Rosenow Mica, Munk Niki
Indiana University School of Health & Human Sciences - IUPUI, Indianapolis, IN, USA.
Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Sydney, NSW, Australia.
Int J Ther Massage Bodywork. 2021 Mar 1;14(1):4-11. eCollection 2021 Mar.
Massage has shown promise in reducing symptoms related to dissociation and anxiety that can exacerbate chronic pain and suffering. The combat wounded, veteran population is increasing and requires a multidisciplinary approach for comprehensive treatment. This case study examines massage therapy use to improve veteran combat injury rehabilitation and recovery experience through purposive, retrospective, and comprehensive SOAP note review.
A 31-year-old White male received seven, 60-min, full body massages for combat related shoulder injury complications incurred approximately six years before presentation. The right shoulder sustained a broken humeral head and complete dislocation during a defensive maneuver in a life-threatening attack. This case study utilized data from three different assessments: goniometric measurements for shoulder range of motion, observation and documentation for environmental comfort behaviors, and client self-report for treatment goal attainment. Six weekly, full body, 60-min massages were completed sequentially. A follow-up 60-min treatment was completed at Week 8. Treatment to the injured area included focused trigger point therapy, myofascial release, and proprioceptive neuromuscular facilitation to the neck, shoulder, and chest.
Total percent change for active flexion, extension, abduction, adduction, internal rotation, and external rotation were 12.5, 150, 40, 167, 14.3, and 0%, respectively. Total percent change for passive flexion, extension, abduction, adduction, internal rotation, and external rotation were 63.6, 350, 66.7, 450, 133, and 77.8%, respectively. Environmental comfort behaviors were reduced. Client treatment goals were attained.
Massage therapy provided meaningful benefit to a combat injury for a veteran with PTSD.
按摩已显示出有望减轻与解离和焦虑相关的症状，这些症状会加剧慢性疼痛和痛苦。战伤退伍军人的数量在增加，需要采用多学科方法进行综合治疗。本案例研究通过有目的、回顾性和全面的SOAP病历审查，探讨了按摩疗法在改善退伍军人战伤康复和恢复体验方面的应用。
一名31岁的白人男性因大约六年前发生的与战斗相关的肩部损伤并发症接受了七次、每次60分钟的全身按摩。在一次危及生命的袭击中的防御动作中，其右肩肱骨头骨折并完全脱位。本案例研究利用了来自三种不同评估的数据：肩部活动范围的角度测量、环境舒适行为的观察和记录，以及客户对治疗目标达成情况的自我报告。依次完成了六次每周一次、每次60分钟的全身按摩。在第8周完成了一次60分钟的后续治疗。对受伤部位的治疗包括针对颈部、肩部和胸部的集中触发点疗法、肌筋膜放松和本体感觉神经肌肉促进。
主动屈曲、伸展、外展、内收、内旋和外旋的总百分比变化分别为12.5%、150%、40%、167%、14.3%和0%。被动屈曲、伸展、外展、内收、内旋和外旋的总百分比变化分别为63.6%、350%、66.7%、450%、133%和77.8%。环境舒适行为减少。客户的治疗目标得以实现。
按摩疗法对战后应激障碍退伍军人的战伤有显著益处。
