THERAPEUTIC

TOUCH &
MASSAGE
THERAPY, YOGA
AND PET
THERAPY
THERAPEUTIC TOUCH

• also called Non-Contact Therapeutic

Touch (NCTT) or Distance Healing
• is an energy therapy claimed to promote
healing and reduce pain and anxiety.
• by placing hands on, or near, a patient,
practitioners are able to detect &
manipulate patient's putative energy
field.
ORIGIN OF TOUCH THERAPY
• conceived in the 1970s by Dora Kunz, a
theosophy promoter and one-time
president of the Theosophical Society of
America, and Dolores Krieger, a nursing
educator at New York University.
• According to them, it is the healee
(client) who heals himself. The healer or
therapist acts as a human energy
support system until the healee's own
immunological system is robust enough
to take over.
METHOD OF TOUCH THERAPY
• Begins by using the hands to gently glide
close over the body without actually touching
• This allows the energy field of the
practitioner to connect with the energy field
of the patient.
• The practitioner determines where the flow
is inhibited or blocked.
• Each median or chakra is related to some
aspect of physical, mental, or spiritual
vitality, a blockage will produce a negative
impact on some aspect of the patient’s well-
being.
METHOD OF TOUCH THERAPY (contd..)
• To relax the individual & stimulate a
proper flow of energy once more.
• Acupuncture, aromatherapy, tapping may
be done along.
• Surroundings must be perfectly quiet.
• Tapping calls for using the forefinger &
index finger to lightly tap on specific points
on the face, upper chest,& hand.
• As the tapping takes place, the patient
either audibly or silently repeats a mantra
that focuses on the negative symptom.
BENEFITS OF TOUCH THERAPY
• A sensation of enveloping warmth from
the therapist’s touch
• A totally relaxed state
• The feeling of vibrations of energy
coursing through the entire body
• Intense euphoria and feelings of peace
• A kaleidoscope of color and beautiful light
• An intense sense of clarity, inner peace
and well-being
 MASSAGE THERAPY
• Is the manipulation of superficial layers of
muscle & connective tissue to enhance
the function & promote relaxation & well-
being.
• Involves acting on & manipulating the
body with pressure–structured,
unstructured, stationary, or moving–
tension, motion, or vibration
• Target tissues are muscles, tendons,
ligaments, skin, joints, or other connective
tissue, or GI system. Massage can be
applied with the hands, fingers, elbows,
Origin of Massage Therapy
• Writings on massage have been found
in many ancient civilizations including
Rome, Greece, India, Japan, China,
Egypt & Mesopotamia
• Daily massage with olive oil & myrrh as
a part of the beauty regimen of the
wives of Xerxes.
• The Ancient Chinese book called
Huangdi Neijing by the Yellow Emperor
recommended "massage of skin and
flesh".
Equipments For Massage Therapy

• Tables and Chairs

• Vichy Shower
• Dry-Water Massage
Bed
• Oil
• Body Rock
 Massage Practioners
• Massage therapists, athletic trainers
and physical therapists
• Work in a variety of medical and
recreational settings
• May travel to private residences or
businesses
TYPES OF MASSAGE THERAPY
• Classification I-
Acupressure
Ayurvedic Massage
Champissage
Medical Massage
Shiatsu
Swedish Massage
Thai massage
Stone Massage
Watsu
TYPES OF MASSAGE THERAPY (contd..)

• Classification II-
Relaxation Massage
Remedial Massage
Sports Massage
Aromatherapy Massage
Reflexology
Oriental Massage Therapies
Contraindications of Massage
Therapy
• deep vein thrombosis
• bleeding disorders or taking blood
thinners such as Warfarin
• damaged blood vessels
• weakened bones from cancer,
osteoporosis, or fractures
• fever
Benefits Of Massage Therapy
• Pain relief, reduced anxiety and
depression, and temporarily reduced
blood pressure and heart rate
• Blocks nociception (gate control theory),
activating the parasympathetic nervous
system, which stimulate the release of
endorphins and serotonin, preventing
fibrosis or scar tissue, increasing the flow
of lymph, and improving sleep
Benefits Of Massage Therapy (contd..)
Single Dose Effects-
• Pain relief
• Reduce anxiety
• Reduce blood pressure and heart
rate
• Attention: EEG patterns indicate
enhanced performance & alertness on
mathematical computations.
• Other: stimulates the immune system
by increasing peripheral blood
lymphocytes
Benefits Of Massage Therapy (contd..)
Multiple dose effects-
• Pain relief: When combined with
education & exercises, massage might
help sub-acute, chronic, non-specific low
back pain.
• Reduce anxiety
• Reduce depression
• Diseases: spastic diplegia resulting
from Cerebral palsy, improve symptoms,
disease progression, & quality of life in
HIV patients.
 Regulation
• Registered Massage Therapist (RMT)
Canada
• Remedial Massage Therapist (RMT)
New Zealand
• Certified Massage Therapist (CMT) New
Zealand
• Licensed Massage Practitioner (LMP)
• Licensed Massage Therapist (LMT)
• The Department of AYUSH under the
Ministry of Health and Family Welfare
(India) in March 1995
 YOGA
• Sanskrit root Yug mean “to bind” or “to Yoke”
• Means uniting of all the powers of the body,
mind and spirit
• an approach to live a balanced life based on
ancient teachings found in Hindu spiritual
treatises
• The great Yogi patanjali {500 BC} classified
the teachings of the Upanishads into eight
ways of being, referred to as Ashtanga Yoga:
YAMA, NIYAMA, ASANAS, PRANAYAMA,
PRATYAHARA, DHARANA, DHAYANA,
 YOGA (contd..)

• Treats human indispositions as naturally

as possible, to alleviate pain & suffering
through set of exercises, both physical &
mental
• Preventive, curative, soothing &
restorative
• Aims at holistic treatment of a variety of
psychological or psychosomatic disorders
ranging from sinusitis & asthma to
emotional distress.
Principles of Yogic Therapy
• Holds that a person’s health depends on
himself.
• Emphasis on physical, mental, emotional
balance & development of a sense of
harmony with all of life.
• endeavors to re-establish inner balance
through a variety of ways, which is why it is
considered a holistic art.
• Brings ability to more easily accept & adapt to
change, resulting in enhanced well-being in
body, mind, heart & spirit; hence applicable to
almost all chronic conditions.
 Steps Of Yoga Therapy
• Right Posture – Asanas
• Right Breathing – Pranayama
• Right Cleansing – Kriyas
• Right Diet – Balanced Yogic Diet
• Right Relaxation – Shavasana
• Right Mindset – Meditation
performed together & consistently, help rid of
a variety of psychosomatic disorders
Eliminate aggravated toxins from the system,
balance tri-doshas &stimulate essential
biochemical substances in affected organs
 Yoga Benefits
• Aging process can be slowed down
• Keeps body clean, flexible & well
lubricated, which significantly reduce cell
deterioration
• Help ailments like DM, BP, GI disorders,
arthritis, arteriosclerosis, chronic fatigue,
asthma, varicose veins & heart conditions
• Increase abilities of consciously
controlling autonomic functions like
temperature, heartbeat & BP
 Yoga Benefits(contd..)
• Is successful because of the balance
created in the nervous & endocrine systems
• Acts both as curative & preventive therapy
• Gives mental peace, improve concentration
powers, a relaxed state of living & harmony
in relationships
• Ultimate goal- to be able to fuse together the
gross material (annamaya), physical
(pranamaya), mental (manomaya),
intellectual (vijnanamaya) and spiritual
(anandamaya) levels within the being.
 Yoga Benefits(contd..)
• Psychological Benefits
creates mental clarity &calmness, increases
body awareness, relieves chronic stress
patterns, relaxes mind, centers attention &
sharpens concentration
• Self-Awareness
increase self-awareness on both a physical
&psychological level. Patients learn to induce
relaxation & then to use the technique
whenever pain appears. Provide tools to
cope with pain & help counter feelings of
helplessness & depression
 Yoga Benefits(contd..)
• Mental Performance
breathing through one nostril results in
increased activity on the opposite side of
the brain, which improve communication
between the right and left side of the
brain.
this increased brain activity is associated
with better performance
enhance cognitive performance.
 Yoga Benefits(contd..)
• Mood Change And Vitality
gives a positive effect on outlook and
energy level
Yogic stretching and breathing exercises
result in an invigorating effect on both
mental and physical energy and
improved mood.
 Yoga Benefits(contd..)
• Spiritual Benefits
When one achieve the yogic spirit, one
can begin knowing oneself at peace. The
value of discovering one`s self and of
enjoying one`s self as is, begins a journey
into being rather than doing. Life can then
be lived practicing "yoga off the mat".
 Yoga Benefits(contd..)
• Pride
Pride, and especially anxiety about pride, is
something which Hatha Yoga seeks to
diminish or eliminate. To one who has been
dejected because he cannot do his work
properly when he becomes tired, irritable, or
haggard, any degree of refreshment may be
accompanied by additional degrees of self-
respect.
 Yoga Benefits(contd..)
• Knowledge
increase self-knowledge. This knowledge is
not merely that of the practical kind relating
to techniques, but especially of a spiritual
sort pertaining to grasping something about
the nature of the self at rest.

The value of discovering one`s self and of

enjoying one`s self as it is, rather than as it is
going to be, is indeed a value as well as a
kind of knowledge
 Yoga Benefits(contd..)
• Yoga Therapy for Mental Problems
• reduce Depression and Anxiety
• Stress relief
• Lots of Sun Salutations to tire out the
body
• Kapalabhati
• Anuloma-Viloma
• Brahmari
• Shavasana
 PET THERAPY
• Uses the unconditional love of the animal for
a human being
• Interacting with animals is good for our
physical state of health as our happy minds
release good hormones to help boost our
immune system.
• Are simple minded in giving their love and
expecting almost nothing in return.
• Used for variety of patients -people with
AIDS or cancer, the elderly, rehabilitation
hospitals and the mentally ill
 PET THERAPY (contd..)
• Before such pets are used for pet therapy,
they need to be trained.
• Possible scenarios are enacted out with the
trainer to expose the dog to different
situations.
• Appropriate responses are taught to the dog
to prevent the animal from panicking when it
faces a real situation.
• Animals who don't know how to react will
show either a fight or flight response, which
will depress or upset the patients.
 PET THERAPY (contd..)
• Pets used in convalescence therapy need
strict health checks
• Dogs used must possess basic obedience
skills which will help it handle unexpected or
stressful situations. It must be able to sit
down, walk calmly and behave coolly in the
face of strangers and other disturbances.
• Dog socialization involves meeting different
people. The dog also needs to grow
accustomed to people in wheelchairs,
crutches or hospital beds.
PET THERAPY (contd..)
• The special training for pet therapy during
convalescence is also available at most
dog obedience schools
• If you need temporary pet friend, you can
also try to request for a visiting pet and
handler from your community's Kennel
Club or other affiliated clubs which have
the pet therapy programs.
 Types of Pet

• Animal is of interest to you.

• Could be a dog, a cat, parakeet, a gold
fish or anything else
• Pet you have selected fit your
temperament, living space and lifestyle.
Otherwise it will be additional source of
stress.
 How
• People who own pets may have different
personality traits than those who do not
• Pet ownership affect people physiologically
through soothing & relaxing effect of touch.
• Speechless communication, watching cat or
fish, may produce a relaxation
• Pet owner feel they need to survive to take
care of their pets. Stroking a dog, watching a
kitten tumble, observing the hypnotic
explorations of fish can be an antidote to a
foul mood or a frazzling day.
 Role of Nurse
• Many nurses already practices
the use of complementary therapies e.g.
relaxation therapies, yoga, meditation,
massage etc.
• Should be knowledgeable of
complementary therapies to make
appropriate recommendations.
• Should provide advice to the clients
regarding when to seek complementary
therapies.
 Role of Nurse (contd..)
• Should be aware of their state nurse
practice act w.r.t. complementary
therapies & practice only within the scope
of these laws.
• Nurse work very closely with their clients
and are in the unique position of becoming
familiar with the clients religious & cultural
view points so that they offer
recommendations accordingly.
Role of Nurse (contd..)
• With increase of mass media &
communications technologies, clients
interests & participation in
complementary therapies are increasing.
Therefore, it is important for nurses to be
knowledgeable about multiple therapies
& keep abreast of the current research in
this area to provide accurate information
not only to the client but to other health
care professionals.
 Role of Nurse (contd..)
What are the risks associated with this
therapy?
Do the known benefits outweigh the
risks?
What side effects can be expected?
Will the therapy interfere with
conventional treatment?
Is this therapy part of a clinical trial?
If so, who is sponsoring the trial?
Will the therapy be covered by health
insurance?
THANK YOU