How does NMT work?

I previously explain what NMT or Neuromuscular Technique is.  In this blog post I want to focus on how NMT works.

With NMT when the static pressure is applied to the muscle, a message is sent from the muscles (via the golgi tendons & the muscles spindles both of which are part of the nervous system) to the brain and then the muscle relaxes.  Within the muscles

  • Golgi tendons respond to load or force on the muscle
  • Muscle spindles respond to the length of the muscle

The Golgi tendon operates as a protective feedback mechanism to control the tension of an active muscle by causing relaxation before the tendon tension becomes high enough to cause damage.

As the muscle relaxes it may cause a change in length which causes the muscle spindles to be reset.

There is a variety of ways that massage therapists utilise these mechanisms within a massage to trigger the body’s self protection system to relax muscles.

Related Posts

  • Scientific Evidence for massage reducing muscle pain

    I would say the number one reason for booking with Vitality Therapy is muscle pain in either

    • Shoulders
    • Neck
    • Lower Back
    • Knees
    • Elbows
    • Headaches
    I know that new clients often come to us because we were recommended by their colleagues; who came to us with muscle pain and found massage relieved it.  So my clinical experience is consistent with the view that massage has been traditionally used to relieve pain.  But what about the scientific evidence? Lower back pain is the most common reason for visiting your GP and hence one of the most studied areas of massage.  Several scientific studies have concluded that massage therapy is more effective than a placebo for sub acute and chronic lower back pain.  The evidence suggest that massage therapy achieved significant client satisfaction and reduction in pain levels, both in the short and long term. References
    1. Cherkin D, Sherman K, Deyo R, Shekelle P. A review of the evidence for the effectiveness, safety, and cost of acupuncture, massage therapy, and spinal manipulation for back pain. Ann Intern Med 2003; 138(11): 898-906.
    2. Chou R, Huffman L. Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med 2007; 147(7): 492-504.
    3. Dryden T, Baskwill A, Preyde M. Massage therapy for the orthopaedic patient: a review. Orthop Nurs 2004; 23(5): 327-34.
    4. Furlan A, Brosseau L, Imamura M, Irvin E. Massage for low-back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine 2002; 27(17): 1896-910.
    5. Imamura M, Furlan A, Dryden T, Irvin E. Evidence-informed management of chronic low back pain with massage. Spine J 2008; 8(1): 121-33.
    6. Tsao J. Effectiveness of Massage Therapy for Chronic, Non-malignant Pain: A Review. Evid Based Complement Alternat Med 2007; 4(2): 165-79.
    7. van Tulder M, Furlan A, Gagnier J. Complementary and alternative therapies for lower back pain. Best Pract Res Clin Rheumatol 2005; 19(4): 639-54
     

  • Hip Pain

    Hip pain is common problem, and it can be confusing because there are many causes.  The most common cause of Hip Pain is arthritis for which you will need to see your GP for them to advise on the best treatment option of you. Trochanteric Bursitis Trochanteric bursitis is an extremely common problem that causes inflammation of the bursa, which is a protective cusion over the outside of the hip joint.  There are two main bursa which protect the hip joint, the superficial trochanteric bursa and the deep trochanteric bursa.  The superficial trochanteric bursa lies beneath the tensor fasciae latae (one of the muscles on the side of your hip) and the deep trochanteric bursa lies beneath the the largest of your glutes (gluteus maximus) both of the these muscles insert in to the Iliotibial Band (ITB).  Reduced flexibility in your gluteus maximus, tensor fasciae latae or ITB can cause trochanteric bursitis, from too much cycling or running or from running on uneven surfaces.  Another common cause is some women is an imbalance between your abductor and adductor muscles.  Trochanteric bursitis can also be caused by clients altering their posture as a result of a previous back injury. In all these cases a deep tissue or sports massage can help.  However if the cause is walking with more weight going through the outside of your foot (excessive foot eversion) then your make need to see a podiatrist for personalized orthotics. Hip Flexors Illiopsoas the main hip flexor, shortens when we sit down, so prolonged sitting can cause contracture (anatomical shortening) which can cause either lower back or hip pain.  I have personally found this to be a common cause of hip pain which can be successfully treated with deep tissue or sports massage. If you experience lower back or hip pain when standing up from a seated position then rectus femoris which is one your largest quadriceps muscle make be tight and/or your gluteus maximus which is the other muscle which helps your stand from a seated position may be weak.  If you suspect you have weak glutes you can strengthen them with squats and lunges. Fractures Hip fractures are common in the elderly with osteoporosis.  Stress fractures of the hip are common in people who participate in high impact sports e.g. long distance running, treatment is usually to avoid the high impact sport and this is usually successfully. When should I see my GP about my hip pain?  

    • Inability to walk comfortably on the affected side
    • Injury that causes deformity around the joint
    • Hip pain that occurs at night or while resting
    • Hip pain that persists beyond a few days
    • Inability to bend the hip
    • Swelling of the hip or the thigh area
    • Signs of an infection, including fever, redness, warmth
    • Any other unusual symptoms
      If you want to know if Vitality Therapy can help you with your hip pain then please email joanne@vitalitytherapy.co.uk.

  • Is a 15 minute Neck & Shoulder Massage beneficial?

    Fifteen minutes is a very short space of time, so I am often asked by potential clients if they will receive any benefits from such a short massage. Well the good news is that you do receive benefits, and its not just me saying that, or the subjective experience of other clients there is scientific evidence too.

    • In 1996 Shulman, K.R. & Jones, G.E. in the Journal of Applied   Behavioural Science, looked at the effectiveness of chair massage in reducing anxiety in an organisation. An on-site chair massage therapy program was provided to reduce anxiety levels of 18 employees in a downsizing organization. 15 control group s participated in break therapy. Subjects’ stress levels were measured with the State-Trait Anxiety Inventory, which was administered twice during pretest, post-test, and delayed post-test to achieve stable measures. The study concluded that significant reductions in anxiety levels were found for the massage group. 1
    • In 1996 Field, Ironson, Pickens et al. in the International Journal of Neuroscience concluded that chair massage therapy offers benefits in not just alleviating the physiological effects of anxiety, but also in improving mental alertness.2
    • In 1997 Cady et al. in Perceptual & Motor Skills evaluated the effectiveness of a 15 minute chair massage on reducing stress as indicated by blood pressure. 52 employed participants' blood pressures were measured before and after a 15 minute massage at work. Analysis showed a significant reduction in participants' systolic and diastolic blood pressure after receiving the massage. High Blood pressure is associated with anxiety and stress, this study supports the conclusion that chair massage is relaxing and reduces stress. 3
    There is solid scientific evidence of the benefits of a 15 minute seated acupressure massage, so why not book now. References
    1. KR Shulman and GE Jones, 1996, The effectiveness of massage therapy intervention on reducing anxiety in the work place, Journal of Applied Behavioural Science (32), p160 – 173
    2. Field T; lronson G; Scafjdi F; Nawrocki T; Goncalves A; Burman I; Pickens J; Fox N; Schanberg S; Kuhn C, Sep 1996, Massage Therapy Reduces Anxiety and Enhances EEG Pattern of Alertness and Math Computations, The International Journal of Neuroscience, 86 (3-4) p197-205Read More: http://informahealthcare.com/doi/abs/10.3109/00207459608986710
    3. Cady SH and Jones GE, Feb 1997, Massage therapy as a workplace intervention for reduction of stress, Perceptual & Motor Skills, (1) p157- 158Read More: http://www.ncbi.nlm.nih.gov/pubmed/9132704