The Benefits and Differences of Massage in Rehabilitation | A Complete Guide to Who Should Use It, Insurance Coverage, and Fees | column | 日常で気軽に実践できる片麻痺のリハビリ方法や機能を低下させない生活習慣などを解説

Rehabilitation massage is a treatment performed in medical and nursing care settings with the aim of restoring and maintaining physical function. It is primarily aimed at restoring muscle and joint flexibility, promoting blood flow, and reducing pain and swelling, and is performed by qualified professionals such as physical therapists and massage therapists. The most appropriate techniques and methods are selected based on each patient's symptoms and lifestyle, helping to improve the quality of daily life. Because it is performed under the direction and consent of a doctor, it can be used with peace of mind.

The effects and scientific evidence of rehabilitation massage

Rehabilitation massage has been scientifically proven to have many beneficial effects. By relieving muscle tension and increasing the range of motion of joints, it can improve motor function and relieve pain. It also promotes blood circulation, which helps expel fatigue-causing substances, and regulates nervous function, which can have a relaxing effect. It is particularly effective for the elderly, stroke patients, and those with orthopedic disorders.

Results have been reported in many clinical settings and it is performed safely under the guidance of a physical therapist or orthopedic surgeon.

The purpose and general flow of rehabilitation massage

The main goals of rehabilitation massage are to maintain and restore physical function, reduce pain, and improve daily activities. Treatment follows the following steps:

1. Doctor's diagnosis and consent
2. Assessment of patient condition (muscle strength, range of motion, pain, etc.)
3. Planning of treatment plan (determining purpose, technique, and frequency)
4. Massage treatments (shiatsu, stretching, range of motion training, etc.)
5. Confirmation and re-evaluation of effectiveness

This cycle is repeated to ensure optimal treatment.

The difference between rehabilitation massage and other massages and rehabilitation

Rehabilitation massage is specialized for medical purposes and has clear differences from other massage and rehabilitation techniques. Please refer to the table below.

The difference between rehabilitation massage and relaxation massage

Rehabilitation massage is performed based on medical evidence and doctor's instructions, and aims to restore physical function by targeting muscles, joints, and nerves. On the other hand, relaxation massage is primarily aimed at relaxation and healing, and often does not require qualifications or medical involvement. Another major difference is whether or not it is covered by insurance.

The difference between rehabilitation massage and physical therapy/occupational therapy

Rehabilitation massage is performed primarily using massage techniques to increase the flexibility of muscles and joints. Physiotherapy is exercise therapy and physical therapy, focusing on walking training and muscle strengthening. Occupational therapy aims to improve daily living activities and support rehabilitation. Combining multiple therapies can achieve more effective rehabilitation.

Rehabilitation massage is used for a variety of symptoms and illnesses. Its primary target audience is elderly people with reduced muscle and joint function, those with paralysis or movement disorders after a stroke, and those seeking recovery from orthopedic conditions (such as after a fracture, surgery, or osteoarthritis). It is also used for patients suffering from Parkinson's disease, neurological disorders, and chronic pain. Rehabilitation massage can be expected to have many benefits, including relieving muscle tension, improving joint range of motion, and improving daily living activities. The table below summarizes the main target illnesses and purposes.

Home rehabilitation massage: who should receive it and what to do at home

Home rehabilitation massage is suitable for people who have difficulty visiting a hospital or who wish to receive medical care at home. Its main target audience is elderly people certified as requiring nursing care, and patients with cerebral infarction or Parkinson's disease. A major advantage of treatment at home is that it allows for individualized care tailored to each individual's living environment. To ensure safe treatment, it is also important to secure a treatment space, have family members present, and have a contact system in place in case of an emergency.

• Eligible patients are those who have difficulty going to the hospital on their own.
• Often requires a doctor's order or consent form
• It is important to create a safe treatment environment at home

Contraindications and precautions for massage (e.g., contraindications for massage for elderly people, contraindications for cerebral infarction)

There are cases where rehabilitation massage is not suitable or contraindicated. For example, treatment is generally contraindicated in cases of acute fractures, severe heart disease, infections, thrombosis, malignant tumors, and bleeding tendencies. Elderly people often suffer from skin problems and osteoporosis, so excessive force must be avoided and a flexible approach is required. For stroke patients, it is essential to consider the risk of blood clots and blood pressure fluctuations.

Major contraindications:

• Acute inflammation or immediately after a fracture
• Thrombosis (deep vein thrombosis, pulmonary embolism, etc.)
• Bleeding tendency and skin damage
• High fever or infection
• If your doctor has forbidden you from having a massage

Cases requiring doctor's consent and risk management

Rehabilitation massage using medical insurance requires a doctor's consent form. In particular, for those with chronic illnesses, severe disabilities, or unstable conditions, a risk assessment based on a doctor's diagnosis is always performed. Treatment under a doctor's supervision leads to early detection of risk of complications and safe care. If anything unusual occurs during treatment, it is important to immediately stop and consult with a medical institution.

• Confirm safety and suitability by obtaining consent forms
• Immediate response to changes in physical condition during treatment
• Cooperation with medical professionals and families is essential

Rehabilitation massage is an important treatment method aimed at restoring physical function and relieving pain. It is often performed by physical therapists or other professionally qualified therapists, and is widely used in medical and nursing care settings. In recent years, new tools such as massage machines and massage guns have emerged to support more efficient rehabilitation. Understanding the differences between rehabilitation and massage and the characteristics of each technique will help you choose the method that's right for you.

Typical rehabilitation

List of massage techniques (manual, acupressure, stretching, rubbing, etc.)

The main techniques used in rehabilitation massage include:

Each technique can be expected to have different effects, such as relieving muscle tension or increasing joint range of motion. It is important to choose the appropriate method according to the patient's condition and goals.

Rehabilitation: How to use massage guns and massage equipment

The latest rehabilitation massages are increasingly using massage guns and specialized equipment. These devices can reach deep muscles that are difficult to reach by hand, and are characterized by their ability to produce results in a short period of time.

It is also suitable for self-care, and more and more people are incorporating it into their daily routine to recover from fatigue and after exercise.

Rehabilitation Massage: Step-by-step guide (including methods you can do at home)

To effectively perform rehabilitation massage, it is important to understand the correct technique and steps. Here we will introduce a method that is easy to do at home.

1. preparation

   We will provide a relaxing environment and provide heat and oils if needed.

2. Warm up with stroking

   Massage gently to stimulate blood flow.

3. Shiatsu or manual muscle stimulation

   Gently massage your muscles and joints without causing pain or discomfort.

4. Incorporate stretching

   Stretch your joints and muscles as far as you can comfortably.

5. Post-treatment care

   Drink plenty of fluids and be careful not to cool the area too much.

By following this pattern, you can expect to improve the quality of your daily life and restore muscle function.

Examples of rehabilitation massage using videos and images

This visual guide will help you understand and practice rehabilitative massage. It will help you:

• Check the techniques for each part with photos and illustrations

  Make use of materials that use images and diagrams to clearly explain which muscles and joints to move in which directions.

• Video introduction to practical steps

  Being able to watch a video of the technique's movements makes it easier to get an idea of the strength and speed required.

• Self-checklist

  It is important to perform the massage safely while checking the correct posture and amount of pressure.

By utilizing these tools, rehabilitation massage can be practiced safely at home, allowing for ongoing care.

Providing rehabilitation massage requires the appropriate qualifications and expertise. In Japan, the main professionals who provide this treatment include physical therapists, massage therapists, and judo therapists. While self-care using rehabilitation massage machines and massage guns has become popular in recent years, medical treatments must be performed by qualified personnel.

The table below compares key qualification features.

Differences and roles between massage therapists and physical therapists

Masseuses (anma massage and shiatsu therapists) mainly use manual therapy, acupressure, and anma massage to directly target muscles and nerves, with the aim of relieving pain and muscle tension. On the other hand, physical therapists, in addition to exercise therapy and physical therapy, focus on improving daily living activities and support patients in recovering their functions and reintegrating into society.

The key points of role division are as follows:

• Masseuse: Focuses on muscle and nervous system relaxation and relaxation
• Physiotherapist: Responsible for recovery and independence support, focusing on functional training and exercise therapy

As such, it is important to choose the appropriate professional depending on your goals and the type of treatment you will receive.

Risks and legal precautions of rehabilitation massage without a license

Rehabilitation massage treatments by unlicensed practitioners carry the risk of health hazards and legal issues. Medical procedures performed by those without national licenses are in violation of the law and may be subject to penalties. In particular, orthopedic rehabilitation and treatments covered by insurance must be performed by qualified practitioners.

Before undergoing treatment, please be aware of the following risks:

1. Symptoms worsening or injury due to inappropriate treatment
2. Insurance coverage may not cover the cost, which may result in high costs
3. Compensation and liability issues in the event of a medical accident are unclear

How to identify legitimate service providers and determine their reliability

To choose a reliable rehabilitation massage service, it is important to carefully check the provider's qualifications and affiliated institutions. Here is a list of points to consider.

• Check whether they have a national qualification (physical therapist, massage therapist, etc.)
• Is there sufficient explanation before the procedure?
• Are you affiliated with a medical institution or public institution?
• Check reviews, reputation, and track record
• Are the fee structure and insurance coverage explained clearly?

By keeping these points in mind, you can receive a safe and reliable rehabilitation massage.

The cost of rehabilitation massage varies depending on the treatment and type of service. A typical home massage session will cost around 300 to 600 yen for 20 minutes (if covered by insurance). If you pay out of pocket, the average price is around 3,000 to 5,000 yen per session.

The breakdown of costs is as follows:

• Treatment fee (set by time and area)
• Transportation costs (visit only)
• Initial registration fee and administrative fee (varies depending on the service)

There is a clear price list for each service, so it is a good idea to check it in advance.

Price comparison and points for visiting massage and in-home massage

Visiting massage and in-home massage are covered by insurance if the client's physical condition and doctor's consent are obtained. The price points are as follows.

• When covered by insurance, the self-pay rate is 10-30%
• Prices vary depending on distance and treatment time
• May not be used in conjunction with nursing care insurance services

Be sure to check the service details and pricing structure of each service in advance and compare them as necessary.

Conditions for application of medical insurance and nursing care insurance and procedures for use

There are several conditions to use medical insurance and nursing care insurance. The main points are as follows.

• Medical insurance: Applies when a doctor deems it necessary, such as for muscle paralysis or joint contracture
• Nursing care insurance: In principle, this applies to home rehabilitation, but does not cover massage alone.

The application process begins with obtaining a doctor's diagnosis and consent form. Prepare your insurance card and other necessary documents before proceeding.

Details of massage insurance coverage conditions, consent forms, and required documents

To be eligible for insurance coverage, the following conditions must be met:

• Issuance of a "Massage Consent Form" by a doctor
• Diagnosis of target diseases (stroke sequelae, Parkinson's disease, joint contracture, etc.)
• Submit the user's insurance card

The documents required for the procedure are as follows:

• Massage Consent Form
• Health insurance card
• Service application form

Once you have gathered these documents, submit them to the service provider.

Specific steps and points to note before starting use

The process for using rehabilitation massage is clear. Even if you are a first-time user, you should understand each step so you can proceed with confidence.

1. Consultations and inquiries (contacting service providers and medical institutions)
2. Doctor's examination and consent form acquisition
3. Preparation and submission of necessary documents
4. Service details and fees
5. Usage contract and schedule adjustment
6. Treatment begins

Please note that insurance will not be applied without a doctor's consent. Also, depending on the user's health condition or illness, coverage may not be available.

Steps from consultation/inquiry to the start of treatment

• Consult with service providers and clinics by phone or online
• Doctor appointment and diagnosis
• Prepare necessary documents such as consent forms and insurance cards
• Interview with a representative and explanation of services
• Arrangement and reservation of the first treatment date

Make sure you understand these steps to ensure a smooth start to use the service.

Price comparison table suggestions

Comparing the cost of rehabilitation massage with other services will help you make the right choice.

It is important to compare the content and pricing of each service in advance and choose the service that best suits your goals and needs.

Power Assist Series to Support Hemiplegia Rehabilitation - LAP Co., Ltd.

LAP Corporation has developed and offers the Power Assist Series to support home rehabilitation for people with hemiplegia due to stroke, accidents, and other conditions. This series uses air pressure to gently move paralyzed finger, ankle, and wrist joints, assisting rehabilitation training. It can be easily used at home, enabling continuous rehabilitation. The product lineup includes the Power Assist Hand for fingers, the Power Assist Leg for ankles, and the Power Assist Wrist for wrists, supporting rehabilitation for each body part. Through these rehabilitation assistance robots, we contribute to the recovery of function and improvement of quality of life.

LAP Co., Ltd.
address	2-1-40 Oikawa, Atsugi City, Kanagawa Prefecture, 243-0212
phone	046-204-9343

inquiry

Company name: LAP Co., Ltd.
Address: 2-1-40 Oikawa, Atsugi City, Kanagawa Prefecture, 243-0212
Phone number: 046-204-9343