The authors concluded that massage appears to be the most effective method that was studied for reducing DOMS and perceived fatigue.
Deep Pressure Massage to the Low Back – Forward Head Posture
The neck and head do not contribute to the generation of pressure, so head and neck posture should be whatever is most comfortable and least stressful. Forward head posture, a common postural distortion imbalance pattern that occurs is caused by a flexion of the head and neck.
Deep Pressure Massage to the Low Back – Deep Strokes
To transition to perform deep strokes and maintain proper body mechanics, it is necessary to transition from being perpendicular to be slightly horizontal to glide along the client’s body. However, minimize the horizontal direction or pressure into the client’s tissues will be lost.
Deep Pressure Massage to the Low Back – Use Body Weight
An excellent demonstration of the force that can be generated by using body weight is to lean down onto a bathroom weight scale that is placed on a table that is positioned as various heights. Simply relax and lean into the scale with your body weight and notice the force that you generate.
Deep Pressure Massage to the Low Back – Use Stacked Joints
Stacked joints are aligned in a straight line; in other words, the joints are extended as in anatomic position. This allows for the force from your core to travel through your upper extremity and into the client with little or no loss of strength.
Deep Pressure Massage to the Low Back – Support Your Treatment Contact
Bracing the contact means that the two hands must work together instead of each contacting the client separately. Less area of the client’s body will be covered this way, but stronger and more efficient pressure will be created at the area that is being worked, which is more important when deep pressure is needed.
Deep Pressure Massage to the Low Back – Apply Pressure Perpendicularly
Maximal pressure for the effort used is achieved if the angle of your force into the client is perpendicular to the contour of the region being worked. To apply this concept of working perpendicularly, the client’s back and pelvis can be divided into separate regions based on the curve of each region.
Neck Deep Pressure Massage: Step by Step – Engage the Tissues
Being able to feel tissue tension barrier is the one most crucial aspect for a clinical orthopedic manual therapist performing deep pressure massage. From a mechanical standpoint, it is only pressure beyond the tissue tension barrier that effects therapeutic change (this is not necessarily true neurally).
Neck Deep Pressure Massage: Step by Step – Deep Stroking Massage
When performing deep pressure massage, deep stroking massage must originate from your core by further rocking your pelvis and extending your spine forward. Short deep strokes to the neck between 1 and 2 inches (2-5 centimeters) in length allow you to preserve optimal body mechanics.
Neck Deep Pressure Massage: Step by Step – Apply Pressure Perpendicularly
When performing deep pressure massage into the neck, maximal pressure for minimal effort is achieved if the angle of your pressure into the client is perpendicular to the contour of the neck where you are working.
Neck Deep Pressure Massage: Step by Step – Use Your Core
For deep pressure massage to the neck, align your core with your stroke by laterally (externally) rotating your arm at the shoulder joint so that your elbow is positioned in front of your core. Now lock your elbow into your core just inside (and usually slight above) your anterior superior iliac spine.
Neck Deep Pressure Massage: Step by Step – Contacts
Even perfect body mechanics cannot eliminate all physical stress to your body when doing massage. Ideal body mechanics merely minimize the stress. For this reason, when doing massage, especially deep pressure massage, it is wise to alternate which treatment hand contact you use during a session.
Neck Deep Pressure Massage: Step by Step – Positioning
When performing deep pressure massage for the neck with the client supine, it is typical for the therapist to sit, centered at the head of the table. However, this does not allow for efficient body mechanics because it is difficult or impossible to position your core in line with the stroke.
Neck Deep Pressure Massage: Overview
The science of performing deep tissue work to the neck follows the laws of physics and, whenever possible, involves the use of body weight and the contraction of larger muscles instead of smaller ones. The art of performing deep tissue work lies in exactly how these guidelines are carried out and applied.
Neck Deep Pressure Massage: Step by Step – Prone and Side-Lying
Side-lying position for deep pressure massage into the neck can be very effective and can allow for effective longitudinal as well as transverse cross-fiber strokes; however, it is important to avoid exerting deep pressure too far anteriorly onto the transverse processes of the client’s neck.
Introduction to Deep Pressure Massage Technique for the Neck
Force for deep pressure can be generated in two ways: externally or internally. The external generation of force comes from the force of gravity by using our body weight. The internal generation of force comes from the contraction of our muscles.
Deep Pressure Massage to the Low Back – Tissue Tension Barrier
Being able to feel tissue tension barriers is the one most important hands-on skill that an orthopedic manual therapist needs. Clinical orthopedic manual therapy (massage and stretching) only effects change if we reach tissue tension and then apply slightly more force beyond it.
Deep Pressure Massage to the Low Back – Choosing the Treatment Contact
When working the low back, a good strategy is to begin with a smaller treatment contact such as thumb or finger pads to assess and begin treatment of the lumbar region, and then switch to a larger contact such as the palm or elbow to deliver deeper pressure.
Deep Pressure Massage to the Low Back – Positioning the Feet
Make sure that the feet are not too far apart. A wide stance may feel more stable but creates a static position that makes it difficult to transfer weight from one foot to the other. With a narrower stance, it is easier to shift the center of weight of the body from one foot to the other as a stroke is done.
Deep Pressure Massage to the Low Back – Choosing the Right Table
Even more important than table width is table height. As a rule, when generating deep pressure, you want the table to be as low as possible so that you can more easily position your body above the client to take advantage of gravity and body weight.
Treatment Strategy and Treatment Techniques for the Neck
Sound Treatment Strategy: To perform effective manual therapy, frequency of care should be structured as in every other world of rehab: 2-3 x per week.
What is Manual Therapy?
The following techniques are considered to be Manual Therapy techniques: Massage (Soft Tissue Manipulation), Stretching, Joint Mobilization, Hydrotherapy.
