Massage Therapy: Shoulder Trauma

Great Essays
ow can ROM in the massage treatment room benefit the massage client? Massage therapy is well matched to the demands of shoulder impingement syndrome due to chronically tight shoulder musculature. Compression of the shoulder girdle can lead to pain, loss of range of motion, and the inability to perform activities of daily living. The shoulder joint cannot move freely through a normal range of motion because the structures of the joint have been pulled to closely together.

When the rotator cuff muscles become chronically tight the head of the humerus will be pulled up into the shoulder socket compressing the bursa and supra spinatus tendon. As a result of the narrowing of the space between the acromion and the head of the humerus the tendons
…show more content…
It is best to test both active and passive range of motion to determine limitations and pain level prior to performing treatment. It is important to test for the rotator cuffs full range of motion, while identifying the muscles that cause pain. In addition it will be necessary to test scapular range of motion as these muscles will provide further information and treatment options.

Shoulder impingement is common among both amateur & professional athletes as well as week end warriors. In addition individuals with jobs that involve repetitive motions of the shoulder can be at risk. Massage therapists do not diagnose, yet ROM assessment of the soft tissues of the body and treatment of the musculature to improve muscular function are well within the scope of practice of the massage therapist.

Many times clients will be referred to massage from physical Therapy, orthopedic, and rehabilitation centers. If the client presents with a non- operable shoulder impingement syndrome perform ROM to determine key musculature inflammation. To determine whether the client presents with supraspinatus or biceps brachii pain and inflammation use active range of motion and active assisted
…show more content…
Bring the forearm in so that the arm is flexed to 90 degrees and move the hand down by rotating the shoulder forward. Now from this position assist the client by bringing the hand & forearm inward toward the midline of the body. Have the client assist in this motion, pain may be immediately felt, make sure the client knows to communicate moderate to severe pain and stop motion at that point.

Always test both shoulders for comparison and record clients ' responses within client files by maintaining daily client S.O.A.P. notes. Another active assisted range of motion test is to place one hand on top of the shoulder (to limit motion to 90 degrees) now assist client as they raise arm palm down from their side to 90 degrees of flexion. The next active assisted range of motion test has been shown to be accurate for determining shoulder impingement syndrome 97 to 98 percent of the

Related Documents

  • Decent Essays

    Branch PMR examined the shoulder. When Mr. Simonson keeps his arm below chest level he reports his pain is low. When Dr. Branch went through range of motion to anything over head Mr. Simonson reported pain to the top of the shoulder radiating inwards. Dr. Branch said that he will request the x-ray report from Covenant hospital. Dr. Branch said that dislocating the shoulder can tear the labrum.…

    • 829 Words
    • 4 Pages
    Decent Essays
  • Improved Essays

    In other words, without the rotator cuff, the humeral head would ride up partially out of the glenoid fossa, lessening the efficiency of the deltoid muscle. The anterior and posterior directions of the glenoid fossa are more susceptible to shear force perturbations as the glenoid fossa is not as deep relative to the superior and inferior directions. The rotator cuff's contributions to concavity compression and stability vary according to their stiffness and the direction of the force they apply upon the…

    • 696 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Dr. Guerrero also, wanted to request physical therapy for the applicant to work on deep tissue release, scapular mobilization, stabilization, and muscular balance. After discussing the treatment plan with the applicant, the applicant was given a steroid injection in the right shoulder. The applicant was set for a re-evaluation in six weeks. The applicant was evaluated by Dr. Robson on March 21, 2017.…

    • 467 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Grade I rotator cuff injuries tend to be the result of tendinitis or another strain of the muscle without tearing it (3). They usually occur near the insertion, where the muscle attaches to a bone (3). Tendinitis causes inflammation of the tissue of the rotator cuff, weakening it and making it less resilient to everyday use (7). These types of injuries are common in older people, because they tend to have reduced blood flow to their tendons, making them less flexible and more prone to strain as a result (5). Because of the low blood supply, Grade I injuries usually take a long time to heal, and while the tissue is damaged, the muscle is more susceptible to a more serious secondary injury if not given adequate rest.…

    • 196 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    • Pain and tenderness in the front of the shoulder. • Pain that increases with shoulder and elbow motion, such as bending the elbow and turning your palm upward against resistance. DIAGNOSIS This injury can be difficult to diagnose because the symptoms are similar to those of many other upper arm and shoulder problems. The diagnosis may be made based on: • Your symptoms and medical history.…

    • 624 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Neck Pain Case Studies

    • 715 Words
    • 3 Pages

    This is a 45-year-old male with a 2-20-2015 date of injury. A specific mechanism of injury has not been described. DIAGNOSIS: Sprain of joints and ligaments of unspecified parts of neck, initial encounter 01/11/16 Progress Report describes that 15 minutes were spent in review of the results from the urinary drug screen, which was administered at the previous visit and deciding whether any modifications are appropriate to the treatment regimen. The pain is better and down to a 3/10. The neck pain remained mild.…

    • 715 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    (a) The structure of the rotator cuff consists of four muscles that all play a role in the motion of the rotator cuff. The four muscles that are responsible for this motion are: the Supraspinatus muscle, the Infraspinatus muscle, the Teres Minor muscle, and the Subscapularis muscle. Each of these muscles originate from the scapula and attach into the humerus. The Supraspinatus muscle originates in the Supraspinatus Fossa and attaches to the greater tubercle of the humerus. The infraspinatus originates in the Infraspinatus Fossa and like the Supraspinatus muscle, attaches to the greater tubercle of the humerus.…

    • 257 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Full Can Test

    • 530 Words
    • 3 Pages

    There was no significance difference in the negative and positive predictive values among the listed criteria. 5 An overall comparison of these tests revealed that the specificity and accuracy were greater in full can test when looking for pain. Looking at muscle weakness instead of pain gave the greatest accuracy in both tests. The full can test also showed greater specificity and accuracy than the empty can test, but the differences were not significant.5 A study done by Timmons et al. compared the scapular position, pain, and area of the subacromial space of the EC and FC tests.…

    • 530 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    This study will be focusing upon the range of motion and strength of shoulder flexion and abduction. Cite stuff Introduction to Rotator Cuff Tears Rotator cuff tears are tendinous tears of the muscles of the rotator cuff, most often involving the supraspinatus and infraspinatus tendons (Kim et al., 2010). There are two types of rotator cuff tears, partial-thickness and full-thickness (Edwards et al., 2016). Rotator cuff tears are also split into two causes of injury, with a conditional combination of the two, and four sizes, with those being small, medium, large, and massive-sized tears (Itoi, 2013).…

    • 1821 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    Therefore, it can be seen that chiropractic plays a role in the diagnosis of a hamstring injury through clinical diagnosis. In spite of that, ultrasounds, X- rays, CT scans and MRI imaging may be used to obtain a much more precise diagnosis and to rule out other problems. X-rays are mainly used to determine an avulsion injury, whereas MRI imaging is used to determine the size and extent of the injury, the specific muscle involved, the location of the injury and the signal intensity of injuries (Greenky, 2017). Furthermore, MRI imaging can be used to estimate recovery period but is unable to determine whether a re-injury will occur in the future. Thus medical diagnostics such as ultrasounds, X-rays, CT scans and MRI imaging may be used to provide a more in-depth…

    • 1335 Words
    • 6 Pages
    Improved Essays
  • Decent Essays

    Theraputty Relationship

    • 129 Words
    • 1 Pages

    Therapy session started with education to caregiver on proper body mechanics and safety techniques when handling PT during bathing act.. She tolerates weight bearing exercises turning to both sides and prone position with open hands with Max A. and min signs of pain . She also tolerates PROM , streching and retrograde STM in all UB/LB joints and muscles to improve circulation. Theraputty pleced on pts hands toincrease tactile input and maintaing hands in functional posisiton during terapy session. She exhibited increase spasticity on left UB.…

    • 129 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    There are many treatment ideas that we can use in order to help treat our patient’s who have Volkmann’s contracture. We can make a custom orthosis/splint fabrication. The common splint that is used for Volkmann’s contracture is a resting hand splint. (Which looks like this…) As you can see, the wrist is in neutral with the digits extended and the thumb slightly abducted.…

    • 427 Words
    • 2 Pages
    Decent Essays
  • Superior Essays

    There is significant weakness on muscle testing (i.e., the patient is unable to exert a normal force with muscle contraction). On tapping the knee tendon there is a contraction of the quadriceps muscle in the leg, and on tapping the biceps tendon there is a contraction of the biceps muscle in the arm. No fasciculations are noted. There is normal muscle tone detected by passive movement…

    • 1545 Words
    • 6 Pages
    Superior Essays
  • Great Essays

    People want and need a massage, and there are many effective styles to choose from, but rarely have I seen a technique that deliberately goes after a soft tissue problem, one particular area, and resolves it quickly. Why would a chiropractor want to teach sports massage therapists and other practitioners? It’s because I believe that with 6+ billion people on the planet there is plenty for all of us…. Chiropractors, Osteopaths, Sports Massage Therapists, Physiotherapists and Athletic Trainers.…

    • 1363 Words
    • 6 Pages
    Great Essays
  • Great Essays

    There have been several reports of displaced shoulder blades which can be caused from poor posture and muscle stiffness. This cannot be fixed without as much, if not more, time that was devoted to sitting in front of a screen, now being focused on muscle therapy. When playing video games, players are inclined to sit in a bent, hunched over…

    • 1310 Words
    • 5 Pages
    Great Essays