Connective Tissue Massage (CTM) is a manual reflex therapy developed originally in Germany in the 30s under the name of Bindegewebsmassage. This technique involves manipulating reflex zones to stimulate the neuro-vegetative system in order to normalise it and balance the body functions. It is indicated in particular for hormonal imbalances linked to the menopause, menstrual cycles or diabetes, chronic nerve roots pain, insomnia, agitation or anxiety.
The technique aims at stimulating the autonomic nervous system to rebalance the parasympathetic and sympathetic systems using manœuvres in a parasympathetic direction. The produced effects are numerous: improvement of sleep and mood, feeling of relaxation, better skin hydration and texture, increased circulation towards all the structures, improvement of muscle tone and visceral functions, reduction of pain and tissue stiffness. While similar claims can be made for other forms of soft tissue therapy, the effects of CTM can be potent and overdosing should be avoided.
Studies have shown that CTM affects peripheral blood flow, increases the plasma endorphin level, the diastolic blood pressure and the skin temperature.
CTM appears to work via a reflex effect on the autonomic nervous system induced by manipulation of the fasciae under the skin. There is evidence that CTM produces physiological effects on the body. Although very few controlled trials have been published on CTM, the available studies indicate a clinical benefit towards pain and peripheral circulation. That reflects the clinical experience of CTM users. Further research is needed to fully understand mechanisms as well as effectiveness of CTM observed in practice.
As CTM, endermologie® targets connective tissue, stimulates mechanoreceptors, activates vasodilatation and induces relaxation. The reflex protocol confirms the link between aesthetic and therapeutic treatments: “the skin is the mirror of health”. Its principle is to stimulate the skin in a very specific way to trigger a local or remote reflex reaction, as for CTM treatment. It lasts 20 minutes and is composed of 4 steps.
The objective of the protocol is to stimulate all the emunctory organs (liver, gall-bladder, intestines, kidneys, respiratory tract and skin) in order to facilitate the elimination of waste. The body is thus placed in the best possible conditions to receive the treatment and enjoy the benefits of the session. The complete treatment revives the physiology of these organs. During the following sessions, the therapist will choose among the four areas the one to stimulate in connection with patient’s assessment.
Holey LA, Dixon J. Connective tissue manipulation: a review of theory and clinical evidence. J Bodyw Mov Ther. 2014 Jan;18(1):112-8.
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