

    Shoulder impingement syndrome 282

    Degenerative joint disease (Degenerative

    arthritis, osteoarthritis) 283

    Adhesive capsulitis (frozen shoulder) 284

    Acromioclavicular sprains, clavicle fractures and

    glenohumeral dislocations 285

    Key messages 286

    Review questions 286

    Appendix 15.1: Shoulder Pain and Disability

    Index 287

    References 288

    16. The elbow region 289

    Introduction 289

    Functional anatomy 289

    Assessing the elbow and forearm 290

    Case history 291

    Outcome measures 291

    Postural analysis 295

    Functional tests 296

    Palpation 300

    Remedial massage treatment 301

    Overview 301

    Muscle strain 301

    Olecranon bursitis 308

    Elbow sprain 308

    Fractures and dislocations 308

    Key messages 308

    Review questions 309

    References 309

    17. The wrist and hand 310

    Introduction 310

    Functional anatomy 310

    Assessment 311

    Case history 311

    Outcome measures 314

    Postural analysis 314

    Functional tests 319

    Palpation 325

    Remedial massage treatment 326

    Overview 326

    Tendinitis and tenosynovitis 326

    De Quervain’s tenosynovitis 327

    Carpal tunnel syndrome 330

    Sprains 332

    Fractures and dislocations 333

    Degenerative joint disease and rheumatoid

    arthritis 334



    Key messages 335

    Review questions 335

    References 335

    18. The hip region 337

    Introduction 337

    Functional anatomy 337

    Assessment 338

    Case history 340

    Outcome measures 341

    Postural analysis 341

    Gait analysis 341

    Functional tests 341

    Palpation 345

    Remedial massage treatment 347

    Overview 347

    Muscle strain 348

    Degenerative joint disease (Degenerative

    arthritis, osteoarthritis) 353

    Trochanteric bursitis 354

    Key messages 355

    Review questions 355

    References 356

    19. The knee 357

    Introduction 357

    Functional anatomy 357

    Assessment 360

    Case history 360

    Outcome measures 362

    Postural analysis 362

    Gait analysis 362

    Functional tests 362

    Palpation 367

    Remedial massage treatment 368

    Overview 368

    Muscle strain 369

    Iliotibial band syndrome 370

    Patellofemoral pain syndrome 373

    Chondromalacia patella 374

    Patella dislocation 375

    Ligament sprain 375

    Meniscal injury 377

    Degenerative joint disease (Degenerative

    arthritis, osteoarthritis) 377

    Bursitis 379

    Osgood-Schlatter’s disease 379

    Key messages 379

    Review questions 380

    References 380

    20. The leg, ankle and foot 382

    Introduction 382

    Deep venous thrombosis 382

    Functional anatomy 382

    Nerve supply to muscles of the leg, ankle and

    foot 384

    Assessment 384

    Case history 386

    Outcome measures 387

    Postural analysis 388

    Gait analysis 389

    Functional tests 389

    Palpation 396

    Remedial massage treatment 398

    Overview 398

    Leg 398

    Muscle strains of the leg 398

    Gastrocnemius strain (tennis leg) 398

    Shin splints 399

    Chronic compartment syndrome 405

    Stress fracture of the tibia 407

    Varicose veins and spider veins 407

    Ankle 407

    Achilles tendinopathy 408

    Calcaneal bursitis 409

    Sever’s disease 409

    Ankle sprain 409

    Degenerative joint disease of the ankle 411

    Foot 411

    Plantar fasciitis (heel spur) 412

    Forefoot 413

    Metatarsalgia 413

    Morton’s neuroma (Interdigital

    neuroma) 413

    Key messages 413

    Review questions 414

    References 414

    21. Specifi c client groups 415

    Introduction 415

    Children and adolescents 415

    Important considerations for assessing and

    treating children 415

    Evidence for the effectiveness of massage for

    children 417



    Women 418

    Important considerations for assessing and

    treating women 418

    Evidence for the effectiveness of massage for

    women’s health 418

    Men 419

    Important considerations for assessing and

    treating men 419

    Geriatric clients 419

    Important considerations for assessing and

    treating geriatric clients 420

    Evidence for the effectiveness of massage for

    older clients 420

    Clients with a mental illness 420

    Important considerations for assessing

    and treating clients with a mental

    illness 420

    Evidence for the effectiveness of massage for

    clients with a mental illness 421

    Key messages 421

    Review questions 422

    References 422

    Index 424


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