On 12/2/99, Geraldine L. Pellecchia<[log in to unmask]> wrote:
<<The following article may be of interest to you. It's abstract reads, "This
article reviews the existing literature on connective tissue in an attempt to
provide additional substantiation for the use of Dr. James Cyriax's friction
massage." Chamberlain, G. J. (1982). Cyriax's friction massage: A review. J
of Orthopaedic & Sports Physical Therapy, 4, 16-22.>>
***I have been unable to locate that article on Medline and would enjoy
reading through it. Would it be possible to post a copy of the Conclusion (or
brief summary) of that article - since it is a review, an abstract usually
serves as an extended title and the whole article would be too long, but the
Conclusion should yield a useful summary.
Did Chamberlain offer some convincing explanation for the underlying
mechanisms of deep transverse friction?
So far, some of the articles that I have come across that relate to this
issue include the following:
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Goats GC & Keir KA Connective tissue massage Br J Sports Med 1991 Sep;
25(3):131-3
Connective tissue massage (CTM) is a manipulative technique that facilitates
the diagnosis and treatment of a wide range of pathologies. Observation and
subsequent manipulation of the skin and subcutaneous tissues can have a
beneficial effect upon tissues remote from the area of treatment. These
effects appear to be mediated by neural reflexes that cause an increase in
blood flow to the affected region together with suppression of pain.
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Kaada B & Torsteinbo O Increase of plasma beta-endorphins in connective
tissue massage .Gen Pharmacol 1989;20(4):487-9
1. Connective tissue massage relieves pain and increases microcirculation in
a number of vascular beds.
2. The concentration of plasma beta-endorphins has been measured in 12
volunteers before and 5, 30 and 90 min after a 30-min session of connective
tissue massage.
3. There was a moderate mean increase of 16% in beta-endorphin levels,
lasting for about 1 hr with a maximum in the test 5 min after termination of
the massage.
4. It is assumed that the release of beta-endorphins is linked with the pain
relief and feeling of warmth and well-being associated with the treatment.
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McKechnie A et al Anxiety states: a preliminary report on the value of
connective tissue massage.J Psychosom Res 1983;27(2):125-9
Five patients who presented with symptoms of tension and anxiety were
subsequently referred to a physiotherapist and treated with Connective Tissue
Massage. Psychophysiological recordings of heart rate, frontalis EMG, skin
resistance and forearm extensor EMG were taken before and after treatment.
All patients showed a significant response to treatment in one or more of the
psychophysiological parameters.
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Gordon GA Stress reactions in connective tissues: a molecular hypothesis
Med Hypotheses 1991 Nov; 36(3):289-94
The proper qualitative and quantitative stimuli necessary to maintain bone,
cartilage, tendon, and ligament ability to bear load has yet to be completely
elucidated. Substantially greater investigation of these requirements has
been accomplished for muscle than for dense and ordinary connective tissues;
inferential proposals from these muscle observations have been made regarding
connective tissues. This hypothesis postulates there is a highly structured
inter-relationship in terms of the homeostatic stimuli which are shared in
common by these different tissues as suggested by the close anatomic and
functional relationship they have evolved. The evolutionary influence of
man's exercise patterns upon these stimuli, their mode of transduction into
adaptive cellular response, and the vulnerability to overuse injury their
loss creates is hypothesized.
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