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The Massage Connection

ANATOMY AND PHYSIOLOGY

SECOND EDITION

The Massage

ANATOMY AND PHYSIOLOGY

Kalyani Premkumar

University of Calgary

Canada

Connection

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out written permission from the copyright owner.

The publisher is not responsible (as a matter of product liability, negligence, or otherwise) for any injury re-

sulting from any material contained herein. This publication contains information relating to general princi-

ples of medical care that should not be construed as speciﬁc instructions for individual patients. Manufac-

turers’ product information and package inserts should be reviewed for current information, including

contraindications, dosages, and precautions.

Printed in the United States of America

Library of Congress Cataloging-in-Publication Data

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04 05 06 07

1 2 3 4 5 6 7 8 9 10

To my dad, D.I. Paul (deceased), and my mother, Stella

Paul, who lovingly supported me (ﬁnancially and otherwise)

throughout my undergraduate and postgraduate education

and to my parents-in-law, A.G. Vedasundararaj (deceased)

and Helen Vedasundararaj, who believed that I could use

my medical education for the good of others.

Preface

he ﬁrst edition of this book was written to meet the speciﬁc needs of massage ther-

apy students and profession and to simplify the learning and teaching of anatomy and

physiology. It was a result of having shared the intense frustration of massage therapy

students as they tried to weed out irrelevant details from texts written for medical and

nursing students and focus on what they needed to know for their profession.

The speciﬁc requirements for the book were painstakingly determined by scrutinizing

the curriculums of many massage therapy schools in the United States and Canada. In

addition to personal experience, the input from massage therapy students and therapists

was used to organize the objectives and contents of the book. The ﬁrst edition was well

received.

As with any product, there is always scope for improvement; however, improvements

are best made based on feedback from all stakeholders. Changes and additions made to

the second edition are based on feedback from those who actually use the book—the

massage therapy students, instructors, practitioners, and policy makers.

The ﬁrst edition was organized into three major divisions—anatomy and physiology—

system-wise; topics in pathology; and case studies in relation to each body system. Based

on feedback, the second edition is compiled as one major section, with each chapter dis-

cussing one body system. Important pathology topics and relevant case studies have

been incorporated into each chapter.

A chapter outline and a detailed list of objectives are given at the beginning of each

chapter to help the student construct a conceptual framework and identify the key

points. Each chapter is interspersed with information boxes that describe pathologies

relevant to the anatomy and physiology topic under study. Also included are boxes that

give speciﬁc information relevant to massage therapists. All new terms and key terms are

shown in boldface throughout the text. New to this edition is the inclusion of additional

illustrations—and colorful ones at that. Color was signiﬁcantly absent in the previous

edition.

Extensive review questions, with answers and pictures for labeling and coloring, are

given at the end of each chapter to assess the understanding of basic concepts intro-

duced. Case studies, giving typical scenarios that the therapist may encounter in the

clinic, have been included. This will place the study of each system in the right context

and encourage problem solving. The case studies may be used for discussion after the

study of the chapter or used as a starting point for the study of individual systems.

Exciting advances have been made in the ﬁeld of massage therapy since the publica-

tion of the ﬁrst edition. Additional books have been published. A number of authentic

studies have been published on the use and effects of massage therapy on the body. Sys-

tematic studies on the effects of speciﬁc massage techniques for various diseases and

conditions are also underway. It is important for these ﬁndings and advances to be in-

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