© copyright 2010 milady, a part of cengage learning. all rights reserved. the complete spa book for...

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© Copyright 2010 Milady, a part of Cengage Learning. All Rights Reserved. The Complete Spa Book for Massage Therapists BATH AND SHOWER TECHNIQUES HEAT & COLD APPLICATIONS EXFOLIATION THALASSOTHERAPY LESSON S-2.0

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© Copyright 2010 Milady, a part of Cengage Learning.All Rights Reserved.

The Complete Spa Bookfor Massage Therapists

BATH AND SHOWER TECHNIQUES

HEAT & COLD APPLICATIONS

EXFOLIATION

THALASSOTHERAPY

LESSON S-2.0

© Copyright 2010 Milady, a part of Cengage Learning. All Rights Reserved.

SPA THOUGHT

“Nature’s blood is water.”

Professor Jonathan Paul De Vierville, Ph.D.

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DO SPA TREATMENTSREALLY WORK?

• The short answer to this question is “yes!”• The effectiveness of many spa therapies is the

direct result of basic hydrotherapy.

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HYDROTHERAPY

the application of water in its liquid, solid, or

vapor forms, either externally or internally, to

induce health benefits in the recipient

© Copyright 2010 Milady, a part of Cengage Learning. All Rights Reserved.

HYDROTHERAPY EFFECTS

• The primary physiological effects of hydrotherapy fall into three categories:– thermal– mechanical– chemical

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THERMAL EFFECTS

• By far the most important effect

• Caused by application of water at temperatures above or below body temp

• Causes changes in circulation, digestion, perspiration, and other functions

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MECHANICAL EFFECTS

• Caused by the impact of water on the body– hydrotherapy tubs– Jacuzzis– showers

• Mild (shower) or intense (hydro tub)

• Impact stimulates local circulation, decreasing muscle aches and pains

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CHEMICAL EFFECTS

• Ingesting spa waters– European spa clients often drink mineral-laden

spa waters. • Using water for colonic irrigation

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BATH TECHNIQUES

• Bathing has been, during many times in many cultures, the essence of the spa experience.

• In much of the world, “taking the waters” is used interchangeably with “going to a spa.”

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BALNEOTHERAPY

• Means “therapeutic bathing,” from the Latin balneum (bath), and includes:– all types of water

• thermal spring, mineral, silt-filled

– additives used in the waters• herbs, powders, oils, & gases

– the thermal, mechanical, & chemical effects of the waters, plus the additives

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THERAPEUTIC BATHS

1. Herbal Bath

2. Essential Oil Bath

3. Seaweed Bath

4. Fango Bath/Mud Bath

5. Mineral Bath

6. Enzyme Bath

7. Whirlpool Bath

8. Hydrotherapy Tub Bath

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THERAPEUTIC BATHS (CONT.)

9. Underwater Massage

10. Cold Bath/Cold Plunge

11. Carbon Dioxide Bath

12. Hot Bath

13. Contrast Bath

14. Localized Bath

15. Foot Bath

16. Sitz Bath

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HYDROTHERAPY TUB

• Used by top spas

• Powerful underwater massage hose

• Jets separated into zones for customized treatments

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HYDROTHERAPY TUB BATH

• Thermal and mechanical effects of water create primary benefits

• Therapeutic ingredients also have effects– essential oils– seaweed extracts– clay powders– herbs

© Copyright 2010 Milady, a part of Cengage Learning. All Rights Reserved.

• Found extensively in spas

• A quick way to close pores and refresh the body

• Improves immune functioning

COLD PLUNGE

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• Roman thermae featured cold plunges.– room called the frigidarium for cooling– as important as warming the body– Sebastian Kneipp recommended cold baths 

• Most clients skip the cold plunge.– miss out on the benefits of contrast therapy

– therapists can educate clients about benefits

COLD PLUNGE

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• Spa shower techniques: any directed spray of water for therapeutic purposes from one or more outlets, aimed at clients who are either standing or lying down

• Percussive treatments that meld both mechanical and thermal therapeutic effects

SHOWER TECHNIQUES

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• Vichy shower

• Swiss shower

• Scotch hose

TYPES OF SPA SHOWERS

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MAIN EFFECTS OF HEAT/COLD

• Local• Systemic• Reflex

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LOCAL EFFECTS OF HEAT

• Affects skin & tissues 3–4 cm deep

• Increases circulation & metabolic processes

• Draws white blood cells for healing & detox

• Creates vasodilation

• Helps diminish pain & muscle spasms

• Applied w/ fomentations, hydrocollator, etc.

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SYSTEMIC EFFECTS OF HEAT

• Vasodilation of superficial blood vessels• Increased heart rate• Quick spike then drop in blood pressure• Increased sweating (diaphoresis)• Muscles & soft tissues more supple• Increased diuresis (elimination by kidneys)

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REFLEX EFFECTS OF HEAT

• Application of heat to one area causes increased circulation & heat in another

• Spa treatments that heat the skin also affect internal organs

© Copyright 2010 Milady, a part of Cengage Learning. All Rights Reserved.

LOCAL EFFECTS OF COLD

• Vasoconstrictor, analgesic, tonic• Blood flow restricted• Skin blanches• Local circulation slowed• Local tissue temp lowered• 10–20 minutes lowers metabolic process• Brief = stimulating; prolonged = sedative

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SYSTEMIC & REFLEX EFFECTS OF COLD

• Lessens sensibility to pain – analgesic• Local muscle tone increased – tonic• Few spa treatments involve systemic cold

– contrast therapies, cold plunge• Long exposure to cold – hunting response

– body attempts to re-warm by dilating & contracting blood vessels

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MAJOR CONTRAINDICATIONSFOR HEAT THERAPIES

• High or low blood pressure

• Cardiovascular conditions

• Diabetes

• Fever

• Pregnancy

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SPECIAL PREGNANCY ISSUE

• No deep strokes or heat application to legs!

• In second trimester, more clotting factor

• Higher fibrinogenic activity

• Risk of deep vein thrombosis 5x higher

• Risk of dislodging a blood clot

• Avoid 3 months postpartum

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• Most popular is cold plunge• Other therapies include:

– wet sheet wraps– sunburn-relief cooling treatments– cold mitten friction

• Localized applications:– ice pack– cold compress

SPA COLD TREATMENTS

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• Main effects are created through the removal of heat from the body

• Recommended for:– reducing fever & inflammation– soothing minor sunburn– cooling down during & after heat

applications• Also exert effects through retrostasis

– heat removed from one area & sent to another

SPA COLD TREATMENTS (CONT.)

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• Intensity depends upon several factors:– water temp (ranges from ice to 60ºF)– duration– frequency with which material is dipped in

cold water– vigor of the friction applied

SPA COLD TREATMENTS (CONT.)