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Introduction
to Massage Therapy
Introduction
to Massage Therapy
THIRD EDITION
Mary Beth Braun, BA, CMT, NCTMB
Stephanie J. Simonson, BS
Acquisitions Editor: Jonathan Joyce
Product Manager: Paula C. Williams
Marketing Manager: Leah Thomson
Production Project Manager: Marian Bellus
Designer: Stephen Druding
Manufacturing Coordinator: Margie Orzech
Compositor: Absolute Service, Inc.
Third Edition
Copyright © 2014 Lippincott Williams & Wilkins, a Wolters Kluwer business
351 West Camden Street Two Commerce Square
Baltimore, MD 21201 2001 Market Street
Philadelphia, PA 19106
Printed in China
All rights reserved. This book is protected by copyright. No part of this book may be reproduced or
transmitted in any form or by any means, including as photocopies or scanned-in or other electronic
copies, or utilized by any information storage and retrieval system without written permission from
the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials
appearing in this book prepared by individuals as part of their official duties as U.S. government
employees are not covered by the above-mentioned copyright. To request permission, please contact
Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103,
via email at permissions@lww.com, or via website at lww.com (products and services).
9 8 7 6 5 4 3 2 1
Library of Congress Cataloging-in-Publication Data
Braun, Mary Beth, author.
Introduction to massage therapy / Mary Beth Braun, Stephanie J. Simonson. -- Third edition.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-4511-7319-2
I. Simonson, Stephanie J., author. II. Title.
[DNLM: 1. Massage. WB 537]
RM721
615.8’22--dc23
2013022149
DISCLAIMER
Care has been taken to confirm the accuracy of the information present and to describe generally
accepted practices. However, the authors, editors, and publisher are not responsible for errors or
omissions or for any consequences from application of the information in this book and make no
warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of this information in a particular situation remains the professional responsibility of the practitioner; the clinical treatments described and recommended may not
be considered absolute and universal recommendations.
The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set
forth in this text are in accordance with the current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow
of information relating to drug therapy and drug reactions, the reader is urged to check the package
insert for each drug for any change in indications and dosage and for added warnings and precautions.
This is particularly important when the recommended agent is a new or infrequently employed drug.
Some drugs and medical devices presented in this publication have U.S. Food and Drug Administration
(FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care
provider to ascertain the FDA status of each drug or device planned for use in their clinical practice.
To purchase additional copies of this book, call our customer service department at (800) 638-3030 or
fax orders to (301) 223-2320 . International customers should call (301) 223-2300 .
Visit Lippincott Williams & Wilkins on the Internet
Wilkins customer service representatives are available from 8:30 am to 6:00 pm, EST.
: http://www.lww.com. Lippincott Williams&
For Horace Davis
and all those instructors
who have taught me
how to be a better massage therapist
and instructor.
—MARY BETH BRAUN
In memory of Horace Davis,
who taught me that
there are many ways to learn,
and even more to teach.
—STEPHANIE J. SIMONSON
ntroduction to Massage Therapy, Third Edition, is primarily a textbook for entry-level massage
therapy students who are seeking fundamental and practical knowledge for becoming profession-
I
al massage therapists. It integrates functional anatomy and physiology information with massage
therapy techniques and introduces students to the foundations of history, medical terminology, documentation and communication skills, and business and self-care practices for massage therapists.
This book also serves as a functional approach reference for practicing massage therapists.
Practicing therapists need a functional understanding of the anatomy and physiology as it pertains
to the soft tissues, and they need to understand the various components of a massage therapy practice. This text is designed to provide practical information regarding the assessment and treatment
of clients. In doing so, the special muscle section serves as an excellent guide to treating clients for
their particular areas of concern.
This book was born from our desire for a more functional and practical curriculum for beginning massage therapy students as well as our need for a text that provides guidance and support for
massage therapy instructors. With extraordinary care and teamwork, we have created a massage
therapy textbook that enables the reader to translate the fundamental knowledge base for massage
into practical applications both inside and outside the classroom.
Preface
Unique Organization and Features
This book helps the reader learn how to build a massage therapy business while maintaining health
and energy through self-care.
The third edition has been refined to better prepare students for the National Certification
Exam for Therapeutic Massage and Bodywork. Using the NCE’s content outline as a reference, various topics from the second edition were updated or rearranged. There is a new chapter covering
kinesiology and biomechanics to highlight that aspect of therapeutic massage.
The approach of this book is extraordinarily visual, with a wealth of illustrations and photos
to facilitate comprehension of basic information and hands-on practice. Additionally, the book contains many outstanding features, including the following:
• Step-by-step procedure boxes enable the reader to practice techniques both in and
outside the classroom.
• Progressive case studies walk the reader through the documentation process as
sample clients are presented at different stages of a massage session.
• Critical Thinking Scenarios help the reader develop decision-making skills for applying dif-
ferent techniques in specific conditions.
• Special muscle section (at the end of Chapter 4) presents an easy-to-reference format to help
the reader assess specific body movements and identify muscles that may be involved in a
client’s soft tissue area of concern. This section is also linked to a group of extraordinary
art plates from Basic Clinical Massage Therapy: Integrating Anatomy and Treatment by James H.
Clay and David M. Pounds (Lippincott Williams & Wilkins).
• Key points emphasize information that is particularly important for practical application and
client education.
vii
viii Preface
• Research boxes present evidence-based references that apply the latest research to practice.
• Pathology in-brief boxes provide a “nutshell” description of conditions relevent to massage
therapists.
•
• Contraindication boxes, also new to the second edition, highlight specific conditions
• Key terms are defined at the beginning of each chapter as well as in the glossary to emphasize basic terminology associated with massage therapy.
• Chapter exercises help students review and retain the information they have encountered in
each chapter.
• Video icons have been added to the third edition that lead the student to view the
Alert boxes point out precautions to take in situations that may arise in a massage
Alert
therapist’s practice.
and situations in which massage should not be used or when a specific stroke may be
harmful.
video on ThePoint companion web site. The videos aid the student in visuallly
bringing the concept alive to foster deeper learning of the concepts and flows in
the book.
For Schools and Instructors
The book contains a solid core of basic information that is flexible enough to use in any massage
therapy program. For example, a program with a clinical focus can use advanced clinical massage
and anatomy and physiology books to support its curriculum whereas a program that focuses more
on spa massage can supplement this text with hydrotherapy, aromatherapy, and esthetics textbooks.
The material is presented in a format so instructors can develop a curriculum and teach with ease.
Additional Resources
Introduction to Massage Therapy, Third Edition, includes additional resources for both instructors and
students that are available on the book’s companion Web site at http://thePoint.lww.com.
Instructor Resources
Approved adopting instructors will be given access to the following additional resources:
• Answers to Chapter Exercises
• Critical Thinking Exercises
• Homework Activities
• Terminology
• Ethics Questions
• Matching Exercises
• Test Generator Questions
• Lesson Plans
• PowerPoint Presentations
• Image Bank
• Learning Management System Cartridges