fbpx
Physiotherapist massaging female patient with injured lower back muscle. Sports injury treatment.

Therapy Techniques

Treatments are a combination of three different techniques: deep tissue massage, myofascial release, and neuromuscular techniques. Incorporating both musculoskeletal and nervous system is a reflection of the clinic’s holistic approach to health... 〉 . . .

Depending on the individual’s needs, a different set of techniques are applied. Not only the symptom is treated, but the underlying cause as well. For instance, the aching area might not always coincide with the problem causing area. This is clarified during the initial patient conversation, the tests and then treated accordingly. Additionally, the soothing atmosphere of the clinic, combined with calming music during therapy, strive to restore the mind-body balance in a holistic way.

massage-2768833_1920

Deep Tissue Massage

This technique consists of deep pressure or friction with gradually increasing intensity, applied in all directions. The deep layers of the muscle tissues get stretched in all directions, which increases the flexibility and releases any tension and stiffness from injuries in muscles, tendons and ligaments, thus, the function is returned to normal. This technique is especially beneficial for releasing chronic muscular tension. . . .

Stiffness in the musculoskeletal system occurs due to inactivity, repetitive motion injury, wrong body posture, physical trauma on the body, disease, deformation caused by aging. Deep tissue massage has a rehabilitation effect on specific problems in the musculoskeletal system, caused by the above-mentioned reasons. As a result, the connective tissue becomes more flexible and elastic and feedback to the nervous system improves the movement patterns in the musculoskeletal system.

 

Medical massage at the leg in a physiotherapy center. Female physiotherapist inspecting her patient. Close-up photograph.

Neuromuscular Techniques

Feedback mechanisms in the nervous and musculoskeletal systems are utilized. Beneficial reflexes are established, which facilitate a longer and more optimal work of the muscles. Through these techniques, the muscle contraction can be inhibited both in the skeletal muscles and in the organs, which means less tension and stiffness. The main neuromuscular technique, utilized in the clinic, is Muscle energy technique (MET).

MET has two simultaneous therapeutic objectives: pain modification and enhanced mobility. . . .

 

Pain modification is partially achieved by nociceptive inhibition, via both ascending and descending neurological pathways, following activation of muscle and joint mechanoreceptors during isometric contractions. At the same time, muscle contraction stimulates fluid flow so increasing drainage from interstitial spaces, reducing concentrations of pro-inflammatory cytokines, and thereby modulating peripheral pain receptors. It is now also known that during contractions, endogenous pain-inhibiting substances are released, including endocannabinoids, enkephalins, and endorphins [McPartland 2008].

Enhanced mobility is achieved, among other methods through, stretching of the series of elastic components of sarcomeres during isometric contractions, increasing their length, particularly if active or passive stretching follows after MET [Lederman 1997]. A further mechanism involves a reduction in the fluid content of fascial structures following muscle contractions, leading to a temporary increase in the ease of movement of associated muscles or joints [Klingler et al 2004]. 

 

met2 kopie

Muscle Energy Technique (MET) is a soft-tissue treatment form, in which the patient’s muscles are actively used, on request, in a specific direction, and against a distinctly executed therapist-applied counterforce. The key defining element of MET is the use of an isometric contraction before subsequent stretching or movement of restricted tissues.   . . .

Muscle energy techniques include 30 sec. activating a muscle, followed by overstretching which stimulates the restorative (parasympaticus) part of the nervous system and restitution state; activating a certain muscle group, while muscles with the opposite function are resting. These techniques work on a deeper level. They help alleviate muscle tension, fascial tension and improve organ function. This technique is especially efficient due to raising the muscle’s reaction threshold to a motoric nerve impulse, which equips the muscle better to cope with stress. And stress is one of the most common reasons for tension and stiffness in the body.

Muscle energy techniques were developed for rehabilitation of war veterans with serious injuries on the musculoskeletal and nervous system. These techniques are especially applicable to sensitive areas and give a deeper effect.

Hands massaging female abdomen.Therapist applying pressure on belly. Woman receiving massage at spa salon

Myofascial Release

Technique to increase elasticity and movement capacity of the fascia. Beneficial for releasing adherences, which occur as a result of inflammation from a muscle injury, overuse or connective tissue disease. Adherence can be seen between fascial layers, organs, and muscles. They cause stiff areas to occur, which prevent smooth movements of tissue and organs. Stiffness and distortion pull of the fascia changes the body posture and movements. . . .

Myofascial release techniques re-establish the normal state of the fascial network. The fact that fascial network transmits mechanical information throughout the body and connects the different parts of the body, puts an accent on thinking of the body as a whole and not separate one body part from the rest. For example, if there are tension and pain in the hip muscles, there will be tension and pain in the adjacent body parts, such as lower back and thighs and so on. Connective tissue is partly commanded by the autonomous nervous system, therefore it is beneficial to have a calm and peaceful state of mind, in order to maintain an optimal state of the fascial network. To achieve this, it is essential that the whole experience of the therapy is calming, such as listening to calming music in a soothing environment.

 

Young blond woman receiving a head massage in a spa center with eyes closed. Female patient is receiving treatment by professional therapist.

Wellness Fullbody Massage

Relaxing treatment, performed with long and smooth gliding strokes. The pressure is light or medium.

 

 

References

Bement M, Weyer A, Hartley S, Drewek B, Harkins A , Hunter S. 2011 Pain perception after isometric exercise in women with fibromyalgia. Arch Phys Med Rehabil. 92:89-95.

Chaitow L. Integrated neuromuscular inhibition technique in treatment of pain and trigger points. Br J Ost.1994;13:17-21.

Chaitow L. Muscle energy techniques. 3rd ed. Churchill Livingstone: Edinburgh, UK; 2006.Fryer G. MET technique: research and efficacy. In: Chaitow L (Ed). MET techniques. 3rd ed. Edinburgh, UK: Churchill Livingstone; 2006. Ch. 4. p.109-132.

Fryer G, Fossum C. 2009Therapeutic mechanisms underlying muscle energy approaches. In: Fernandez de las Penas C, Arendt-Nielsen L, Gerwin R (Eds). Physical therapy for tension type and cervicogenic headache: physical examination, muscle and joint management. Boston, MA, USA: Jones & Bartlett

Klingler W, Schleip R, Zorn A. 2004 European fascia research project report. Melbourne, Vic, Australia: 5th World Congress Low Back and Pelvic Pain

Lederman E. 1997 Fundamentals of manual therapy. London, UK: Churchill Livingstone; p34.

McPartland J. 2008 The endocannabinoid system: an osteopathic perspective. J Am Ost Assoc. 108(10):586-600.

Mitchell Sr. FL. 1948 The balanced pelvis and its relationship to reflexes. American Academy of Applied Osteopathy Yearbook p146-151

Nagrale AV, Glynn P, Joshi A , Ramteke G. 2010 The efficacy of an integrated neuromuscular inhibition technique on upper trapezius trigger points in subjects with non-specific neck pain: a randomized controlled trial. J Manual Manip Therapy. 18(1):38-44.

Parmar S et al 2011 Effect of isolytic contraction and passive manual stretching on pain and knee range of motion after hip surgery. Hong Kong Physiotherapy Journal 29:25-30

Ruddy TJ. Ruddy 1961 Osteopathic rhythmic resistive duction technique. Academy of Applied Osteopathy Yearbook; p 58-68.

Retrieved from: http://leonchaitow.com/2012/04/21/update-on-muscle-energy-technique/

Gunna Højgaard (2015). Fascielære;  Leon Chaitow. Muscle Energy Techniques, Churchill Livingstone, samt hans kursusmateriale

Hillerød juni 2013 (Danske Fysioterapeuter)

”Anatomy Trains” af T. Myers 

Massage terapi materiale, Gunna Højgaard, At work massageterapeut uddannelse

Henning Langberg og Annelise Langberg Madsen (2008). Massøruddannelse bog (fra At work). København, Krop og fysik;  Oluf Nielsen og Anni Springborg(2010).‘Anatomi og fysiologi’(2 udgave). København, Munksgaard Danmark

 
 
 

Therapeutic Deep tissue massage in a beautiful zen space.

House of Melchiorsen
Gyldenløvesgade 25,
1600 København

Scroll to Top