Massage therapies are widely used for improving and restoring the function of human tissues. It is generally accepted that such therapies promote human health and well-being by several possible mechanisms, including increase in blood flow and parasympathetic activity, release of relaxation hormones, and inhibition of muscle tension, neuromuscular excitability, and stress hormones. Nonetheless, most of the purported beneficial/adverse effects of massage are based on anecdotal experiences, providing little insight on its effectiveness or the mechanisms underlying its usefulness. Furthermore, most studies to date have not quantitatively demonstrated the efficacy of massage on human health. This might be due to the lack of appropriate tools necessary for the application of quantitatively controlled loading and for the evaluation of the subsequent responses. To address this issue, we developed a device that applies compression in lengthwise strokes to the soft tissues of the New Zealand white rabbit, thereby mimicking the rubbing and effleurage techniques of massage. This device permits control of the magnitude and frequency of mechanical load applied to the rabbit’s hind limb for various durations. The measurement of tissue compliance and the viscoelastic properties as a function of loading parameters was also demonstrated. Findings of this study suggest that this device offers a quantitative analysis of the applied loads on the tissue to determine an optimal range of loading conditions required for the safe and effective use of massage therapies.

1.
Galloway
,
S.
,
Watt
,
J.
, and
Sharp
,
C.
, 2004, “
Massage Provision by Physiotherapists at Major Athletics Events Between 1987 and 1998
,”
Br. J. Sports Med.
,
38
(
2
), pp.
235
237
. 0306-3674
2.
Mars
,
M.
,
Maharaj
,
S. S.
, and
Tufts
,
M.
, 2005, “
The Effect of Compressed Air Massage on Skin Blood Flow and Temperature
,”
Cardiovascular Journal of South Africa
,
16
(
4
), pp.
215
219
. 1015-9657
3.
Mori
,
H.
,
Ohsawa
,
H.
,
Tanaka
,
T. H.
,
Taniwaki
,
E.
,
Leisman
,
G.
, and
Nishijo
,
K.
, 2004, “
Effect of Massage on Blood Flow and Muscle Fatigue Following Isometric Lumbar Exercise
,”
Med. Sci. Monit.
,
10
(
5
), pp.
CR173
178
. 1234-1010
4.
Li
,
X.
,
Hirokawa
,
M.
,
Inoue
,
Y.
,
Sugano
,
N.
,
Qian
,
S.
, and
Iwai
,
T.
, 2007, “
Effects of Acupressure on Lower Limb Blood Flow for the Treatment of Peripheral Arterial Occlusive Diseases
,”
Surg. Today
,
37
(
2
), pp.
103
108
. 0941-1291
5.
Tochikubo
,
O.
,
Ri
,
S.
, and
Kura
,
N.
, 2006, “
Effects of Pulse-Synchronized Massage With Air Cuffs on Peripheral Blood Flow and Autonomic Nervous System
,”
Jpn. Circ. J.
,
70
(
9
), pp.
1159
1163
. 1346-9843
6.
Weerapong
,
P.
,
Hume
,
P. A.
, and
Kolt
,
G. S.
, 2005, “
The Mechanisms of Massage and Effects on Performance, Muscle Recovery and Injury Prevention
,”
Sports Med.
,
35
(
3
), pp.
235
256
. 0112-1642
7.
Hu
,
J.
,
Zhang
,
X. L.
, and
Yan
,
J. T.
, 2007, “
Effects of Massage on Satellite Cells of Acute Contusive Skeletal Muscles
,”
Journal of Acupuncture and Tuina Science
,
5
(
1
), pp.
6
9
.
8.
Tiidus
,
P. M.
, 1997, “
Manual Massage and Recovery of Muscle Function Following Exercise: A Literature Review
,”
J. Orthop. Sports Phys. Ther.
,
25
(
2
), pp.
107
112
. 0190-6011
9.
Tiidus
,
P. M.
, and
Shoemaker
,
J. K.
, 1995, “
Effleurage Massage, Muscle Blood Flow and Long-Term Post-Exercise Strength Recovery
,”
Int. J. Sports Med.
,
16
(
7
), pp.
478
483
. 0172-4622
10.
Bernas
,
M.
,
Witte
,
M.
,
Kriederman
,
B.
,
Summers
,
P.
, and
Witte
,
C.
, 2005, “
Massage Therapy in the Treatment of Lymphedema
,”
IEEE Eng. Med. Biol. Mag.
0739-5175,
24
(
2
), pp.
58
68
.
11.
Warren
,
A. G.
,
Brorson
,
H.
,
Borud
,
L. J.
, and
Slavin
,
S. A.
, 2007, “
Lymphedema: A Comprehensive Review
,”
Ann. Plast. Surg.
,
59
(
4
), pp.
464
472
. 0148-7043
12.
Linnitt
,
N.
, and
Davies
,
R.
, 2007, “
Fundamentals of Compression in the Management of Lymphoedema
,”
Br. J. Nurs.
,
16
(
10
), pp.
588
592
. 0966-0461
13.
Ernst
,
E.
, 1999, “
Massage Therapy for Low Back Pain: A Systematic Review
,”
J. Pain Symptom Manage
,
17
(
1
), pp.
65
69
. 0885-3924
14.
Zullino
,
D. F.
,
Krenz
,
S.
,
Fresard
,
E.
,
Cancela
,
E.
, and
Khazaal
,
Y.
, 2005, “
Local Back Massage With an Automated Massage Chair: General Muscle and Psychophysiologic Relaxing Properties
,”
J. Altern Complement Med.
,
11
(
6
), pp.
1103
1106
. 1075-5535
15.
Eguchi
,
A.
, 2004, “
Effect of Static Stretch on Fatigue of Lumbar Muscles Induced by Prolonged Contraction
,”
Electromyogr. Clin. Neurophysiol.
,
44
(
2
), pp.
75
81
. 0301-150X
16.
Cowen
,
V. S.
,
Burkett
,
L.
,
Bredimus
,
J.
,
Evans
,
D. R.
,
Lamey
,
S.
,
Neuhauser
,
T.
, and
Shojaee
,
L.
, 2006, “
A Comparative Study of Thai Massage and Swedish Massage Relative to Physiological and Psychological Measures
,”
Journal of Bodywork and Movement Therapies
,
10
(
4
), pp.
266
275
.
17.
Hur
,
M. H.
,
Oh
,
H.
,
Lee
,
M. S.
,
Kim
,
C.
,
Choi
,
A. N.
, and
Shin
,
G. R.
, 2007, “
Effects of Aromatherapy Massage on Blood Pressure and Lipid Profile in Korean Climacteric Women
,”
Int. J. Neurosci.
,
117
(
9
), pp.
1281
1287
. 0020-7454
18.
Bost
,
N.
, and
Wallis
,
M.
, 2006, “
The Effectiveness of a 15 Minute Weekly Massage in Reducing Physical and Psychological Stress in Nurses
,”
Aust. J. Adv. Nurs.
,
23
(
4
), pp.
28
33
. 0813-0531
19.
Fang
,
C. S.
, and
Liu
,
C. F.
, 2006, “
Applying Back Massage Protocol to Promote an Intensive Care Unit Patient’s Quality of Sleep
,”
Hu Li Za Zhi
,
53
(
6
), pp.
78
84
. 0047-262X
20.
Field
,
T.
,
Diego
,
M.
, and
Hernandez-Reif
,
M.
, 2008, “
Prematurity and Potential Predictors
,”
Int. J. Neurosci.
,
118
(
2
), pp.
277
289
. 0020-7454
21.
Anderson
,
P. G.
, and
Cutshall
,
S. M.
, 2007, “
Massage Therapy: A Comfort Intervention for Cardiac Surgery Patients
,”
Clin. Nurse Spec
,
21
(
3
), pp.
161
165
. 0887-6274
22.
Holst
,
S.
,
Lund
,
I.
,
Petersson
,
M.
, and
Uvnas-Moberg
,
K.
, 2005, “
Massage-Like Stroking Influences Plasma Levels of Gastrointestinal Hormones, Including Insulin, and Increases Weight Gain in Male Rats
,”
Auton. Neurosci.
1566-0702,
120
(
1-2
), pp.
73
79
.
23.
Solodkov1
,
A. S.
, and
Povareshchenkova
,
Y. A.
, 2006, “
Dynamics of Neuromuscular System Recovery as a Consequence of Various Massage Techniques as Determined From Electroneuromyography Parameters
,”
Hum. Physiol.
,
32
(
5
), pp.
110
120
. 0362-1197
24.
Jones
,
K. C.
, and
Du
,
W.
, 2003, “
Development of a Massage Robot for Medical Therapy
,”
Proceedings of the IEEE/ASME International Conference of Advanced Intelligent Mechatronics
, Vol.
2
, pp.
1096
1101
.
25.
Minyong
,
P.
,
Miyoshi
,
T.
,
Terashima
,
K.
, and
Kitagawa
,
H.
, 2003, “
Expert Massage Motion Control by Multi-Fingered Robot Hand
,”
Proceedings of the International Conference on Intelligent Robots and Systems
, Vol.
3
, pp.
3035
3040
.
26.
Hankey
,
A.
, 2006, “
CAM and the Phenomenology of Pain
,”
Evidence-Based Complementary Alternative Medicine
,
3
(
1
), pp.
139
141
. 1741-427X
27.
Fernandez-de-las-Penas
,
C.
,
Alonso-Blanco
,
C.
,
Fernandez-Carnero
,
J.
, and
Miangolarra-Page
,
J. C.
, 2006, “
The Immediate Effect of Ischemic Compression Technique and Transverse Friction Massage on Tenderness of Active and Latent Myofascial Trigger Points: A Pilot Study
,”
J. Bodywork Movement Therapies
,
10
(
1
),
3
9
.
28.
Gregory
,
M. A.
, and
Mars
,
M.
, 2005, “
Compressed Air Massage Causes Capillary Dilation in Untraumatised Skeletal Muscle: A Morphometric and Ultrastructural Study
,”
Physiotherapy
,
91
(
3
), pp.
131
137
. 0031-9406
29.
Sherman
,
K. J.
,
Dixon
,
M. W.
,
Thompson
,
D.
, and
Cherkin
,
D. C.
, 2006, “
Development of a Taxonomy to Describe Massage Treatments for Musculoskeletal Pain
,”
BMC Complementary and Alternative Medicine
,
6
, pp.
24
. 1472-6882
30.
2003, “Tactile education, Tactile massage,” Stockholm, http://www.taktil.sehttp://www.taktil.se.
31.
Ardeby
,
S.
, 2003,
When Words Are Not Enough: On Hands, Skin and Nervous System From a Tactile Perspective, and the Background of the Original Tactile Massage Method
,
Ambosantus
,
Stockholm
.
32.
Forsberg
,
C.
,
Krusebrant
,
Å.
, and
Bjorvell
,
H.
, 1996,
Tactile Massage
,
National Swedish Board of Health and Welfare
,
Stockholm
.
33.
Andersson
,
K.
,
Wändell
,
P.
, and
Tornkvist
,
L.
, 2007, “
Working With Tactile Massage: A Grounded Theory About the Energy Controlling System
,”
Complementary Therapies in Clinical Practice
,
13
(
4
), pp.
258
265
. 1744-3881
34.
Fung
,
Y. C.
, 1993,
Biomechanics: Mechanical Properties of Living Tissues
, 2nd ed.,
Springer
,
New York
.
35.
Silver-Thorn
,
M. B.
, 1999, “
In Vivo Indentation of Lower Extremity Limb Soft Tissue
,”
IEEE Trans. Rehabil. Eng.
1063-6528,
7
(
3
), pp.
268
277
.
36.
Vannah
,
W. M.
, and
Childress
,
D. S.
, 1996, “
Indentor Tests and Finite Element Modeling of Bulk Muscular Tissue In Vivo
,”
J. Rehabil. Res. Dev.
,
33
(
3
), pp.
239
252
. 0748-7711
37.
Pathak
,
A. P.
,
Silver-Thorn
,
M. B.
,
Thierfelder
,
C. A.
, and
Prieto
,
T. E.
, 1998, “
A Rate-Controlled Indentor for in Vivo Analysis of Residual Limb Tissues
,”
IEEE Trans. Rehabil. Eng.
1063-6528,
6
(
1
), pp.
12
20
.
38.
Bank
,
A. J.
, and
Kaiser
,
D. R.
, 1998, “
Smooth Muscle Relaxation: Effects on Arterial Compliance, Distensibility, Elastic Modulus, and Pulse Wave Velocity
,”
Hypertension
,
32
(
2
), pp.
356
359
. 0194-911X
39.
Hemmings
,
B. J.
, 2001, “
Physiological, Psychological and Performance Effects of Massage Therapy in Sport: A Review of the Literature
,”
Physical Therapy in Sport
,
2
(
4
), pp.
165
170
. 1466-853X
40.
Ostrander
,
L. E.
,
Cui
,
W.
,
Groskopf
,
R.
, and
Lee
,
B. Y.
, 1989, “
Viscoelasticity of Bulk Limb Tissue
,”
Proceedings of the Annual International Conference of the IEEE Engineering in Engineering in Medicine and Biology Society
, Vol.
5
, pp.
1421
1422
.
41.
Holzapfel
G. A.
,
Gasser
T. C.
, and
Stadler
M.
, 2002, “
A Structural Model for the Viscoelastic Behavior of Arterial Walls: Continuum Formulation and Finite Element Analysis
,”
Eur. J. Mech. A/Solids
0997-7538,
21
(
3
),
441
463
.
42.
Weiss
,
J. A.
,
Gardiner
,
J. C.
, and
Bonifasi-Lista
,
C.
, 2002, “
Ligament Material Behavior is Nonlinear, Viscoelastic and Rate-Independent Under Shear Loading
,”
J. Biomech.
0021-9290,
35
(
7
), pp.
943
950
.
43.
Abbott
,
B. C.
, and
Lowy
,
J.
, 1957, “
Stress Relaxation in Muscle
,”
Proc. R. Soc. London, Ser. B
,
146
(
923
), pp.
281
288
. 0962-8452
44.
Butterfield
,
T. A.
, and
Herzog
,
W.
, 2006, “
The Magnitude of Muscle Strain Does Not Influence Serial Sarcomere Number Adaptations Following Eccentric Exercise
,”
Pfluegers Arch. Eur. J. Physiol.
0031-6768,
451
(
5
), pp.
688
700
.
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