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

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Presentation Transcript

What is sports massage l.jpg
What is Sports Massage? Management

  • 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 l.jpg
When is Sports Massage Useful? Management

  • 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 l.jpg
What can Sports Massage do? Management

  • 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 l.jpg
Absence Management

  • UK Health and Safety Executive on Fire Service absence:

    “The injury and ill health rates are above average”

    “Scope for significant improvement”


Absence statistics l.jpg
Absence statistics Management

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

    £644 /employee/year

  • Private services 6.8 days/year

    £568 /employee/year

  • Manufacturing services 8.4 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 l.jpg
Absence statistics cntd…. Management

  •  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


Main causes of absence l.jpg

Health Management

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 l.jpg
Absence Management 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 l.jpg
Role of a Sports Massage Practitioner Management

Absence prevention

  • Assessment

  • Advice

  • Treatment

  • Maintenance bodywork

  • Relaxation / Revitalising

    Absence limitation / reduction

  • Assessment

  • Advice

  • Treatment

  • Referral


Sports massage as an early intervention l.jpg

Without Sports Massage Management

With Sports massage

Sports Massage as an early intervention


What level of qualifications are there in sports massage l.jpg
What level of qualifications are there in Sports Massage? Management

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 l.jpg
References Management

  • 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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