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International Acupuncture Academy
Written by International Martial Arts Union    Friday, 13 December 2013 12:40    PDF Print E-mail






Acupuncture is a collection of procedures involving penetration of the skin with needles to stimulate certain points on the body. In its classical form it is a characteristic component of traditional Chinese medicine (TCM). It has been categorized as a complementary health approach. According to traditional Chinese medicine, stimulating specific acupuncture points corrects imbalances in the flow of qi through channels known as meridians. Scientific investigation has not found any histological or physiological correlates for traditional Chinese concepts such as qi, meridians, and acupuncture points, and some contemporary practitioners use acupuncture without following the traditional Chinese approach. Although minimally invasive, the puncturing of the skin with acupuncture needles poses problems when designing trials that adequately control for placebo effects. A number of studies comparing traditional acupuncture to sham procedures found that both sham and traditional acupuncture were superior to usual care but were themselves equivalent. These findings are apparently at odds with traditional Chinese theories regarding acupuncture point specificity. Existing evidence is consistent with acupuncture being no more effective than a placebo. Acupuncture's use for certain minor conditions has been recognized by the United States National Institutes of Health, the National Health Service of the United Kingdom, the World Health Organization, and the National Center for Complementary and Alternative Medicine. However, skeptics have criticized various health governing bodies' endorsements of acupuncture as being unduly credulous and not including objections to or criticisms of the claims of acupuncture's effectiveness. Acupuncture is generally safe when administered using Clean Needle Technique (CNT) but there is a low risk of adverse effects, which can be serious.


-  Antiquity

The precise start date of acupuncture's invention in ancient China and how it evolved from early times are uncertain. Traditional Chinese religion attributes the introduction of acupuncture to the god Shennong. One explanation is that Han Chinese doctors observed that some soldiers wounded in battle by arrows were believed to have been cured of chronic afflictions that were otherwise untreated, and there are variations on this idea. Sharpened stones known as Bian shi have been found in China, suggesting the practice may date to the Neolithic or possibly even earlier in the Stone Age. Hieroglyphs and pictographs have been found dating from the Shang Dynasty (1600–1100 BCE) which suggests that acupuncture was practiced along with moxibustion. It has also been suggested that acupuncture has its origins in bloodletting or demonology.

Despite improvements in metallurgy over centuries, it was not until the 2nd century BCE during the Han Dynasty that stone and bone needles were replaced with metal. The earliest examples of metal needles were found in a tomb dated to c. 113 BCE, though their use might not necessarily have been acupuncture. The earliest example of the unseen meridians used for diagnosis and treatment are dated to the second century BCE but these records do not mention needling, while the earliest reference to therapeutic needling occurs in the historical Shiji (English: Records of the Grand Historian) but does not mention the meridians and may be a reference to lancing rather than acupuncture.The earliest written record of acupuncture is found in the Huangdi Neijing ( translated as The Yellow Emperor's Inner Canon), dated approximately 200 BCE. It does not distinguish between acupuncture and moxibustion and gives the same indication for both treatments. The Mawangdui texts, which also date from the 2nd century BCE (though antedating both the Shiji and Huangdi Neijing), mention the use of pointed stones to open abscesses, and moxibustion, but not acupuncture. However, by the 2nd century BCE, acupuncture replaced moxibustion as the primary treatment of systemic conditions. The practice of acupuncture expanded out of China into the areas now part of Japan, Korea, Vietnam and Taiwan, diverging from the narrower theory and practice of mainland TCM in the process. A large number of contemporary practitioners outside of China follow these non-TCM practices, particularly in Europe. In Europe, examinations of the 5,000-year-old mummified body of Ötzi the Iceman have identified 15 groups of tattoos on his body, some of which are located on what are now seen as contemporary acupuncture points. This has been cited as evidence that practices similar to acupuncture may have been practiced elsewhere in Eurasia during the early Bronze Age.

-  Middle history

Korea is believed to be the second country that acupuncture spread to outside of China. Within Korea there is a legend that acupuncture was developed by the legendary emperor Dangun though it is more likely to have been brought into Korea from a Chinese colonial prefecture.Around 90 works on acupuncture were written in China between the Han Dynasty and the Song Dynasty, and the Emperor Renzong of Song, in 1023, ordered the production of a bronze statuette depicting the meridians and acupuncture points then in use. However, after the end of the Song Dynasty, acupuncture lost status, and started to be seen as a technical profession, in comparison to the more scholarly profession of herbalism. It became rarer in the following centuries, and was associated with less prestigious practices like alchemy, shamanism, midwifery and moxibustion.Portuguese missionaries in the 16th century were among the first to bring reports of acupuncture to the West. Jacob de Bondt, a Dutch surgeon traveling in Asia, described the practice in both Japan and Java. However, in China itself the practice was increasingly associated with the lower-classes and illiterate practitioners.In 1674, Hermann Buschoff, a Dutch priest in Batavia, published the first book on moxibustion (from Japanese mogusa) for the cure of arthritis. The first elaborate Western treatise on acupuncture was published in 1683 by Willem ten Rhijne, a Dutch physician who had worked at the Dutch trading post Dejima in Nagasaki for two years. In 1757 the physician Xu Daqun described the further decline of acupuncture, saying it was a lost art, with few experts to instruct; its decline was attributed in part to the popularity of prescriptions and medications, as well as its association with the lower classes.In 1822, an edict from the Emperor Daoguang banned the practice and teaching of acupuncture within the Imperial Academy of Medicine outright, as unfit for practice by gentlemen-scholars. At this point, acupuncture was still cited in Europe with both skepticism and praise, with little study and only a small amount of experimentation.In the United States, the earliest reports of acupuncture date back to 1826, when Franklin Bache, a surgeon of the United States Navy, published a report in the North American Medical and Surgical Journal on his use of acupuncture to treat lower back pain. Since the beginning of the 19th century, acupuncture was practiced by Asian immigrants living in Chinatowns.

-  Modern era

In the early years after the Chinese Civil War, Chinese Communist Party leaders ridiculed traditional Chinese medicine, including acupuncture, as superstitious, irrational and backward, claiming that it conflicted with the Party's dedication to science as the way of progress. Communist Party Chairman Mao Zedong later reversed this position, saying that "Chinese medicine and pharmacology are a great treasure house and efforts should be made to explore them and raise them to a higher level. Under Mao's leadership, in response to the lack of modern medical practitioners, acupuncture was revived and its theory rewritten to adhere to the political, economic and logistic necessities of providing for the medical needs of China's population. Despite Mao proclaiming the practice of Chinese medicine to be "scientific", the practice was based more on the materialist assumptions of Marxism in opposition to superstition rather than the Western practice of empirical investigation of nature. Later the 1950s TCM's theory was again rewritten at Mao's insistence as a political response to the lack of unity between scientific and traditional Chinese medicine, and to correct the supposed "bourgeois thought of Western doctors of medicine" (p. 109).Acupuncture gained attention in the United States when President Richard Nixon visited China in 1972. During one part of the visit, the delegation was shown a patient undergoing major surgery while fully awake, ostensibly receiving acupuncture rather than anesthesia. Later it was found that the patients selected for the surgery had both a high pain tolerance and received heavy indoctrination before the operation; these demonstration cases were also frequently receiving morphine surreptitiously through an intravenous drip that observers were told contained only fluids and nutrients.The greatest exposure in the West came after New York Times reporter James Reston received acupuncture in Beijing for post-operative pain in 1971 and wrote complaisantly about it in his newspaper. Also in 1972 the first legal acupuncture center in the U.S. was established in Washington DC; during 1973-1974, this center saw up to one thousand patients. In 1973 the American Internal Revenue Service allowed acupuncture to be deducted as a medical expense.Acupuncture has been the subject of active scientific research both in regard to its basis and therapeutic effectiveness since the late 20th century, but it remains controversial among medical researchers and clinicians. In 2006, a BBC documentary Alternative Medicine filmed a patient undergoing open heart surgery allegedly under acupuncture-induced anesthesia. It was later revealed that the patient had been given a cocktail of weak anesthetics that in combination could have a much more powerful effect. The program was also criticized for its fanciful interpretation of the results of a brain scanning experiment.On November 16, 2010, acupuncture was recognized by UNESCO as part of the world's intangible cultural heritage.


The general theory of acupuncture is based on the premise that bodily functions are regulated by an energy called qi which flows through the body; disruptions of this flow are believed to be responsible for disease. Acupuncture describes a family of procedures aiming to correct imbalances in the flow of qi by stimulation of anatomical locations on or under the skin (usually called acupuncture points or acupoints), by a variety of techniques. The most common mechanism of stimulation of acupuncture points employs penetration of the skin by thin metal needles, which are manipulated manually or by electrical stimulation.


The application of evidence-based medicine to researching acupuncture's effectiveness is a controversial activity, which has produced different results despite a growing evidence base. Some research results are encouraging but others suggest acupuncture's effects are mainly due to placebo.Some scientists have opposed the very activity of investigating acupuncture's effectiveness. In the 1980s, writing of acupuncture's revival in the West, Petr Skrabanek argued that the principal issue that faced researchers was the demarcation between reason and absurdity, and that ideas should be rejected out-of-hand that lacked a testable hypothesis. More recently, Pete Greasley has expressed criticism of continued research into a practice based on a "magical, pseudoscientific rationale". Other scientists take a different view: Edzard Ernst has cautioned that prejudgement can lead to closed thinking, and that the aim of evidence-based research "is to establish whether a treatment works, not how it works or how plausible it is that it may work".It is difficult to design research trials for acupuncture. Due to acupuncture's invasive nature, one of the major challenges in efficacy research is in the design of an appropriate placebo control group.The most commonly proposed placebo control has been "sham acupuncture" to control for different aspects of traditional acupuncture. This includes needling sites not traditionally indicated for treatment of a specific condition to control for the effectiveness of traditional acupuncture for specific conditions and/or needling performed superficially or using retracting needles or non-needles (including toothpicks) to control for needle penetration and stimulation.A 2009 review concluded that the specific points chosen to needle do not matter, and no difference was found between needling according to "true" points chosen by traditional acupuncture theory and "sham" acupuncture points unrelated to any theory. The authors suggested four possible explanations for their observed superiority of both "true" and sham acupuncture over conventional treatment, but lack of difference in efficacy between "true" and sham acupuncture Other authors have suggested randomized controlled trials may under-report the effectiveness of acupuncture as the "sham" treatment may still have active effects, though this position undercuts the traditional theory of acupuncture which associates specific acupuncture points with specific and distinct results.Publication bias is also listed as a concern in the design of randomized trials of acupuncture.A 1998 review of studies on acupuncture found that trials originating in China, Japan, Hong Kong and Taiwan were uniformly favourable to acupuncture, as were ten out of 11 studies conducted in Russia. A 2011 assessment of the quality of randomized controlled trials on TCM, including acupuncture, concluded that the methodological quality of most such trials (including randomization, experimental control and blinding) was generally poor, particularly for trials published in Chinese journals (though the quality of acupuncture trials was better than the drug-related trials). The study also found that trials published in non-Chinese journals tended to be of higher quality.

-  Cancer

The American Cancer Society notes that in China acupuncture is promoted as a cure for physical illness and say that "available evidence does not suggest acupuncture is effective as a treatment for cancer", although clinical studies suggest it may be helpful in relieving some of the side effects of chemotherapy, such as nausea. Cancer Research UK say "there is no evidence to show that acupuncture helps in any way with treating or curing cancer, but research suggests that it is helpful in relieving some symptoms of cancer or the side effects of cancer treatment.

-  Fertility and childbirth

A 2013 systematic review and meta-analysis found no benefit of adjuvant acupuncture for in vitro fertilization on clinical pregnancy success rates. A 2010 Cochrane review found that there was no evidence acupuncture improved pregnancy rates irrespective of when it was performed and recommended against its use during in vitro fertilization either during egg retrieval or implantation.

-  Nausea and vomiting

Stimulation of a particular acupuncture point (PC6, located on the underside of the forearm, several finger-widths from the wrist) is traditionally thought to relieve nausea.There is some evidence that acupuncture might help with post-operative nausea and vomiting (PONV), but the effects found are small and not likely to be clinically significant.

-  Stroke

There is no evidence acupuncture helps reduce the rates of death or disability after a stroke, but some suggestion it may help with dysphagia, which would need to be confirmed with future rigorous studies.

-  General

A 2012 meta-analysis conducted by the Acupuncture Trialists' Collaboration found "relatively modest" efficiency of acupuncture (in comparison to sham) for the treatment of four different types of chronic pain, and on that basis concluded it "is more than a placebo" and a reasonable referral option. Commenting on this meta-analysis both Edzard Ernst and David Colquhoun said the results were of negligible clinical significance. Using the same dataset as the 2012 review, a 2013 meta-analysis found little evidence that the effectiveness of acupuncture (compared to sham) was modified by the technique or experience of the practitioner, or by the circumstances of the sessions. The researchers said these findings are unsurprising given the small differences between real and sham acupuncture. The same analysis also found that increased number of needles and more sessions appear to be associated with better outcomes when comparing acupuncture to non-acupuncture controls. A 2011 overview of Cochrane reviews found high quality evidence that suggests acupuncture is effective for some but not all kinds of pain. A 2010 systematic review suggested that acupuncture is more than a placebo for commonly occurring chronic pain conditions, but the authors acknowledged that it is still unknown if the overall benefit is clinically meaningful or cost-effective. A 2007 review article noted that superficial needling, the primary form of traditional acupuncture in Japan, can stimulate endogenous production of opioids which could result in non-specific analgesia.

-  Peripheral osteoarthritis

A 2012 review found acupuncture to provide clinically significant relief from knee osteoarthritis pain and a larger improvement in function than sham acupuncture, standard care treatment, or waiting for treatment. A review from 2008 yielded similar positive results. The Osteoarthritis Research Society International released a set of consensus recommendations in 2008 that concluded acupuncture may be useful for treating the symptoms of osteoarthritis of the knee.A 2010 Cochrance review found that acupuncture shows statistically significant benefit over sham acupuncture in the treatment of peripheral joint osteoarthritis; however, these benefits were found to be so small that their clinical significance was doubtful, and "probably due at least partially to placebo effects from incomplete blinding.

-  Headaches and migraines

A 2012 review found that acupuncture has demonstrated benefit for the treatment of headaches, but that safety needed to be more fully documented in order to make any strong recommendations in support of its use. A 2009 Cochrane review of the use of acupuncture for migraine treatment concluded that "true" acupuncture wasn't more efficient than sham acupuncture, however, both "true" and sham acupuncture appear to be more effective than routine care in the treatment of migraines, with fewer adverse effects than prophylactic drug treatment.

-  Low back

A 2005 Cochrane review found there is insufficient evidence to recommend for or against either acupuncture or dry needling for acute low back pain. The same review found there is low quality evidence for pain relief and improvement compared to no treatment or sham therapy for chronic low back pain only in the short term immediately after treatment. The same review found acupuncture is not more effective than conventional therapy and CAM treatments. A 2005 review suggests there is insufficient evidence that acupuncture is more effective than other therapies.A review for the American Pain Society/American College of Physicians from 2007 found fair evidence that acupuncture is effective for chronic low back pain.

-  Post-operative

Reviews of acupuncture's effectiveness for management of post-operative pain have produced contradictory evidence. Overall, research findings are not convincing enough for acupuncture to be recommendable for use in a clinical setting, especially given the effectiveness of available conventional medicines.

-  Miscellaneous

A 2013 systematic review and meta-analysis found insufficient evidence for ankle sprain treatment with acupuncture, due to the limited number of high quality studies.A 2012 review found there is evidence of benefit for acupuncture combined with exercise in treating shoulder pain after stroke. A 2011 review found inconclusive evidence regarding acupuncture efficacy in treating shoulder pain and lateral elbow pain.A 2011 review stated that neck pain was one of only four types of pain for which a positive effect was suggested, but that the primary studies used carried a considerable risk of bias.

Last Updated ( Friday, 28 February 2014 16:52 )
International Massage Academy
Written by International Martial Arts Union    Friday, 13 December 2013 12:37    PDF Print E-mail






Massage is the manipulation of superficial and deeper layers of muscle and connective tissue using various techniques, to enhance function, aid in the healing process, decrease muscle reflex activity, inhibit motor-neuron excitability, promote relaxation and well-being, and as a recreational activity.The word comes from the French massage "friction of kneading", or from Arabic massa meaning "to touch, feel or handle" or from Latin massa meaning "mass, dough", cf. Greek verb μάσσω (massō) "to handle, touch, to work with the hands, to knead dough". In distinction the ancient Greek word for massage was anatripsis, and the Latin was frictio.Massage involves working and acting on the body with pressure – structured, unstructured, stationary, or moving – tension, motion, or vibration, done manually or with mechanical aids. Target tissues may include muscles, tendons, ligaments, fascia, skin, joints, or other connective tissue, as well as lymphatic vessels, or organs of the gastrointestinal system. Massage can be applied with the hands, fingers, elbows, knees, forearm, or feet.In professional settings massage involves the client being treated while lying on a massage table, sitting in a massage chair, or lying on a mat on the floor, while in amateur settings a general purpose surface like a bed or floor is more common. The massage subject may be fully or partially clothed or unclothed.


-  Ancient and medieval times

Archaeological evidence of massage has been found in many ancient civilizations including China, India, Japan, Korea, Egypt, Rome, Greece, and Mesopotamia. BC 2330: The Tomb of Akmanthor (also known as "The Tomb of the Physician") in Saqqara, Egypt depicts two men having work done on their feet and hands, presumably massage. BC 722-481: Huangdi Neijing is composed during the Chinese Spring and Autumn period (the beginning of recorded history). The Nei-jing is a compilation of medical knowledge known up to that date, and is the foundation of Traditional Chinese Medicine. Massage is referred to in 30 different chapters of the Nei Jing. It specifies the use of different massage techniques and how they should be used in the treatment of specific ailments, and injuries. Also known as "The Yellow Emperor's Inner Canon", the text refers to previous medical knowledge from the time of the Yellow Emperor (approx 2700 BC), misleading some into believing the text itself was written during the time of the Yellow Emperor (which would predate written history). BC 700 Bian Que, the earliest known Chinese physician uses massage in medical practice. BC 500 Jīvaka Komarabhācca, also known as Shivago Komarpaj, the founder of Traditional Thai massage (Nuad Boran) and Thai medicine. According to the Pāli Buddhist Canon, Jivaka was Buddha's physician. He codified a healing system that combines acupressure, reflexology, and assisted yoga postures. Traditional Thai massage (Nuad Boran) is generally based on a combination of Indian and Chinese traditions of medicine. Jivaka is known today as "Father Doctor" in Thailand. BC 493: A possible biblical reference documents daily "treatments" with oil of myrrh as a part of the beauty regimen of the wives of Xerxes (Esther, 2:12).BC 460: Hippocrates wrote "The physician must be experienced in many things, but assuredly in rubbing".BC 300 Charaka Samhita believed to be the oldest of the three ancient treatises of Ayurvedic medicine, including massage. Sanscrit records indicate that massage had been practiced in India long before the beginning of recorded history.AD 581: Dr Sun Si Miao introduces ten new massage techniques and systematized the treatment of childhood diseases using massage therapy. AD 581: China establishes a department of massage therapy within the Office of Imperial Physicians.Middle-Ages: Medical knowledge, including that of massage, made its way from Rome to Persia in the Middle Ages. Many of Galen's manuscripts, for instance, were collected and translated by Hunayn ibn Ishaq in the 9th century. Later in the 11th century copies were translated back into Latin, and again in the 15th and 16th centuries, when they helped enlighten European scholars as to the achievements of the Ancient Greeks. This renewal of the Galenic tradition during the Renaissance played a very important part in the rise of modern science. One of the greatest Persian medics was Avicenna, also known as Ibn Sina, who lived from 980AD to 1037AD. He was the foremost philosopher of medieval Islam and also a great philosopher, logician and medic. His works included a comprehensive collection and systematisation of the fragmentary and unorganised Greco-Roman medical literature that had been translated Arabic by that time, augmented by notes from his own experiences. One of his books, Al-Qānūn fī aṭ-Ṭibb (The Canon of Medicine) has been called the most famous single book in the history of medicine in both East and West. Avicenna excelled in the logical assessment of conditions and comparison of symptoms and took special note of analgesics and their proper use as well as other methods of relieving pain, including massage. AD 1150: Evidence of massage abortion, involving the application of pressure to the pregnant abdomen, can be found in one of the bas reliefs decorating the temple of Angkor Wat in Cambodia. It depicts a demon performing such an abortion upon a woman who has been sent to the underworld. This is the oldest known visual representation of abortion. AD 1776: Jean Joseph Marie Amiot, and Pierre-Martial Cibot, French missionaries in China translate summaries of Huangdi Neijing, including a list of medical plants, exercises and elaborate massage techniques, into the French language, thereby introducing Europe to the highly developed Chinese system of medicine, medical-gymnastics, and medical-massage.AD 1776 Pehr Henrik Ling, a Swedish physical therapist, and teacher of medical-gymnastics is born. Ling has often been erroneously credited for having invented "Classic Massage" aka "Swedish Massage", and has been called the "Father of Massage".AD 1779: Frenchman Pierre-Martial Cibot publishes ‘Notice du Cong-fou des Bonzes Tao-see' also known as "The Cong-Fou of the Tao-Tse", a French language summary of medical techniques used by Taoist priests. According to Joseph Needhan, Cibot's work "was intended to present the physicists and physicians of Europe with a sketch of a system of medical gymnastics which they might like to adopt—or if they found it at fault they might be stimulated to invent something better. This work has long been regarded as of cardinal importance in the history of physiotherapy because it almost certainly influenced the Swedish founder of the modern phase of the art, Per Hendrik Ling. Cibot had studied at least one Chinese book, but also got much from a Christian neophyte who had become expert in the subject before his conversion.” AD 1813 The Royal Gymnastic Central Institute for the training of gymnastic instructors was opened in Stockholm, Sweden, with Pehr Henrik Ling appointed as principal. Ling developed what he called the "Swedish Movement Cure" with the help of a friend named Ming (full name never recorded) who was an expert in the martial arts and Kung-Fu based Tui na massage. Ling died in 1839, having previously named his pupils as the repositories of his teaching. Ling and his assistants left little proper written account of their methods. AD 1878: Dutch massage practitioner Johan Georg Mezger takes a sub-set of techniques from Dr. Ling's system, and coins the phrase "Swedish massage system". Notably, Ling's techniques, having been borrowed by Mezger, are still known by their French names (effleurage (long, gliding strokes), petrissage (lifting and kneading the muscles), friction (firm, deep, circular rubbing movements), tapotement (brisk tapping or percussive movements), and vibration (rapidly shaking or vibrating specific muscles)). Each of these techniques are fundamental elements of Tui na, and had been practiced in China for several thousand years prior.

-  Modern times

China: Massage has developed continuously in China for over 5000 years. Western ideas are considered within the traditional framework. It is widely practiced and taught in hospital and medical schools and is an essential part of health maintenance and primary healthcare.United States: Massage started to become popular in the United States in the middle part of the 19th century and was introduced by two New York physicians based on Per Henrik Ling's techniques developed in Sweden.During the 1930s and 1940s massage's influence decreased as a result of medical advancements of the time, while in the 1970s massage's influence grew once again with a notable rise among athletes. Massage was used up until the 1960s and 1970s by nurses to help ease patients’ pain and help them sleep. The massage therapy industry is continuously increasing, with a projected 19% increase between 2008 and 2009. U.S. consumers spend between $4 and $6 billion on visits to massage therapists, as of 2009.United Kingdom: Massage is popular in the United Kingdom today and gaining in popularity. There are many private practitioners working from their own premises as well as those who operate from commercial venues.Massage in sports, business and organizations: Massage developed alongside athletics in both Ancient China and Ancient Greece. Taoist priests developed massage in concert with their Kung Fu gymnastic movements, while Ancient Greek Olympians used a specific type of trainer ("aleiptes") who would rub their muscles with oil. Pehr Ling's introduction to massage also came about directly as a result of his study of gymnastic movements.The 1984 Summer Olympics in Los Angeles was the first time that massage therapy was televised as it was being performed on the athletes. And then, during the 1996 Summer Olympics in Atlanta massage therapy was finally offered as a core medical service to the US Olympic Team. Massage has been employed by businesses and organizations such as the U.S. Department of Justice, Boeing and Reebok. Notable athletes such as Michael Jordan and LeBron James have personal massage therapists that at times even travel with them.


-  Tables and chairs

Specialized massage tables and chairs are used to position recipients during massages. A typical commercial massage table has an easily cleaned, heavily padded surface, and a horseshoe-shaped head support that allows the client to breathe easily while lying face down and can be stationary or portable, while home versions are often lighter weight or designed to fold away easily. An orthopedic pillow or bolster can be used to correct body positioning.Ergonomic chairs serve a similar function as a massage table. Chairs may be either stationary or portable models. Massage chairs are easier to transport than massage tables, and recipients do not need to disrobe to receive a chair massage. Due to these two factors, chair massage is often performed in settings such as corporate offices, outdoor festivals, shopping malls, and other public locations.

-  Vichy shower

A Vichy shower is a form of hydrotherapy which uses a series of shower nozzles which spray large quantities of water over the client while they lie in a shallow wet bed, similar to a massage table, but with drainage for the water. The nozzles may usually be adjusted for height, direction, and temperature to suit the clients needs.

-  Dry-water massage bed

A dry-water massage bed uses jets of water to perform the massage of the client's muscles. These beds differ from a Vichy shower in that the client usually stays dry. Two common types are one in which the client lies on a waterbed-like mattress which contains warm water and jets of water and air bubbles and one in which the client lies on a foam pad and is covered by a plastic sheet and is then sprayed by jets of warm water, similar to a Vichy shower. The first type is sometimes seen available for use in malls and shopping centers for a small fee.

- Lubricant

Many different types of oils can be used including jojoba oil, fractionated coconut oil, grape seed oil, olive oil, almond oil, macadamia oil, sesame oil, pecan oil, mustard oil and (mineral) baby oil. Each oil has different properties and serves different purposes. Lotions, cremes and gels may also be used. Each lubricant has slightly different properties, and the choice tends to be a therapist’s preference. There are different views about the extent to which various oils and other substances are absorbed into the body through the skin. Salts are also used in association with oils to remove dry skin.

- Body Tools

A body rock is a serpentine-shaped tool, usually carved out of stone. It's used to amplify the therapist's strength and focus pressure on certain areas. It can be used directly on the skin with a lubricant such as oil or corn starch or directly over clothing.Bamboo and rosewood tools are also commonly implemented. They originate from practices in southeast Asia, Thailand, Cambodia, and Burma. Some of them may be heated, oiled, or wrapped in cloth.

Last Updated ( Friday, 28 February 2014 17:14 )
International Fitness Academy
Written by International Martial Arts Union    Friday, 13 December 2013 12:32    PDF Print E-mail





Physical fitness is a general state of health and well-being or specifically the ability to perform aspects of sports or occupations. Physical fitness is generally achieved through correct nutrition, exercise, hygiene and rest. It is a set of attributes or characteristics that people have or achieve that relates to the ability to perform physical activity.

Before the industrial revolution, fitness was the capacity to carry out the day’s activities without undue fatigue. However with automation and changes in lifestyles physical fitness is now considered a measure of the body’s ability to function efficiently and effectively in work and leisure activities, to be healthy, to resist hypokinetic diseases, and to meet emergency situations.

    "another viewpoint    "

What is fitness?

Fitness means being in good physical condition or being healthy. Fitness means

having more energy and better sleep patterns. A person who is fit is also able to

carry out tasks more easily.

Why should I be fit?

Fitness may help prevent certain diseases such as high blood pressure, diabetes, stroke, cancer, and heart

disease. If you already have one of these diseases, you may be able to better control it if you are fit. To

be more fit you may need to make some changes in your eating and exercise habits.

How can I make some healthy changes?

It is not easy to change eating and exercise habits. A first step is to decide that health and fitness are

important to you. This will make it easier for you to make time in your day to prepare healthy foods and

exercise regularly.

To help improve your eating habits:

• Choose a variety of foods from all the food groups including fruit, vegetables, whole grains, low fat

milk products, and lean meats.

• Choose foods that are high in fiber (fruit, vegetables, whole grains). Limit foods that are high in fat

and sodium. Use herbs and spices to add extra flavor to foods.

• Learn to say “no” to second helpings when you are not hungry. Include a snack between meals only

when you are hungry.

• Ask how foods are prepared in restaurants. Fried foods have more fat than baked or broiled foods.

Ask for salad dressings and margarine “on the side” so you can use smaller amounts.

• Do include foods that may be higher in fat but only in small amounts and only as an occasional treat.

• Read food labels to help you learn about portion sizes, calories, fat, sodium, and fiber in various


• Keep a daily food diary to help keep you on track.

• Set goals for making changes. Give yourself credit for even small changes.

To help improve your exercise habits:

• If you are over 40 or have a medical problem, see your doctor before you start exercising.

• Make sure you have comfortable shoes that fit well.

• Find an exercise partner (if you choose), and stick to a regular time to exercise.

• Plan for indoor exercise on “bad weather” days.

• Try to “sneak in” extra activity.

• Walk the stairs instead of using the elevator

• Park father away from work or the store and walk the extra distance

• Take a few minutes more to walk at the mall after shopping

• Put laundry away piece by piece from the laundry room

• Walk in place or up and down stairs during television commercials

• Keep a daily exercise diary.

• Choose an exercise or activity that is fun. You are more likely to do exercise which you enjoy.

• Start out slowly with 5 to 10 minutes. Add 5 minutes every few days until you are burning between

1500 and 2000 calories each week. Burning this many calories may be easier than you think.

The chart below gives some exercises which would help a 150 pound man or woman burn between

1500 and 2000 calories each week. (If you weigh more than 150 pounds. you will burn more calories.)

You can mix and match the exercises.

Try to do at least one exercise every day.

Exercise Minutes per day

Walking (3 miles per hour)……..…55-70

Swimming laps…………………..…..…20-25


Aerobics (easy)………………….….…..40-50

Skiing, downhill, light……………..…40-50

Bicycling, light………………….……… 30-40

Treadmill………………………….…….. 30-40

Stair stepper…………………….…….. 30-40

Horseback riding ………………….….45-65

Dancing ………………………….……….65-85

Walking the dog……………….……..55-70

Bowling or playing


Cleaning house……………….….…..40-55

Raking leaves…………………..……..45-65

Mowing lawn……………….….……..40-55

Source: Medicine and Science in Sports and Exercise 25:71, 19~3)

Even if you cannot exercise every day, do what you can. Remember a little exercise is better than no


What is most important is that you find activities and exercise you like to do and healthy foods you like

to eat. This will help you to get started on the road to fitness.

My Fitness Plan:

Talk with my doctor about exercise:

Type of exercise I will do:


Food changes I will make:


Start date:


Last Updated ( Friday, 28 February 2014 16:53 )

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