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Sensitive Massage:
Healing Benefits for Children with Disabilities


by Marybetts Sinclair, L.M.T.

"When I volunteered to bring massage to Muscular Dystrophy Camp in St. Louis, Missouri, I was overwhelmed by the youngsters' responses. They all wanted to get on the table; the response was incredible. When we couldn't get them up on the table, I worked on them in their wheelchairs. I let them tell me where they wanted me to work. Every one of them had a different ache or pain and some had numb places where they wanted to feel again. These kids desperately wanted to be touched."

--massage therapist Terrie Yardley-Nohr


Sensitive massage is a unique type of therapy that can speak directly to many of the greatest needs of children with disabilities. It is both stimulating and relaxing; it nurtures children emotionally, and it feels terrific. Sensitive massage can help children release tension, become more aware of their bodies, and form a body image that is both positive and strong. Recent research on massage for hospitalized newborns, autistic children, child psychiatric patients, children with asthma and other special groups have documented many of these benefits.

For example, hospitalized newborns who are receiving gentle daily massages gain more weight on the same amount of formula and have decreased levels of stress hormones than those newborns who do not receive massage. They are also ahead of non-massaged babies in their motor and neurological development. During childhood, when there are periods of rapid brain growth and the child's self image is being formed, massage can be especially significant.

Most disabled children are under constant stress. This can take a toll both physically and emotionally. Massage is a lovely nurturing way for these children to release their stress and tension. As a massage therapist working with children with disabilities, I have seen this first-hand.

Children who are emotionally shut down from stress become much happier and emotionally relaxed when they begin to receive massage regularly. Because they are more likely to be socially isolated and touched less than other children are, massage can be especially important in satisfying their need for touch. Children with limited mobility, such as those in wheelchairs, may be deprived of a tremendous amount of normal sensory stimulation. Massage can help meet this need. It can be readily adapted to the specific needs of children with a variety of disabilities, including developmental disabilities such as autism, cerebral palsy and Down's syndrome; physical problems such as spinal cord injuries, juvenile arthritis and spina bifida; and illnesses such as AIDS and cancer.

Here are some basic guidelines to follow when massaging your child:

  • Check with your child's managing physician and physical therapist before doing massage. Physical and occupational therapists can give you valuable advice in many areas. Comfort with being handled and range of motion are usually much greater following massage, so this is a great time to incorporate any exercises prescribed by a physical therapist.
  • Never force massage on your child. Begin with just a little at first, and make it a fun experience. Observe your child to determine what he or she likes best.
  • Just as with the rest of us, cold hands over a sensitive area, deep pressure over a sore spot, or excessive tickling are unpleasant.
  • Never cause pain by using heavy pressure over a sensitive area. Take care to be especially gentle over areas that are sensitive.
  • If your child is non-verbal, look for changes in breathing, facial expression, and muscle tension to tell you if he or she is enjoying being massaged. It may take some time and patience, but gradually your child will learn to tolerate and then appreciate massage.

Besides exercises, other forms of sensory stimulation can be easily incorporated into massage. For example, you might cover your child's back with a thin cloth and slowly roll a small ball up and down the back for a minute or two. Or you may choose to brush the back gently with a soft brush at the end of a massage. Try massaging your child in a warm bath, using soap instead of oil. You might add variety by using a hot pack on a tight area before massage, or gently washing lotion off after massage with a warm wet washcloth. All of these sensory stimulation forms can be enjoyed by your child, and can help him or her be more comfortable being handled.

Not only can massage be fun, but it is a wonderful time to help your child as well. For example, a child whose hands are hypersensitive could be treated in a fun way by letting her first play with bathtub toys in a pan of warm water, then in a pan of cold water, and then having her hands massaged in the water with soap or even a gritty substance such as salt while she is distracted. Gradually, as she learns to tolerate more stimulation, her hands can be massaged out of the water. This was done daily by a mother of a girl with Behr's Syndrome in one of my massage classes. After two weeks, the little girl's occupational therapist reported she was finally able to tolerate holding a spoon. Now she could begin to learn to feed herself!

I believe sensitive, loving touch is part of our birthright as human beings. There are so many benefits of massage, and so many ways to massage children. Parents can have great confidence knowing that they are helping their children, and the children can have fun, while they both enjoy this powerful form of healing together.
Marybetts Sinclair has been a massage therapist for 25 years. She is the author of Massage for Healthier Children and has taught massage for children with disabilities in the United States, Mexico and Ecuador. She will be teaching this class in Homer from June 25-July 2. For more information call Marybetts (541) 753-8374 or Kathy Stingley (907) 235-6226.