Editura Universitara Manual of the technique of therapeutic massage and complementary physiotherapy, XXXIV edition

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Publisher: Editura Universitara

Author: Anghel Diaconu

ISBN: 978-606-28-1178-5

DOI: https://doi.org/10.5682/9786062811785

Publisher year: 2020

Edition: 34

Pages: 1440

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Massage is a non-pharmacological therapeutic procedure that has been practiced since antiquity, for the benefit of people, to give them a feeling of well-being or to alleviate their suffering.
Currently, massage is increasingly requested, both for body maintenance and as therapy in various ailments.
Who massages, what and for what?
The practice of massage, for which different people are trained and specialized professionally, has two directions of use, respectively maintenance massage for the apparently healthy population and therapeutic massage, for patients with different pathologies. In this context, it cannot be indifferent who develops the massage program, on whom, for what purpose and what type of massage he performs.
a. The application of therapeutic massage on patients requires, in advance, a medical evaluation of them, for their selection and for establishing the type of massage and the way in which it is applied, in order to develop recovery physical therapy programs. The professional training of those who will practice therapeutic massage must be that of physiotherapist (respectively balneophysiotherapy and massage, balneophysiokinetotherapy and massage, physiokineto-therapy and massage, with different levels of training for the medical field, post-secondary recovery nurses, physiotherapists with studies higher education, as well as those from the recovery sections within the profile faculties). All the above have a complex training (with an analytical study program corresponding to the level of training) in terms of indications and pathology of diseases, which are the subject of activity on patient therapy, and participate in the development of complex recovery programs through physical therapy. , which includes therapeutic massage. For sports physiotherapists, the curriculum includes in the curriculum the preparation for the therapeutic massage performed in the context of prophylactic programs, the object of the activity being carried out on healthy people.
b. Currently, there are - in addition to post-secondary physiotherapy schools or university training, with the analytical program specific to the level of training - numerous retraining and training schools for masseurs (6-9 months, with limited number of hours) with the study program specifies the level of training and the study time, in which only massage is learned and practiced. Those who take these courses should only practice "maintenance" massage. This new professional category begins to be a pressure factor for the medical field of physiotherapy, justifying the pressure through an extension of the curriculum with elements of pathology, but without theoretical and practical support for patients. Masseurs who practice maintenance massage do not know the background of training and the content of specific aspects of physiotherapy, the particularities for the patient to be treated and the limits of competence, considering the massage performed as a panacea. The difference is significant, just as the training base in the curriculum for them is different. It is mandatory to respect the limits of competence in the application of massage therapy, depending on the case and training. The masseur - who is theoretically and practically prepared for the application of a maintenance massage or other categories included under the title of "fitness" massage, can exercise this profession only in the case of seemingly healthy people. The circuit in which this program can be carried out belongs to the spa type sector (with primary prophylactic programs), to the cosmetic and body maintenance sector and is developed at the request of the people. Although they do not belong to the medical field, these activities should be periodically monitored by specialized medical representatives.
There are various implications, from the inefficiency of applying the massage, to the aggravation of some causes, or to the financial speculation. The difference in qualification and professional competence - criteria still not respected in different areas of application of maintenance or therapeutic massage, can harm both seemingly healthy people and patients with various diseases and, last but not least, the medical field.
This paper is approved by the Ministry of National Education with Order No. 5455 / 18.10.2010, as MANUAL OF TECHNIQUE OF THERAPEUTIC MASSAGE AND COMPLEMENTARY KINETOTHERAPY, for study at all levels of specialized education.
The manual must be used for teaching in the massage therapy module for the preparation of all those who will practice massage, regardless of the level of education, because it corresponds to the analytical program for all schools with training in the field.
The human body can benefit from massage, therapy that processes all tissues (skin, adipose tissue, connective tissue, muscle, bone, as well as various devices and systems) and especially the musculoskeletal system (joints, capsule, ligaments). There are few diseases of the body that cannot benefit from massage therapy.
The sedative type massage, arousal - stimulation, acts both through the direct, mechanical effect and through the psycho-behavioral component.
The approach of the "well-being" of the patients regarding the somatic-organic and the cognitive-behavioral problems through this form and therapeutic solution to the patient's problems (especially for locomotor sufferings) has in many situations made the therapeutic massage mythical and coveted. If massage therapy is minimized, the patient does not benefit from an effective and less iatrogenic form, with indications for certain situations at the limit or in the context of the interface between physiological and pathological and can produce side or perverse effects.
Taking into account the multitude of situations - dysfunctional, quasi-abnormal or pathological - and the dysfunctional consequences, according to the International Functional Classification (ICF), the application and adaptation of therapeutic massage techniques are decided and performed individually for each patient. Massage must be practiced in terms of the phrase "evidence-based medicine."

Prof. Dr. Adriana Sarah NICA
Specialist in Recovery, Physical Medicine and Balneoclimatology
  • Therapeutic massag technique manual and complementary kinetotherapy, XXXIV edition




Preface / 17
Prof. Dr. Adriana Sarah Nica

Preamble / 21
Prof. Dr. Adriana Sarah Nica

Brief history / 24

Chapter I
Essential notions for selecting and preparing those who will practice massage
/ 25
A. Essential notions for selecting people to practice massage / 26
B. Essential notions necessary in the preparation of those who will practice massage / 27
Professor of psychology Florentina Avram
C. General rules that the therapist must follow / 29
D. Conditions and endowment of the massage room / 30

Chapter II
Definition, classification, succession of medical therapeutic massage maneuvers and their technique
/ 33
I. Definition and classification of medical therapeutic massage / 34
II. Classification and succession of massage maneuvers / 36
III. Description of the technique of performing each medical massage maneuver / 38
A. The main maneuvers of the massage / 42
1. Smoothing (brushing or stroking) / 42
2. Kneading (Petrisajul) / 58
3. Friction / 78
4. Beating (85)
5. Vibrations / 92
B. Complementary maneuvers / 95
1. Rolling (95)
2. Screening / 100
3. Compressions / 103
4. Tractions / 111
5. The shaking / 116
6. Elongations / 117
C. Complementary physiotherapy / 120
The general effects of the processing of the tissues, devices and systems of the human body with the maneuvers of the medical massage and of the complementary kinetotherapy / 127

Chapter III
The technique of performing each maneuver of the medical therapeutic massage, the way of processing the tissues on the 25 regions and areas of the body and the complementary physiotherapy appropriate to each processed joint
/ 131
General rules to follow for the correct performance of the technique of medical massage maneuvers on each area of ​​the body / 132
I. Massage on the dorsal thoracic region and area (back) and complementary physiotherapy / 136
II. Massage on the lumbo-sacro-coccygeal region and area and complementary physiotherapy / 182
III. Massage on the region and area of ​​the buttocks and complementary physiotherapy / 214
IV. Massage on the region and area of ​​the hip joints (hips) and complementary physiotherapy / 236
V. Massage on the thigh region and area and complementary physiotherapy / 276
VI. Massage on the region and area of ​​the knee joints and complementary physiotherapy / 313
VII. Massage on the region and area of ​​the calves and complementary physiotherapy / 360
VIII. Massage on the region and area of ​​the ankle joints and complementary physiotherapy ./ 407
IX. Massage on the region and area of ​​the feet proper (feet) and complementary physiotherapy / 458
X. Massage on the region and area of ​​the fingers of the lower limbs (pelvis) and complementary physiotherapy / 503

Next, the other regions are described in volume / 2


XI. Massage on the region and area of ​​the abdominal wall and complementary physiotherapy / 563
XII. Massage on the anterior chest area (chest) and complementary physiotherapy / 590
XIII. Massage on the region and area of ​​the hemithorax and breasts during lactation, in case of breast affected by mastitis, in case of fallen breast and complementary physiotherapy / 620
XIV. Massage on the cervical region and area and complementary physiotherapy / 665
XV. Massage on the region and area of ​​the shoulder joints (scapulohumeral belt) and complementary physiotherapy / 692
XVI. Massage on the region and area of ​​the arms and complementary physiotherapy / 724
XVII. Massage on the region and area of ​​the elbow joint and complementary physiotherapy / 750
XVIII. Massage on the forearm region and area and complementary physiotherapy / 774
XIX. Massage on the region and area of ​​the joints of the hands (fists) and complementary physiotherapy / 800
XX. Massage on the region and area of ​​the hands themselves and complementary physiotherapy / 830
XXI. Massage on the region and area of ​​the fingers of the upper limbs (thoracic) and complementary physiotherapy / 867
XXII. Massage on the anterior region and area of ​​the neck and complementary physiotherapy / 907
XXIII. Massage on the face and complementary physiotherapy / 930
XXIV. Forehead massage and complementary physiotherapy / 950
XXV. Massage on the scalp area (cranial box) and complementary physiotherapy / 959

Chapter IV
General massage
Tissue processing in all regions and areas of the human body
/ 971

Chapter V
I. Massage performed on the child (baby) by one of the parents or by the masseur
/ 1071
A. Conditions and period of life of the baby when one of the parents can perform the massage / 1072
B. The technique of performing each massage maneuver and the way of processing the tissues on each segment or on the whole body of the baby by one of the parents / 1079
C. The technique of performing each massage maneuver and the way of processing the tissues on a segment or on the whole body of the baby by the masseur, in case of some diseases / 1096

Conditions and how to perform gymnastics for children (0-20 months) / 1097
Bibliography / 1108

In the following, the other regions are described in volume 3


Chapter VI
Massage. Particular techniques
/ 1119
Massage applied in different ailments through different particular techniques derived from the maneuvers of therapeutic massage / 1119
The role of therapeutic massage in increasing the efficiency of lymphatic, reflex, sports massage, etc. / 1120
Conf. Dr. Gilda Mologhianu
1. Manual lymphatic drainage (Leduc) / 1122
2. Reflex massage (1, 3, 5) / 1128
3. Cyriax / 1145 deep transverse massage
4. Periosteal massage (Vogler) / 1148
5. Wettervald / 1149 rolling palpation technique
6. Manipulative massage Terrier / 1150
7. Rabe's method / 1151
8. Bugnet's method / 1151
9. Cryomassage / 1152
10. Colon massage / 1153

Chapter VII
I. Massage on the body segments with the patient sitting on a chair
/ 1155
II. Devices complementary to massage therapy / 1191
Therapist instructor Mircea Badea Ene Ene

Chapter VIII
Therapeutic massage, the basic procedure in the recovery of various ailments, as well as for their prevention and / or for the maintenance and maintenance of the well-being of all persons
/ 1213
Prof. Dr. Adriana Sarah Nica
A. Medical evaluation and specific investigations are mandatory prior to the application and development of therapeutic massage / 1215
B. Indications and objectives of massage therapy depending on the pathophysiological and psycho-behavioral changes / 1216
C. Contraindications of massage therapy depending on the categories of pathology / 1233

Chapter IX
Therapeutic massage used as a procedure in the amelioration and treatment of various diseases
/ 1241
1. Therapeutic massage in neurological diseases / 1242
2. Massage in rheumatic diseases / 1260
Conf. Dr. Delia Cinteza

Chapter X
Corrective exercises for the musculoskeletal system in various conditions, performed by the patient under the coordination of the therapist
/ 1265
Physiotherapist Vadim Panta

Laws and Orders issued by the Ministry of Health for the protection of patients / 1376

Afterword / 1377

Topics of analytical programs for courses, graduation exams, principal assistant exam, job promotion exam, etc. are prepared according to the manual or treatise on massage technique. These can be found on the website of each specialized educational unit and on that of the sanitary units / 1377

Distinctions obtained by the author for this paper, from various specialized units in the medical and school field / 1399
- Diploma of excellence, from the Medical Rehabilitation Commission - Ministry of Health;
- Diploma of merit, from the National Institute of Recovery, Physical Medicine and Balneoclimatology;
- Diploma of excellence, from the Ilfov County Emergency Clinical Hospital;
- Diploma of excellence, from the Post-secondary Sanitary School "Fundeni";
- Diploma of special merits, from the Post-secondary Sanitary School "Fundeni" and others.

The technical manual of therapeutic massage and complementary physiotherapy was analyzed and evaluated by a large number of personalities in the field of medical and didactic specialty / 1405

The current edition of the "Manual of the technique of therapeutic massage and complementary physiotherapy" - revised and completed, is a reference editorial, a reality proven both by the need for professional information in the field and by the presentation of the correlation "therapeutic massage - physiotherapy ”. Mr. Anghel Diaconu, with an experience in the field of over 45 years, approached this topic with scientific, didactic, theoretical and practical value, distinguished by its pragmatism.
In 2008, Mr. Anghel Diaconu transfers for the first time his entire professional and didactic experience in the pages of a work of this type. The manual covered the gap in the medical literature, both in our country and in other countries and proved to be of remarkable utility in training and improving the application of therapeutic massage for a significant number of practitioners, from physiotherapists - post-secondary level classic or special, to physiotherapists in the university register, residents and specialists.
This first appearance was requested by an extremely important number of specialists, beneficiaries of the complex information with applicative character regarding the therapeutic massage.
The manual, according to the Order of the Minister of National Education no. 5455 / 18.10.2010, is mandatory for the preparation of all those who will practice massage, regardless of the level of education, because it corresponds to the analytical program for all schools with training in the field.
Following the requests, the Medical Publishing House published the second edition of the "Therapeutic Massage Technique Manual", revised and completed. Also, the publishing house of the Romanian Academy of Scientists approves and publishes in a short period the paper entitled Treaty (editions III - VII and IX).
The Association of the Blind in Romania, at the request of its members who are preparing and carrying out their activity in this field, published the "Manual" in the Braille alphabet.
At the same time, in the USA were published, as a Treaty and as a Manual, in English, Italian and Romanian, numerous editions: VIII, X, XI, etc., by publishers from Columbia (SC), Charleston (SC ), Middletown (DE) and Lexington (KY), distributed through Amazon.
Craiova University Publishing House publishes the 13th edition of the paper, entitled Manual of Therapeutic Massage Technique and Complementary Physical Therapy.
Bucharest University Publishing House publishes the 14th, 20th, XXII and XXXIV editions of the paper, as a manual.
The presented works, including the present one, keep a part of the structure and content of the first appearance, update the themes and bring technical and scientific added value, through the vision of new presentation, through the development of topics in correlative context - "therapeutic massage and associated physiotherapy".
The historical context and the current reality of the European platform regarding the training of different specialists from the recovery group, require continuous professional training (long life learning). Physiotherapy, which requires regular updating of information, is fully responsible for this goal, in order to have a good correspondence between the theoretical and practical aspects of vocational training at national level and in accordance with the level of training in the European platform. In this context, other publications on therapeutic massage were sporadic and insufficient as a basis for information and training for the specialist practitioner of balneophysiotherapy and massage or balneo-physiokinetotherapy and massage, so that the appearance of this work was extremely timely, finding both its place. as well as utility.
The paper covers an important area of ​​theoretical and practical training needs for the specialist of Balneophysiokinetotherapy, Physiokinetotherapy and Kinetotherapy, by structuring the material, by detailing the methodologies for applying different categories of therapeutic massage procedures with the association of a rich illustrative material.
The content of the Manual is logically structured, initially with specific aspects related to the infrastructure of the physical medicine sector, respectively therapeutic massage and associated physiotherapy, continued with the general principles that guide the activity of staff in the therapeutic massage sector.
Through the presentation and organization of chapters, methodologies, notions and technical procedures, the content of the Manual covers the training and improvement requirements of specialists in the field, while corresponding to the analytical program on therapeutic massage indicated as a therapeutic method, in the context of recovery programs. or in prophylactic programs. Through the content, readers receive information on the particularities of different topographic areas, become progressively familiar with the physiological and pathophysiological aspects of the tissues and organs on which massage maneuvers are exercised, learn to follow the physiological and therapeutic effects of different forms of therapeutic massage and find, in the applicative way, the justification of the correlations between the therapeutic massage and the associated kinetotherapy.
Chapter I presents essential criteria for selecting people who want to become masseurs. Also, the basic notions that any person who wants to practice this profession and - further - the conditions and endowment of the massage room must be presented.
In Chapter II, the author Anghel Diaconu classifies and details in a structured way the technique of performing therapeutic massage maneuvers.
Chapter III contains the general recommendations regarding the technique of correctly performing the methodologies of therapeutic massage maneuvers, the anatomophysiological and topographic description of each region, as well as the technique of performing each massage maneuver on each area and on each region of the body.
Chapter IV presents the technique of general massage, which is a synthesis of massage by region. The author insists on the observance of the neighborhood reactions, considering the muscular-vascular-nervous package and the deep organs, on the local or neighborhood algic and trophic particularities and on the particularities of non-specific somatic and psycho-behavioral reaction.
Chapter V presents the conditions and technique of performing massage on children (babies) by parents and / or by masseurs.
The following is the role of therapeutic massage in increasing the effectiveness of treatment with lymphatic, reflex and sports massage.
I appreciate and consider (because they are welcome and necessary) the following chapters, presented by top personalities in the medical field, which complete the technical-scientific and practical notions in the field, necessary in the complex training of people who will practice this therapy, to render the state of health of those in suffering.
Chapter VI presents massage - particular techniques.
Chapter VII describes the technique of massaging the patient sitting on a chair.
Chapter VIII presents the therapeutic massage - the basic procedure in recovery, medical evaluation, indications and contraindications of this therapy.
Chapter IX presents the role of massage in the therapy of neurological and rheumatic diseases.
Chapter X contains corrective exercises to balance the tone of the muscles, as well as to increase the mobility of the joints, performed by the therapist in collaboration with the patient.
Based on this paper with a clearly presented content, coherently structured and convincingly illustrated, both theoretical presentations and practical works such as comparative demonstrations, application exercises, case studies, analysis of situations on different categories of pathology, customized on case. The work can be the basis for acquiring competencies and abilities imposed by the training standard for a good quality professional offer. It has an applicative character, covering a need for information and corrective exercise in the field of physiotherapy, as a specific offer of non-pharmacological therapy. It is also worth noting the novelty aspect for the international specialized literature.
The paper is written after a long experience of knowledge and application of those presented, being the result of professional sequential accumulation, both in the area of ​​therapeutic application and in the area of ​​education.
The author, constant and meticulous in his training and permanent improvement, graduated the European level courses of Adult Training Preparation, organized by the National Council for Adult Vocational Training, by the Ministry of National Education and by the Ministry of Labor.
Anghel Diaconu has trained and trained many generations of specialists in the field. He also participated in the research topics on the recovery of work capacity of locomotor deficiencies, within the Research Laboratory of the National Institute of Medical Expertise and Work Capacity Recovery and directly coordinated the training and retraining courses organized by the Ministry of Labor in within the Institute.
At the same time, his work proved its usefulness in preparing people who will practice massage, as evidenced by the appreciation of many specialized units that considered that the author of this work with scientific and didactic content deserves to receive their appreciation, giving him distinctions:
- Diploma of the Romanian Academy of Scientists: "Alexandru D. Radulescu"
- Diploma of excellence from the Medical Rehabilitation Commission - Ministry of Health;
- Diploma of merit from the National Institute of Recovery, Physical Medicine and Balneoclimatology;
- Diploma of excellence from the Ilfov County Emergency Clinical Hospital;
- Diploma of excellence from the Post-secondary Sanitary School "Fundeni" and others.
Also, the paper was evaluated by top personalities from education and specialized units: Prof. Dr. Stefan Suteanu, Assoc. Prof. Dr. Delia Cinteza, Assoc. Prof. Dr. Gilda Mologhianu, Dr. Bianca-Doina Posirca and Dr. Cornelia Popescu.

Prof. Dr. Adriana Sarah NICA
Specialist in Recovery, Physical Medicine and Balneoclimatology



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