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View Full Version : CST and "The Father of Swedish Massage"



JasonE
12-07-2005, 08:00 PM
With the CST for Health Professionals seminar about to happen on Saturday, I've been talking to many people that have questions on how CST and massage therapy can complement one another. While perusing historical information, I was surprised to find this information about the man commonly known as "The Father of Swedish Massage":


Per Henrik Ling (1776-1839) is credited with developing Swedish massage, but he did not invent it. He learned massage from others and through persistent experimentation put the information together in a workable form.

Ling proposed an integrated program for the treatment of disease using active and passive movements and massage. Legend has it that Ling's interest in these methods was sparked by the gout in his own elbow. He developed a system of massage that used many of the positions and movements of Swedish gymnastics. Combining these strokes with exercises, he healed his diseased elbow. Ling's program was based on the newly discovered knowledge of the circulation of the blood and lymph. (It is interesting to note that the Chinese had been using these methods for centuries.)

While teaching fencing, Ling observed that habitual movements interfered with the development of desired movements. He determined that the development of a skill depended on the mental mastery of habit; therefore he began teaching bodily movements systematically. He developed his medical gymnastics in 1814, but his methods were bitterly opposed by the Swedish medical establishment for almost 20 years. He was not trained in medicine, and his tendency to use poetic and mystic language in his writings on gymnastics was thought to interfere with wider acceptance of his ideas. Current experts in massage would be wise to take note of Ling's experience; it is essential that massage be explained in the medical and scientific terminology of the day.

With the support of influential clients, Ling was granted a license to practice and teach his method, and he established the Royal Gymnastic Central Institute. The primary focus of Ling's system, especially in his later writings, was on gymnastics applied to the treatment of disease. This position was a change from his earlier educational and military gymnastics, which was intended only for healthy people.

In his system, Ling divided movements into active, duplicated, and passive forms. Active movements are performed by the person's own effort and correspond to what commonly is called exercise. Duplicated movements are performed by the person with the cooperation of a gymnast (therapist) and involved active effort by both parties, in which the action of the one was opposed by the other. Duplicated movements correspond to what today is commonly called resistive exercise. Passive movements are performed for the person by the active effort of the gymnast alone. They consist of passive movements of the extremities, what we today call range of motion and stretching. Movement therapy was not separated from massage, and both were considered integral to the system.

Ling taught many physicians from Germany, Austria, Russia, and England, who spread his teachings to their own countries. Ling was recognized by his contemporaries and later followers not so much as a great innovator but as a keen observer who adopted methods only after testing their effectiveness. He combined many techniques into one coherent system. By the time of Ling's death in 1839, his system had achieved worldwide recognition. Ling's teachings endured because he developed a school to continue teaching medical gymnastics, or the Swedish movement cure, as it became known in the United States in the late nineteenth century.

That text is copied directly from pages 15-16 of Mosby's Fundamentals of Therapeutic Massage, 3rd edition, by Sandy Fritz.

On further investigation, I learned that Ling's status as "The Father of Swedish Massage" is somewhat erroneous. There's an excellent article here that clarifies his status and points out that Ling was primarily interested in the "gymnastic" approach to healing disease:

Peter Ling is not the "father of Swedish massage," because Swedish massage was not a part of Ling’s Swedish Gymnastic Movements nor the curriculum of the Royal Central Gymnastic Institute founded by Ling in 1813.
http://www.massagemag.com/2002/issue100/history100.htm

Ling was apparently a very accomplished gymnast and a master fencer, which gave him the insight and credibility to successfully promote his approach to healing. I am very happy to have found this information, as my own explorations have been leading towards a similar fusion of movement and massage in the treatment of clients.

Somehow I think Ling would approve of CST and where it is headed. :)

Joseph David
12-08-2005, 08:16 AM
Good stuff Jason,

I agree, the intergaration of movement with bodywork modalities is paramount. Passive massage modalities does very little for changing the coordination pattern that got the would be "patient" where there are in their structure. The one thing that I have found in my experience that in some situations, deep release of a particular structure can be counter productive or even down right dangerious. The reason being is that often a tension chain is bracing for weakness in the structure. If you remove that element that is helping to brace and protect without teaching the body how to facilitate the weakened action, you have a recipe for disaster. Without their coping mechanism, their structure becomes vulnrable to injury. I have seen it many times. A client gets deep tissue massage and goes out and injures themself.

This is why I use kinesiology to access function and coordination. It is more importent to functional stablize a structure by teaching movements facilitate inhibited segments than release tension chains. Howeever, that can happen simotaniously under the write circumstances. The intent is to facilitate. As the structure come into balance the releases will happen.

With CST, we are giving ourselves or our clients movements that teach us to functionally stabilize accross the joints we are acting on. Dynamic range of motion is the ability to fuctional stabilize in that range. Passive range of motion only gives one a limeted view of tissue elasticity and length and joint position. Passive movement does not educate the nervious system in stability or function, only active movement can.

Coach Bentz
12-08-2005, 10:56 AM
Passive massage modalities does very little for changing the coordination pattern that got the would be "patient" where there are in their structure. The one thing that I have found in my experience that in some situations, deep release of a particular structure can be counter productive or even down right dangerious.

Thank you for writing that, Joseph. I had enough of those experiences in my practice to call everything i'd been taught into question. It was as if the faster their structure changed, or the larger the change we saw in a session, the higher the chance the body (or the mind) would seem to reject it.

I'd go to my teachers with those cases, but that never seemed to happen to their clients, so I had to assume I was doing something wrong, missing or incorrectly applying some principle or technique. The clients would usually be going out and raking or snow shovelling, etc, which you could always say they were just overdoing it in that instance.

But the ones that really got me were what might've been much deeper issues coming up, and the reinjuries got weird. One in particular I remember, she had a diagnosis of CRPD, and every time we'd get her affected joints moving notably better, she'd not show up for a week or two, and return with injuries to those joints that prevented therapy to those areas for a few more sessions. It may very well have been that she lost her balance and fell down the stairs, every time, but my gut felt otherwise. She eventually abandoned therapy, which was also strange because I was seeing her pro bono twice a week because I was really interested in CRPD at the time.

I didn't know how to help her, but, it was those kind of experiences that led me to pursue movement-oriented methods and eventually RMAX. Nice to feel like I don't have three heads if I say something like I'd rather try to stretch and move (now, move and maybe stretch!) rather than run & get a massage right away if something's hurting.

Jason, thanks for that elaboration on Per Henrik Ling. I remember learning about him in MT school briefly, and something about the gymnastics, but at that time he was mentioned more as a test factoid. He sounds much more interesting in this light. :)

Brian

Scott Sonnon
12-08-2005, 11:06 AM
Jason,

I highly encourage you to put this into article format!

Robert V
12-09-2005, 11:29 AM
Just in time! This is great. In January I will begin teaching my PowerHouse Yoga Bodyflow in a massage facility. Many of the therapist raved about my class and it got back to the owner of the company. I just interviewed and I will begin soon. Your post is an excellent way for me to show why WW and Bodyflow belongs there.

Thanks!

Joseph David
12-09-2005, 01:07 PM
Excellent Robert!

JasonE
12-09-2005, 03:36 PM
Searching the web, I have been unsuccessful at finding anyone (anywhere in the world) who claims to have preserved any part of Ling's medical gymnastics... at best, the Swedish Institute in NYC also offers a Personal Trainer course to prepare students for ACE and/or NSCA certification. :roll: No mention at all of Ling's gymnastics, despite the fact that Ling's later writings vastly emphasized the use of the gymnastics vs the massage. :!:

True to my impulses, I have ordered an 1889 text on Ling's methods written by one of his later students. It claims to be a manual of instruction on "medical gymnastics and massage therapy", and should be an interesting read.

On a side note, I'm completing my first trimester of massage training and last night I worked on several practice clients. One of them had been trained through the same program that I am in, and complained of a shoulder injury. She has been getting professional massage and other alternative health treatments, but has not been exercising it. Though I was only assigned to provide a "relaxation massage" (borrowing heavily from Swedish massage techniques), I decided to see what could be done with the shoulder.

By the end of an hour, I'd provided a full-body relaxation massage and doubled the pain-free ROM in the injured shoulder. Her scapula had started locked down and nearly immobile, but was moving pretty well (with the usual bumps and clicks, of course) afterwards. At no time did I attempt to use Trigger Points, as I haven't received training in that modality yet. It was merely a matter of applying the tools I had and noticing how her tissues responded. In addition to the massage techniques, I used a fair bit of passive ROM movements to work the shoulder gently through varying degrees of freedom. At one point I went too aggressively and caused light discomfort, but backed off and was able to work her shoulder pain-free from there on. After the work was completed, she stated that her shoulder discomfort was completely gone for the first time in weeks, and her neck discomfort had cleared up as well. :D

If not for my experiences with martial arts (joint manipulation) and CST (joint mobility), I'd never have improvised certain portions of the treatment I provided. Like most of my classmates, I'd have reduced the pressure used and worked more or less around the injury, leaving it virtually untouched until she could see a more experienced practitioner. That would mean at least another week of pain before she had another chance at getting relief. :( Her symptoms sounded so much like those I used to have that I had to make an attempt to do more... I can still remember the constant throb of pain and feeling powerless to function normally even as regular MDs told me nothing was seriously wrong.

I don't know if the treatment I provided will be lasting... I told her it would probably take some work on her part to rehab it properly, then recommended she check out the CST for Health Professionals seminar on Saturday.

*sigh* If she doesn't rehab her shoulder properly, she won't last much longer as a massage therapist. I'd hate to see that happen.

JasonE
12-09-2005, 03:42 PM
And yes, I will be writing some articles on Ling and the use of "medical gymnastics"... Some feathers are going to get ruffled, but oh well. I can take the heat one must suffer in order to stir the pot.

Randell Waddell
12-09-2005, 04:15 PM
Some feathers are going to get ruffled, but oh well. I can take the heat one must suffer in order to stir the pot.

Good on you, Jason.

R. :D

Coach Tran
12-09-2005, 09:55 PM
Jason,

Brillant! I love to see this as a CST article.

Coach Flanagan
12-09-2005, 10:08 PM
Jason,

it sounds like you're making some great discoveries. Good job man!

JasonE
12-10-2005, 02:12 AM
It's more like being an archeaologist than an explorer, but discoveries either way. Jarlo and I have spoken about this recently, and he was kind enough to bring a reprint of an 1896 manual called: Handbook of Medical and Orthopedic Gymnastics by Dr. Anders Wide. This book discusses Ling's work in some detail and incorporates much information on the work of Dr. G. Zander, whose emphasis on mechanical aids for medical gymnastics eventually supplanted much of Ling's early methods. I may eventually track down a copy for myself, as this book presents an important transitional phase in the field of medical gymnastics from the inside.

Side note: Jarlo and I reviewed all the material we'll be covering at the seminar over a late dinner. His depth of understanding is phenomenal, and I was frankly astounded by how clearly he was able to bring together CST and physical therapy. Our seminar participants are going to be blown away!

Randell Waddell
12-10-2005, 05:00 AM
Your participants are in for a treat !!!!

R. :D

Coach Tran
12-10-2005, 06:47 AM
Our seminar participants are going to be blown away!

Jason and Jarlo, NO Digggie Doubt! I am sure your seminar will roX!