Massage & Bodywork

SEPTEMBER | OCTOBER 2020

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C h e c k o u t A B M P 's P o c k e t P a t h o l o g y a t w w w. a b m p . c o m / a b m p - p o c k e t - p a t h o l o g y - a p p . 53 and maximize benefits. To help us down that path, I created a short list of screening questions with rationales and decision points for these clients, available at www.abmp.com/updates/blog-posts/questions-clients- who-have-had-covid-19. This is just a starting place; we all have to be ready to adapt as more information becomes available. I also discuss these questions in the video that accompanies this article (see QR code on page 57). The repeating message in the "Implications for Massage Therapy" sections of this article is that we must proceed with great caution. This disease impacts function in ways we are still discovering, and adding any challenge to a person's already-limited capacity for adaption will not do them any favors. But stress-relieving, non-challenging massage may be a powerful addition to our clients' coping strategies. Focus on easy, stress- free breathing for those who have struggled with lung function, anxiety, or post-intensive care syndrome. Bring your best, undemanding, soothing touch to this difficult situation, and you will be a great gift to our clients. I recommend only incrementally adding intensity to massage sessions as you and your clients explore how they respond. Follow-up calls to check for how people respond to their massage—and whether they have any unexpected reactions or repercussions—will be especially important. And finally, I want to emphasize the importance of detailed documentation. People who work with COVID-19 survivors are in a unique position to explore the best roles for massage therapy. I hope to see case reports on this topic soon: we need them to inform future research and practice for massage therapy. Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology (available at www.booksofdiscovery.com), now in its seventh edition, which is used in massage schools worldwide. Werner is available at www.ruthwerner.com or wernerworkshops@ruthwerner.com. Pathak, Neha. "Life after COVID-19: The Road to Recovery." WebMD Health News, May 14, 2020. Accessed July 2020. www.medscape.com/viewarticle/930547. Phend, Crystal. "The Case for Organized Post-COVID Care." MedPage Today, June 15, 2020. Accessed July 2020. www.medpagetoday.com/infectiousdisease/ covid19/87061. Ries, Julia. "COVID-19 Can Attack the Heart in Addition to the Lungs." Healthline, May 20, 2020. Accessed July 2020. www.healthline.com/health- news/how-covid-19-triggers-heart-conditions. Rogers, Jonathan P. et al. "Psychiatric and Neuropsychiatric Presentations Associated with Severe Coronavirus Infections: A Systematic Review and Meta-Analysis with Comparison to the COVID-19 Pandemic." The Lancet Psychiatry 7, no. 7 (July 2020): 611–27. Accessed July 2020. https://doi.org/10.1016/S2215-0366(20)30203-0. Sheraton, Mack et al. "A Review of Neurological Complications of COVID-19." Cureus 12, no. 5 (May 2020): e8192. Accessed July 2020. https://doi.org/10.7759/cureus.8192. Smith, Dana G. "Coronavirus May Be a Blood Vessel Disease, Which Explains Everything." Medium, May 29, 2020. Accessed July 2020. https://elemental. medium.com/coronavirus-may-be-a-blood-vessel- disease-which-explains-everything-2c4032481ab2. Sperati, C. John. "Coronavirus: Kidney Damage Caused by COVID-19." May 13, 2020. Accessed July 2020. www.hopkinsmedicine.org/health/ conditions-and-diseases/coronavirus/coronavirus- kidney-damage-caused-by-covid19. Stam, Henk J., Gerold Stucki, and Jerome Bickenbach. "Covid-19 and Post Intensive Care Syndrome: A Call for Action." Journal of Rehabilitation Medicine 52, no. 4 (April 2020). Accessed July 2020. https://doi.org/10.2340/16501977-2677. Vastag, Brian, and Beth Mazur. "Researchers Warn Covid-19 Could Cause Debilitating Long-Term Illness in Some Patients." The Washington Post, May 29, 2020. Accessed July 2020. www.washingtonpost. com/health/could-covid-19-cause-long-term-chronic- fatigue-and-illness-in-some-patients/2020/05/29/ bcd5edb2-a02c-11ea-b5c9-570a91917d8d_story.html. Zhang, Chao, Lei Shi, and Fu-Sheng Wang. "Liver Injury in COVID-19: Management and Challenges." The Lancet: Gastroenterology and Hepatology 5, no. 5 (May 2020): 428–30. Accessed July 2020. https://doi.org/10.1016/S2468-1253(20)30057-1. Listen to Ruth Werner's new podcast I Have a Client Who . . . on The ABMP Podcast network at www.abmp.com/ podcasts. THE ABMP PODCAST SPEAKING WITH THE MASSAGE & BODYWORK PROFESSION

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