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The Role of Sports Massage in Injury Prevention and Absence Management PowerPoint PPT Presentation


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The Role of Sports Massage in Injury Prevention and Absence Management. Ben Scott BSc (hons) MSMA. What is Sports Massage?. Soft tissue therapy - Muscles - Tendons - Ligaments Effleurage Compression Torque Vibration Dermal lifting Tapotement Stretching

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The Role of Sports Massage in Injury Prevention and Absence Management

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The Role of Sports Massage in Injury Prevention and Absence Management

Ben Scott

BSc (hons) MSMA


What is Sports Massage?

  • Soft tissue therapy

    - Muscles

    - Tendons

    - Ligaments

  • Effleurage

  • Compression

  • Torque

  • Vibration

  • Dermal lifting

  • Tapotement

  • Stretching

  • Aims to restore muscles to their normal resting length


When is Sports Massage Useful?

  • 3 Sports phases:

    - Pre-event

    - Intermediate

    - Post-event

  • Injury Prevention

  • Rehabilitation

  • Relaxation

    - Clinically

    - Psychologically

  • Aims to restore muscles to their normal resting length


What can Sports Massage do?

  • Inadequate clinical research, therefore limited evidence

  • Massive anecdotal evidence

  • Restores muscles to their normal resting length

  • Helps maintain optimum muscle condition

  • Effective in treating back pain

  • Reduces risk of Occupational Overuse Syndrome

  • Decreases Delayed Onset Muscle Soreness (DOMS)

  • Effective in treating Chronic Compartment Syndrome


Absence

  • UK Health and Safety Executive on Fire Service absence:

    “The injury and ill health rates are above average”

    “Scope for significant improvement”


Absence statistics

  • Local government (inc. police and fire)10.9 days/year

    £644 /employee/year

  • Private services6.8 days/year

    £568 /employee/year

  • Manufacturing services8.4 days/year

    £624 /employee/year

  • Australian public sector (2001-02) = any one day 1 in 20 employees absent (unscheduled leave)

  • In 2005 the local government absence rate was unchanged from 2004


Absence statistics cntd….

  •  Size of agency =  Rate of absence

  •  Size of agency =  Length of absence

  • Small % of employees account for bulk of sick leave

    e.g. 20% - No days

    17% -  10 days

  • The vast majority of people want to get back to work


Health

Lifestyle

Accidents

Culture

Family

Management Action

Work related

Minor illness

Back pain 

Musculo-skeletal injuries 

Stress 

Recurring medical conditions

Main causes of absence


Absence Management

  • 3 Main strategies:

    - Record absence statistics

    - Early intervention

    - Targets / Benchmarking

  • “Early medical intervention will significantly speed up recovery and reduce absence due to sickness and ill-health” (Worcester NHS Trust)

  • “Reducing absence is not just about policies and procedures. It is about skills and roles”

  • Sports Massage can provide necessary skills and play an important role


Role of a Sports Massage Practitioner

Absence prevention

  • Assessment

  • Advice

  • Treatment

  • Maintenance bodywork

  • Relaxation / Revitalising

    Absence limitation / reduction

  • Assessment

  • Advice

  • Treatment

  • Referral


Without Sports Massage

With Sports massage

Sports Massage as an early intervention


What level of qualifications are there in Sports Massage?

3 Levels of qualification:

  • Government funded vocational training ‘level 3’      - ITEC, VTCT, Premier IQ qualifications      - predominately run in local FE colleges though some private providers run these awards      - the National Occupational Standards are currently written that those graduating are qualified to work ‘under supervision of doctor or physiotherapist’, so not covered to work as self-employed/independent practitioners (although many do!)

  • Private training providers – ‘self-regulated’ - standards vary enormously, there are even some online massage courses available!

  • SMA accredited courses – SMA assures standards and quality of training and as such the graduates have met the minimum requirements for 'independent practice'


References

  • Absence Management, A Survey of Policy and Practice 2005. Chartered Institute of Professional Development

  • Absence Management in the Australian Public Service. Audit Report No. 52, 2002-03

  • The effects of Massage on delayed onset muscle soreness. Br J Sports Med 2003; 37,72-75

  • Effects of Massage on delayed-onset muscle soreness, swelling and recovery of muscle function. J Athl Tr 2005 Jul-Sep; 40(3), 174-180

  • Preliminary evidence of the short term effectiveness of alternative treatments for lower back pain. Technol and Healthcare; 13(6), 453-462

  • Effective physical treatment for chronic lower back pain. Orthop Clin North Am 2004 Jan; 35(1), 57-64

  • A review of the evidence for the effectiveness, safety and cost of acupuncture, massage therapy and spinal manipulation for back pain. Ann Intern Med 2003 Jun 3; 138(11), 898-906

  • Massage treatment for back pain. BMJ 2003 March 15; 326(7389), 562-563


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