Lauriann Greene, CEAS Richard W. Goggins, CPE, LMP. 2011, Gilded Age Press, Inc. 1

Transcription

1 Lauriann Greene, CEAS Richard W. Goggins, CPE, LMP 2011, Gilded Age Press, Inc. 1 Lauriann Greene, CEAS Richard W. Goggins, CPE, LMP 1

2 Objectives Risk of Injury Differentiate Methods Create a Plan 3 Pretest 1. Which of the following best describes the rate of symptoms and injuries among massage therapists? a. About half have symptoms and 10% experience injuries b. About two-thirds have symptoms and 20% experience injuries c. About three-quarters have symptoms and 30-40% experience injuries d. None of the above 2

3 Pretest 2. Normal aging: a. Results in a gradual decline in overall well-being b. Doesn t necessarily result in musculoskeletal injury c. Can be altered by repeated trauma d. All of the above Pretest 3. Which of the following is true about wrist injuries among massage therapists? a. Carpal tunnel syndrome is the only injury to worry about b. Wrists are the most commonly injured part of the body c. Wrists aren t the most common site of injury, but they re in the top 5. d. None of the above 3

4 Pretest 4. Practicing good body mechanics: a. Has been proven to prevent injury b. Is all I need to focus on to stay healthy c. Is just another term for ergonomics d. None of the above Pretest 5. Which of the following is NOT an example of ergonomics for a massage practice? a. A height adjustable stool b. Hand tools for trigger point work c. Early morning stretches d. A massage room with plenty of space around the table 4

5 Pretest 6. A good workout for massage therapists: a. Means just giving massages, and lots of them b. Should focus on strengthening the chest and forearm muscles c. Should not include aerobic exercise, since endurance isn t important in massage work d. Should include strengthening exercises to underused muscles Myth #1 Symptoms aren t common or serious. 5

6 Reality #1 Symptoms are common. Injuries are less common, and preventable. Survey Group Surveyed MSD prevalence Greene and Goggins (2006) U.S., 601 experienced massage therapists Symptoms: 77% Injury: 41% Jang et al. (2006) Taiwan, 161 visuallyimpaired massage therapists Symptoms: 71.4% Albert, et al. (2007) Canada, 502 registered massage therapists Symptoms: 62.2% to 83.3% depending on part of the body Injury: 31% Terra Rosa (2008) Australia, 64 massage therapists Copyright 2010 Gilded Age Press, Inc. All rights 12reserved. Symptoms: 26% to 69% depending on part of the body. 6

7 Myth #2 Aches, pains, injuries = part of aging. Reality #2 Injury is not part of normal aging 7

8 Well-being Trauma Injury Threshold Normal Aging Age Adapted from Health and Safety Needs of Older Workers, National Academy of Sciences (2004), National Academies Press Myth #3 Carpal tunnel syndrome is the only worry. 8

9 Reality #3 Need to also protect other body parts Most Frequently Injured Among MTs 4. Neck 1. Shoulders 2. Thumbs 3. Lower Back 5.Wrists 9

10 Most Frequently Injured Among MTs Think about body parts you use: Often/repetitively In awkward postures With a lot of force Myth #4 I just need good body mechanics 10

11 Reality #4 Good body mechanics isn t enough Holistic Approach is Most Effective Acknowledge risk Identify risk factors Reduce risk factors: ergonomics Develop good body mechanics Take care of physical/emotional health 22 11

12 Myth #5 Ergonomics is just for computer work. Reality #5 Use ergonomics in your practice. 12

13 Applications of Ergonomics Heightadjustable equipment Treatment room set-up Selecting and using hand tools Myth #6 Doing massage is a good workout 13

14 Reality #6 MTs need a more complete workout. Myth #7 Only need to strengthen forearm and chest muscles. 14

15 Reality #7 Strengthen underused muscles Myth #8 Stretch before starting to massage 15

16 Reality #8 Stretching may not be helpful Overall Physical Conditioning Circulation Strength Body Awareness Endurance Good Movement Patterns Lack of Adhesions Flexibility Stability Balance 32 16

17 Myth #9 I now know everything I need to know! Reality #9 No, but comprehensive info is available. 17

18 Injury Prevention Tips Warm up first 18

19 Use larger muscles Change Position Often 19

20 Avoid Overuse x Limit effort to 30% of max. 20

21 Schedule Thoughtfully Receive massage often 21

22 Questions Post-Test 1. Which of the following best describes the rate of symptoms and injuries among massage therapists? a. About half have symptoms and 10% experience injuries b. About two-thirds have symptoms and 20% experience injuries c. About three-quarters have symptoms and 30-40% experience injuries d. None of the above 22

23 Post-Test 2. Normal aging: a. Results in a gradual decline in overall well-being b. Doesn t necessarily result in musculoskeletal injury c. Can be altered by repeated trauma d. All of the above Post-Test 3. Which of the following is true about wrist injuries among massage therapists? a. Carpal tunnel syndrome is the only injury to worry about b. Wrists are the most commonly injured part of the body c. Wrists aren t the most common site of injury, but they re in the top 5. d. None of the above 23

24 Post-Test 4. Practicing good body mechanics: a. Has been proven to prevent injury b. Is all I need to focus on to stay healthy c. Is just another term for ergonomics d. None of the above Post-Test 5. Which of the following is NOT an example of ergonomics for a massage practice? a. A height adjustable stool b. Hand tools for trigger point work c. Early morning stretches d. A massage room with plenty of space around the table 24

25 Post-Test 6. A good workout for massage therapists: a. Means just giving massages, and lots of them b. Should focus on strengthening the chest and forearm muscles c. Should not include aerobic exercise, since endurance isn t important in massage work d. Should include strengthening exercises to underused muscles Thank You for Participating! For More Information and Online CE Courses: Teach Self-Care and Earn Income as a Certified Injury Prevention Instructor , Gilded Age Press, Inc. 25