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Lauriann Greene, CEAS
Richard W. Goggins, CPE, LMP
© 2011, Gilded Age Press, Inc. 1
Lauriann Greene, CEAS Richard W. Goggins, CPE, LMP
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
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
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
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.
6
Reality #1
�Symptoms are common.
� Injuries are less common,
and preventable.
Copyright © 2010 Gilded Age Press, Inc. All rights reserved. 12
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 visually-
impaired 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
Symptoms:
26% to 69% depending
on part of the body.
7
Myth #2
�Aches, pains, injuries = part of aging.
Reality #2
� Injury is not part of normal aging
8
Age
Injury Threshold
Normal AgingTrauma
Well-being
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.
9
Reality #3
�Need to also protect other body parts
Most Frequently Injured Among MTs
1. Shoulders
2. Thumbs 3. Lower Back
4. Neck
5.Wrists
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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
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
12
Myth #5
�Ergonomics is just for computer work.
Reality #5
�Use ergonomics in your practice.
13
Applications of Ergonomics
Treatment room set-up
Selecting and using hand tools
Height-adjustable equipment
Myth #6
�Doing massage is a good workout
14
Reality #6
�MTs need a more complete workout.
Myth #7
�Only need to strengthen forearm and chest muscles.
15
Reality #7
�Strengthen underused muscles
Myth #8
�Stretch before starting to massage
16
Reality #8
�Stretching may not be helpful
Overall Physical Conditioning
32
Strength
Endurance
Flexibility
Stability
Balance
Circulation
Body Awareness
Good
Movement Patterns
Lack of Adhesions
17
Myth #9
� I now know everything I need to know!
Reality #9
�No, but comprehensive info is available.
18
Injury Prevention Tips
Warm up first
19
Use larger muscles
Change Position Often
20
Avoid Overuse
x
Limit effort to 30% of max.
21
Schedule Thoughtfully
Receive massage often
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
23
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
Post-Test
24
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
Post-Test
25
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
Post-Test
Thank You for Participating!
For More Informationand Online CE Courses: www.saveyourhands.com
Teach Self-Care and Earn Income as a
Certified Injury Prevention Instructor
www.saveyourhands.com/cipi
© 2011, Gilded Age Press, Inc.
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