Seated & Sports Massage( Treatment and maintenance project) By Denayha Cotton

It's a hard knock life for us

Figure skating is a very elegant sport. The professionals always make it seem that their flawless choreography is done with ease. Constantly praised for their poise and grace. However figure skaters have to practice before the show just like in every other although not every other sport is on ice which leaves much more room for an accident. In this presentation the spot light will be shed on a ice skater who has fallen from grace... literally.

Maxim & Tatania in 2006 winning an olymic gold medal
Maxim & Tatiana

The couple had been rising stars for quite a while until the accident that occurred in the Skate America event when Maxim Marinin her long term partner dropped her head first while he was performing a one-handed lift above his head. Tatiana suffered from a concussion from the trauma of hitting the ice but outside of that their were no further injuries. Tatiana and her coach said they expect that she could begin training again in as little as 10 to 14 days. Marinin,accompanied Totmianina to the emergency room Saturday night and was upset, but doing better Sunday, Vasiliev said."He's mentally depressed, but he understands and we couldn't blame just the partner [for the fall]. There's many, many reasons that could happen," Vasiliev said.Even a small error can turn dangerous when skaters travel up to 40 mph, and men like the 6-foot-3 Marinin lift their female counterparts, the coach said."It's part of the deal in figure skating," Vasiliev said. "You always should be ready for something [bad] happening." However thankfully they did not just let the accident stop them form reaching the top. Maxim & Tatania went on to win a gold medal for Russia on February 13 2006 in Paris.

Most common injuries for figure skaters
Risks:
  • Concussion( in jury to the head)
  • Achilles tendinopathy (injury to the Achilles tendon)
  • Tendinitis( inflammation in the bottom of the feet is called plantar fasciitis also can affect the ankle)
Signs/Symptoms & Treatment
Signs of concussion (MTBI)
  • Blackouts
  • poor balance
  • Nausea or vomiting
symptoms of concussion
  • Fatigue
  • Mental confusion
  • Headache
  • ringing in the ears
  • irritablility
  • sensitivity to light
Treatment for concussion

There is no specific cure for a concussion. However there are things that can be done to aide recovery like getting as much rest as possible and a vast decrease in manual activities such as watching television.Thus for giving the brain a chance to recover from the acute trauma. Any supportive care should stay close by in case condition worsens.Medications for headache and anti-nausea are advised. For any athlete rehabilitation therapies are advised to aid in recovery.

Most beneficial modalities for concussion

Craniosacral Therapy- This not a quick fix very much like most holistic treatments. However after a few treatments the results are very noticeable.

Cold Stone Massage- Cold stones can decrease inflammation and headaches.

Main areas of focus
  • Occipitofontalis
  • Galea Apenneurotica
  • Masseter
  • Temporalis
  • Scalenes
  • Traps
Streches
  • Pin & strech
Additions
  • Lavender ( to relieve irritation)
  • Ice pack under neck or on frontalis
Additional For Achilles tendon injury

Achilles tendinopathy (injury to the Achilles tendon)

Signs:

  • Swelling
  • Stiffness of the Achilles tendon

Symptoms:

  • Heel Pain
  • Tenderness
Treatment for Achilles Tendinopathy
  • Primarily care under supervision of a physician
  • Rest
  • Pain relievers
  • Ice
  • Rehabilitation therapy
Most beneficial modalities for Achilles Tendinopathy
  • Deep tissue ( Deep stripping strokes/Cross fiber friction)
  • Gua-Sha
Tendon scraping tool
Main Areas of focus
  • Achilles Tendon
Stretches

These stretches are advised by WebMD fro Achilles tendon promblems

•Sit with your legs extended and your knees straight.

•Loop a towel around the leg to be stretched. ...

•Hold each end of the towel in each hand, with your hands positioned above your knees.

•Pull back with the towel so that your foot stretches toward you.

•Hold the position for at least 15 to 30 seconds.

Additional treatments
  • Ice therapy to reduce inflammation and pain
Additional for plantar fasciitis
Signs/symptoms of plantar fasciitis

Symptoms:

•Pain on the sole proximal to the heel of the foot

• Pain in the heel when taking the first steps in the morning

•Tenderness when touching the sole or heel

•Pain that increases over a period of time

Signs:

  • Tight Achilles tendons
  • Tight calf muscles
  • Improper Gait
Treatment for Plantar Fasciitis

•Soft, cushioning orthotic - typically custom orthotics are not needed

•Use of night splint

  • Ice compress
Most beneficial modality for Plantar fasciitis

Swedish( firm pressure) - use thumbs to apply cross fiber friction from the heel to the ball of the foot.

Main area of focus
  • The bottom of the foot
Stretches

•Grab the clients big toe, pull it gently towards them gently until they feel the stretch , and hold for 15 to 30 seconds. Do this three times, then reverse and do the same with the other foot.

Additional treatments
  • Ice massage
60 minute protocol

Protocol:

  • Supine
  • Zero ground upper body
  • Zero ground lower body
  • small cranial sacrial session ( light pressure)
  • Petressage & Effleurage arms
  • Swedish( firm pressure) - use thumbs to apply cross fiber friction from the heel to the ball of the foot.
  • Prone
  • Soft tissue release to glutes and hamstrings
  • Hamstring strech
  • Gastrocs Strech
  • Deep stripping strokes/Cross fiber friction) ( spend extra time on the Achilles tendon.

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