RESEARCH. Bridging Two Worlds The Relevance of Research to Your Massage Practice with Doug Nelson. World Massage Conference Presents:

Transcription

1 World Massage Conference Presents: The Relevance of Research to Your Massage Practice with Doug Nelson Bridging Two Worlds Massage experience Evidence Based Corrective Therapy Informed-Based RESEARCH 1

2 ONE REFLECTS MANY WHIPLASH 2

3 Case History Client R Client R was on a motorcycle stopped at an intersection and was hit from behind. She did not see the accident coming. She was catapulted into the air. After the accident she felt a little immediate pain but more pain surfaced days later. She experienced cervical pain, pain down the arms, (especially on the left side) pain in the medial knee. Additional Symptoms Cold sensitivity, which was new for her. Felt as if her head was too heavy. Intermittent low back pain. Experienced bouts of cognitive impairment with symptoms. Although she had never had migraines, at certain times she found light and sound were too stimulating. She needed to be in a dark room. Whiplash Research 3

4 Subjects unaware of impending impact are 15x s more likely to exhibit signs & symptoms of neck injury at 6 months Ryan GA, Taylor GW, Moore VM, Dolinis J. Neck strain in car occupants: injury status after 6 months and crash-related factors. Injury 1994;25: Higher Initial Pain Intensity is the most consistent predictor of poor recovery and has been identified by all systematic reviews Sterling, M., Hendrikz, J., & Kenardy, J. (2011). Similar factors predict disability and posttraumatic stress disorder trajectories after whiplash injury. Pain, 152(6),

5 Myrtveit, S. M., Skogen, J. C., Sivertsen, B., Steingrímsdóttir, Ó. A., Stubhaug, A., & Nielsen, C. S. (2016). Pain and pain tolerance in whiplash associated disorders: A population based study. European Journal of Pain, 20(6), Prushansky, T., Gepstein, R., Gordon, C., & Dvir, Z. (2005). Cervical muscles weakness in chronic whiplash patients. Clinical Biomechanics, 20(8), Cuéllar, J. M., & Lanman, T. H. (2017). Text neck : an epidemic of the modern era of cell phones?. The Spine Journal, 17(6),

6 one, two & three months later Sterling, M., Jull, G., Vicenzino, B., Kenardy, J., & Darnell, R. (2003). Development of motor system dysfunction following whiplash injury. Pain,103(1), ROM RESTRICTIONS Most restrictions were cervical extension, left rotation, and right rotation Range of motion was reduced in all primary movements with persistent WAD Dell'Alba P, Sterling M, Treleaven J. Cervical Range of Motion Discriminates Between Asymptomatic Persons and Those with Whiplash. Spine (19): The Prevalence of Chronic Low Back Pain is 3x s Higher in people with Chronic Neck Pain Guez M, Hildingsson C, Nasic S, Toolanen G. Chronic low back pain in individuals with chronic neck pain of traumatic and non-traumatic origin: a population-based study. Acta Orthop Feb;77(1):

7 ? Shah, J. P. (2017). New Frontiers in the Matrix of Chronic Myofascial Pain. PTSD & WHIPLASH Sterling M, Hendrikz J, Kenardy J. Developmental trajectories of pain/disability and PTSD symptoms following whiplash injury. Pain 2010;150:22 8 7

8 Hyperarousal Avoidance/Anxiety Buitenhuis J, dejong P, Jaspers J, Kenardy J. Psychological aspects of whiplash associated disorders. : Sterling M, Kenardy J, editors., editors. Whiplash: evidence-base for clinical practice Chatswood: Elsevier; Post Concussion or PTSD? Lagarde, E., Salmi, L. R., Holm, L. W., Contrand, B., Masson, F., Ribéreau-Gayon, R.,... & Cassidy, J. D. (2014). Association of symptoms following mild traumatic brain injury with posttraumatic stress disorder vs postconcussion syndrome. JAMA psychiatry, 71(9), PERCIEVED INJUSTICE R felt frustrated that while she was being very fair about the accident, she was the one experiencing pain, not the person who hit her. Work life had changed; she could no longer put in the long hours that she had previously. Sullivan, M. J., Adams, H., Martel, M. O., Scott, W., & Wideman, T. (2011). Catastrophizing and perceived injustice: risk factors for the transition to chronicity after whiplash injury. Spine, 36, S244- S249. 8

9 Sullivan, M. J., Adams, H., Martel, M. O., Scott, W., & Wideman, T. (2011). Catastrophizing and perceived injustice: risk factors for the transition to chronicity after whiplash injury. Spine, 36, S244-S249. Higher pain scores, longer duration of pain, and larger areas of local and referred pain Generalised muscular hyperalgesia in chronic whiplash syndrome. Koelbaek Johansen M, Graven-Nielsen T, Schou Olesen A, Arendt-Nielsen L Pain Nov; 83(2): Perkins, J. (2009). The role of massage therapy in reducing anxiety related to post traumatic stress disorder (Doctoral dissertation, RMTBC). Rich, G. J. (2013). Massage Therapy for PTSD, Trauma, and Anxiety. RUDN Journal of Psychology and Pedagogics, (3),

10 Symptoms That Reveal Post-traumatic Impairment: numbing/detachment avoidance sleep problems concentration problems hypervigilance Norman, Sonya B., Murray B. Stein, and Jonathan RT Davidson. "Profiling posttraumatic functional impairment." The Journal of nervous and mental disease (2007): Chrisman SPD, Rivara FP, Schiff MA, Zhou C, Comstock RD. Risk factors for concussive symptoms 1 week or longer in high school athletes. Brain Inj. 2013;27(1):1 9. GUIDELINES 10

11 Concussion Treatment Using Massage Techniques: a Case Study By Sylvia Burns The Massage Therapy Foundation Advancing the knowledge and practice of massage therapy by supporting scientific research, education, and community service. The Massage Therapy Foundation Infographic Initiative Share them with Clients Colleagues Other health care providers 11

12 IJTMB.ORG Free and open access journal Pub med indexed The Massage Therapy Foundation