Paralysis and Massage Therapy
There are a number of conditions that may cause paralysis of a
part or multiple parts of the body such as Stroke, Spinal Cord Injury,
Cerebral Palsy, or Traumatic Brain Injury. Paralysis may result
in secondary complications like muscle contractures, limitation
of motion, flaccidity, spasticity and weakness of muscles.
Lack or inadequate supply of oxygen in the brain may cause nerve
damage. Blood clots, aneurysms, or increased pressure of blood flow
in the arteries may impede the proper circulation of blood and oxygen
to the brain. There are parts of the brain that are responsible
for the sensation and motor function of the body. Thus if that part
of the brain is damaged, paralysis of the corresponding limb occurs.
In case of paralysis, massage therapy intends to stimulate the
trigger points and nerve endings in such intensity that the nervous
system will surely be aroused. Massage can also loosen the tightness
and rigidity of paralyzed muscles.
Bear in mind, however, that massage therapy may cause pins and
needles sensation to parts of the body that have retained a small
amount of sensory function. However, there is definitely more benefits
from massage that a patient can get than the discomfort. Make sure
to perform regular stimulating massage techniques to flaccid or
spastic muscles to alleviate the distress. Stretching maneuvers
also help to avoid contractures.
It is also important for a massage therapist to establish a good
communication with the patient. This may relax a first time patient
and as his emotion and mind relax, his muscles may follow suit,
hence the massage session will run smoothly between them. The therapist
should explain what the patient should expect before, during, and
after each session. The type of massage therapy to be used and the
benefits the patient could get from it should also be explained
beforehand. The therapist must also encourage the patient to tell
how he feels and the problems he is suffering due to his condition.
Ask a patient first of his preferences like whether he wants a
full body massage or just on parts that have sensation. The patient
must be presented with the advantage of having the paralyzed parts
massaged as well to give him options.
There certainly are specialized massage techniques that work more
on blood circulation of the muscles and those that stimulate reflexes
that could help in the restoration of health as much as possible
even to the paralyzed areas. Hypertonic muscles, for example, need
massage that reduces spasm and promote relaxation.
Spasticity is best dealt with performing passive exercises and
joint maneuvers. It is crucial to keep away from quick movements
as they may trigger spasm even more. Always ask the patient what
he needs and what parts need some relaxation for better results.
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