This invention relates generally to the field of massage therapy and manual massage tools. More specifically, this invention relates to a new and useful handheld tool which provides a unique point of contact and combines specific aspects of multiple different massage techniques into a single, uniquely effective and safe hand-held device.
In the United States, approximately 38% of adults (4 in 10) are using some form of Complementary and Alternative Medical (CAM) modality. While herbal supplements are the most commonly used CAM therapy among adults, the use of alternative modalities in general (including massage) is on the rise. (“The Use of Complementary and Alternative Medicine in the United States,” 2011) In 2002 the use of massage was estimated to be around 5% in the adult population which grew to 8.3% in 2007.
The 2012 National Health Interview Survey (NHIS) found that 6.9% of all U.S. adults (15.4 million) used massage therapy. In massage therapy, the therapist works on muscles and other soft tissues to help a person feel better. Preliminary evidence indicates that massage may help with back pain and may improve quality of life for people with cancer, depression, or HIV/AIDS. (“6.9% of U.S. adults (15.4 million) used Massage Therapy,” 2014)
An analysis from the 2012 NHIS also found that most American adults have experienced some level of pain. An estimated 25.3 million adults (11.2%) experience chronic pain, and nearly 40 million adults (17.6%) experience severe pain. Pain is one of the leading reasons Americans turn to complementary health approaches which may help manage pain. (“NIH Analysis Shows Americans Are In Pain,” 2015)
While potentially beneficial for pain massage therapy can be expensive, especially when used consistently. It has been suggested that several hour-long sessions per week may be the best “dose” for people with chronic neck pain. (“Multiple 60-Minute Massages per Week Offer Relief for Chronic Neck Pain,” 2014) Individual sessions typically range in cost from $50-$150 depending on session length and region of residence. The 2012 NHIS estimates that beyond what insurance covers, Americans spend about $30.2 billion yearly out-of-pocket on complementary health products and practices. An estimated $14.7 billion was spent for visits to practitioners such as chiropractors, acupuncturists, and massage therapists. About $2.7 billion was spent on self-care approaches. (“Paying for Complementary and Integrative Health Approaches|NCCIH,” n.d.)
With the widespread nature of pain in American society and the potential high cost of Alternative Medical treatment, there has been a burgeoning of self-treatment tools in the market. While most tools have not been studied directly, many of them proport to deliver types of therapy that have been researched: deep tissue massage, therapeutic massage, myofascial release, graston technique, trigger point therapy, and lymphatic drainage. Self-Myofascial release via foam roller, for example, has been found to increase range of motion (MacDonald et al., 2013); compressive trigger point therapy has been found to decrease muscle stiffness in professional athletes (Kisilewicz et al., 2018); lymphatic drainage has been found to be effective for lymphedema (Ezzo et al., 2015) and compartment syndrome (Pereira de Godoy & de Fátima Guerreiro Godoy, 2018); and Graston Technique has been found to be effective for hamstring flexibility and low back pain (Moon, Jung, Won, & Cho, 2017).
Massage is generally considered to be safe, but there can be side-effects that aren't as often discussed. (“Massage Therapy for Health Purposes,” 2011) Deep Tissue Massage for example has been found to have favorable outcomes in pain populations and to help increase range of motion, but the forceful application of massage therapy has also been associated with serious adverse events. (Koren & Kalichman, 2018) The Graston technique can be effective for increasing hamstring flexibility, but it can also be accompanied by profound bruising.
Massage tools generally fall into one of two categories: electric and manual. Manual tools themselves tend to fall into one of two categories: compressive and scraping. Compressive tools (two examples being the Theracane and Backnobber) usually take the form of a ball-shaped point of contact that is used to compress muscles. The point of contact may be attached to some sort of a handle for direct compression or to a cane/rod so that pressure may be placed more remotely on harder to reach structures (such as on the shoulders and back). Compressive tools may offer treatment surfaces of differing size, but the point of contact is almost universally a sphere. Scraping tools (such as those used in Gua Sha and Graston Technique) offer a rounded flat-edge that is used to manually break up scar tissue. Differences in these tools tend to be in the overall shape of the tool (e.g. S-shaped vs shark's tooth) and composition (e.g. metal vs. plastic vs. bison horn or stone).
Direct pressure into a muscle using a specific point of contact produces a point-specific stretch for tight muscle fibers. Direct compression is used in many different contexts and can take on many different labels. This type of therapy is especially effective for those with painful knots in their muscles and in that context is called myofascial release therapy. If direct pressure on such a knot produces a pain referral pattern, this type of therapy is labeled trigger point massage and is used to treat the pain referral patterns. If rather than holding still on the area of tightness the point of contact is moved back and forth, the therapy Is labelled cross-friction massage. Cross-friction massage is especially effective for breaking up scar tissue which is deposited as part of the healing process following a muscle strain or ligament sprain. Direct and sustained pressure is also used in Eastern Medicine to improve the movement of vital energy (AKA Qi) through underlying channels in the body/facia (AKA Meridians). In this context, direct pressure is known as Acupressure.
Muscle Scraping has existed in various forms for thousands of years. In Traditional Chinese Medicine it is typically called Gua Sha and less often referred to as skin scraping, spooning or coining. In Western Medicine it is generally called muscle scraping. Specific technique systems for muscle scraping with proprietary tools have also been developed (e.g. Graston Technique). The goals of muscle scraping are to break up scar tissue, stimulate circulation, and to treat muscle pain and tension. In Eastern traditions it is also used to stimulate the movement of stagnant qi in the body.
Lymphatic Drainage was developed as a form of massage to address stagnant inflammation. This type of inflammation often accumulates following surgeries where lymph nodes/vessels are damaged or removed. More than one in five breast cancer patients will develop breast cancer-related lymphedema. (Ezzo et al., 2015, p. 5) Lymph often accumulates in the extremities but may also collect in the chest wall, upper arm, or thigh. The mechanism of action for this type of massage is to gently push the accumulated inflammation back into the circulatory and lymph systems. To do this the therapist uses long and gentle strokes moving from the extremities in the direction of the heart.
The preferred device as presented in the following description combines what might be considered the best aspects of many types of manual therapy tools in a novel and improved manner. The point of contact is modeled after the therapist's knuckle. This structure is more oblong than round with a narrower point of contact, itself possessing an edge. This knuckle structure creates a more specific point of contact, allowing for deeper and more precise soft tissue manipulation. Greater precision allows for work in sensitive areas while avoiding pressure on fragile structures. At the same time the side of the knuckle provides a scraping edge that is broader than those traditionally offered in Gua Sha and Muscle Scraping tools. This allows the force and pressure to be more widely distributed. A greater distribution of force reduces the resulting bruising and swelling often considered to be the negative outcomes associated with self-massage.
In the embodiment presented, four knuckle structures are distributed around and embedded in a ball base at varying depths. This allows for differing depths of penetration and again, greater control. The protruding edges of the four knuckles structures from the ball also create a multitude of rounded and angled surfaces suitable for use in self-massage.
The following description of the preferred embodiment of the invention is not intended to limit the invention to these preferred embodiments, but rather to enable any person skilled in the art to make and use this invention.
The Knuckle Structure, whose composition is shown in
The Knuckle Structures are embedded in the ball base at staggered depths as shown in
The assembled unit as shown in
As shown in
As shown in
As shown in
As shown in
Each Knuckle Structure is comprised of two component parts (COMPONENTS 2 & 3) as shown in
The staggered lengths of the four Knuckle Structures (COMPONENTS 5-8) as shown in
Multiple angles (COMPONENT 9) are created by the juxtaposition of each of the Knuckle Structures (COMPONENTS 5-8) and the Ball Base (COMPONENT 1) as shown in
Variations in the preferred embodiment may include but not be limited to an adjustment in size to accommodate different sized hands, an adjustment of the length of protrusion of the Knuckle Structures from the Ball Base, a differently shaped base, or a differing arrangement of Knuckle Structures around the base. The preferred embodiment may also be made hollow so as to allow filling with water and freezing. The material from which the preferred embodiment is manufactured could also vary considerably. The preferred embodiment could be carved from stone, blown from glass, turned or carved from wood, extruded from plastic, or made by injection molding.
As a person skilled in the art will recognize from the previous detailed description and from the figures and claims, modifications and changes can be made to the preferred embodiments of the invention without departing from the scope of this invention as defined in the following claims.