1. Sports Medicine
Therapeutic Massage

2. Objectives Describe the various types of massage
List the indications and contraindications for massage
Select the correct massage type based on the desired therapeutic effect

3. Terminology
Massage – intentional and methodical kneading and stroking of soft tissues
Effleurage – using the palm to stroke the tissue in a smooth and rhythmical way
Petrissage – kneading or squeezing the tissue between the hands
Vibration massage – causing the tissue to shake vigorously

4. Terminology (cont.)
Percussion massage (tapotement) – applying repetitive light chopping motions to the tissue
Friction massage – using the finger, thumb, or elbow to apply pressure to deep tissues

5. Massage type that uses a series of chopping motions
1. Effleurage 2. Friction 3. Petrissage 4. Percussion 5. Vibration
1. Hand signals:
thumbs up or thumbs down to indicate agreement or disagreement
use fingers to indicate a number selection such as “Which is the correct solution one, two or three?”
teacher gives feedback to the students

6. Massage type that involves kneading of the tissue
1. Effleurage 2. Friction 3. Petrissage 4. Percussion 5. Vibration
1. Hand signals:
thumbs up or thumbs down to indicate agreement or disagreement
use fingers to indicate a number selection such as “Which is the correct solution one, two or three?”
teacher gives feedback to the students

7. Indications for Massage
Increase circulation
Decrease muscle spasm
Relieve swelling
Increase joint mobility
Relaxation
Break up scar tissue

8. Contraindications of Massage
Local or general infection
Acute stage of injury
Open wounds

9. Desired Therapeutic Effects
Break up scar tissue?
Increase circulation?
Relaxation?
Improve joint mobility?
Decrease muscle spasm?
Relieve swelling?

10. Therapeutic Effects by Massage Types
Break up scar tissue? – Friction
Increase circulation? – Percussion, petrissage, effleurage
Relaxation? – Effleurage, percussion
Improve joint mobility? – Vibration, petrissage
Decrease muscle spasm? – Friction
Relieve swelling? – Effleurage, vibration