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Neuromuscular Re-education Massage

The American Medical Association defines neuromuscular reeducation as the use of therapeutic techniques for the purpose of improving impaired movement, balance, coordination, decreased kinesthetic sense, and impaired proprioception. Although neuromuscular reeducation therapy includes several modalities, the procedures used at Strictly Therapeutic involve proprioceptive neuromuscular facilitation (PNF) and muscle energy techniques (MET).

PNF reprograms the nervous system by: 1) stimulating proprioceptors, which are the receptors in the joint that communicate information about body position to the brain by way of the motor nervous system via sensory nerves, and 2) employing a series of diagonal contract-relax stretching patterns to assist increase of movement. Often clients with pain can be unaware of the postural adaptation their body makes to enable them to continue with their activities. For example unconsciously holding one shoulder higher than the other over time can introduce neck pain. By stretching groups of muscles in a variety of diagonal movement patterns and by making use of light resistance at various points in the range of motion, PNF can help promote a new awareness of unconscious holding patterns and weaknesses, as well as assisting the client toward improving their strength and flexibility.

MET is a method of active resistance performed by the client against a gentle force applied by the therapist. The theory behind this treatment is that the voluntary action by the client to contract muscles against resistance requires higher brain function. Restoring normal muscle function by way of higher brain function empowers the client and can dramatically change chronic pain patterns. In addition, the client is a participating member in the process and therefore is no longer a passive recipient of therapy. MET has been known to stimulate the synthesis of new cells to repair injured tissue, help realign and strengthen connective tissue fibers, lengthen shortened tissue, increase the range of motion of the joints, and balance the strength of muscles crossing the joints to help evenly distribute the pressures moving through the joints.

The Curativo Massage at Strictly Therapeutic combines Neuromuscular re-education techniqes with those of Orthopedic massage.