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The Business of Massage

• ABMP estimates 278,000 trained therapists provide massage and bodywork in the United States.i

• Consumers receive approximately 230 million massage sessions annually, making massage therapy an $11 billion to $15 billion industry.ii

• Sixteen percent of U.S. adults visited a massage therapist in 2006, and 38 percent have received a professional massage sometime in their life.iii

• Consumers in 2006 had an overwhelmingly positive response to a massage,  with 85 percent reporting very favorable feelings about their most recent  experience.iv

• The median price for a one-hour massage is $60 (ABMP 2005 Member  Survey, correlated by the same finding in the Harstad Strategic Research 2007 Consumer Survey).

• A slightly higher proportion of American adults received at least one massage therapy session in 2006 than accessed chiropractic or physical therapy services.  Most physical therapy services and many  chiropractic treatments are reimbursed  by health insurance, while more than 90
percent of massage therapy sessions are paid out of the client’s pocket.v

• Consumers in the West and Midwest are most likely to have received a massage in 2006—20 percent and 19 percent  respectively in a recent survey, compared  with 14 percent in the Northeast and 12
percent in the South. Each of these percentages  is up from 2004 levels, with the  six percentage point gain in the Midwest  the most dramatic. Massage use is higher  in metropolitan areas.vi
• The number of state-approved schools  has increased from 637 to 1,529 between 1998 and 2007. (ABMP surveys of state-  approved massage schools, 1998 to 2007).

• The Society for Human Resource  Management reported in 2007 that 13 percent of its 210,000 member companies  offer workplace massage. An earlier Working Mother article found 77 percent
of the top 100 U.S. companies offered  massage at work.

• There are as many as 250 known types  of massage and bodywork, with new  massage modalities emerging every year.vii

• In the 42 states with licensing (including D.C.), uniform rules apply throughout  each particular state, though the detailed  requirements vary. Local requirements in the current nine non-licensed states vary considerably.viii

Consumer Perspectives  
• Spas employ an estimated 232,700 people in the United States—www.experienceispa.com.

• Massage therapy is the most requested  service in spas (Day Spa Business Report  2002, confirmed by ISPA 2006 Spa-Goer Study).

 
November 2008

• Fifteen percent of U.S. adults reported  visiting a spa in 2006 (ISPA 2006 Spa-Goer Study).

• Revenues for the U.S. spa industry  in 2005 were $9.7 billion, up from $7 billion in 2003. This represents  an average annual growth of 18 percent—www.experienceispa.com.

• Women make up the majority  of spa consumers (69 percent), according to the ISPA 2006 Spagoer
Study.

Benefits of Massage  
 
• Massage therapy is a safe and  effective way to reduce pain and  improve function in adults with
osteoarthritis of the knee, reports  a 2006 study in the Archives of  Internal Medicine.

• The Annals of Internal Medicine  reported in 2003 that massage therapy was effective for treating
persistent back pain, as did  a 2000 report by the Canadian  Medical Association Journal.

• Research has shown massage  reduces carpal tunnel syndrome symptoms. The Journal of Bodywork
and Movement Therapies, 2004.

• Premature infant massage in the NICU was reported in Neonatal  Network to be effective in increasing  weight gain, improving developmental  scores, shortening hospital  stays and improving parent-baby bonding (2003).

• Pediatric healthcare staff report  increasing hospital use of complementary and alternative medicine, including massage and energy work  (Advance for Nurses, April 2007.)
 
University of Miami reports its  massage therapy studies indicate effectiveness in:
 
* Reducing mothers’ risk for  premature delivery and postpartum depression; improved sleep for babies.

* Reduced pain from migraines  and arthritis.

* Reduced aggression in adolescents  and less hyperactivity in  adolescents with ADHD.

* Greater alertness in autistic children.

* Better lung function in asthmatic children.

* Decreased glucose levels in diabetic children.

* Less stress and improved  performance for employees  receiving work-site massage.
 
• Massage therapy has been shown  to strengthen the immune system,  according to research published in The Journal of Neuroscience, 1996, and Psychosomatic Medicine, 2000.

• In 2005, Cancer Control reported massage therapy effectively reduced stress and anxiety in
cancer patients, with a promising  outlook for pain control and management
of other symptoms.
 
• Oncology patients show less pain, fatigue, nausea, anxiety and  depression following massage therapy, according to a study by Sloan-Kettering Cancer Center,  2004, and a report in the Journal  of Nursing Scholarship, 2002.

• Women with lymph node dissection  receiving arm massage had less pain and surgery-related
discomfort, according to a 2004  Cancer Nursing article.


ABOUT ABMP

Associated Bodywork & Massage Professionals
is the largest national professional membership
association serving the massage therapy profession.

Founded in 1987 and headquartered in Golden,
Colo. ABMP is employee-owned and has 65,000
members.

Consumers can locate qualified
practitioners nationwide at
www.massagetherapy.com.

Notes

i January 2008 analysis was based on state licensing lists, totals
from primary membership organizations [ABMP and AMTA], and
state populations. General receptivity toward massage in particular
regions was also factored in.
 
ii A calculation using the 2005 average ABMP member-client contact
hours per week (15.4), at an average rate of $60 per hour
yields an annual 182 million sessions and $9.3 billion. A national
consumer telephone survey of a representative sample of 1,008
adults aged 21 and older, conducted Jan 4-11, 2007 by independent,
national public opinion research firm Harstad Strategic
Research, Inc., Boulder, Colo., revealed approximately 230 million
massage sessions were provided to American adults in 2006 at an
average cost of $60 per session. These findings yield a $13.8 billion
estimate. Under neither of these calculations, do massage therapists
receive all these dollars; a portion accrues to spa owners, landlords,
and medical professionals providing space and referrals. With additional
payments for training, equipment, services and marketing,
massage is an $11 billion to $15 billion industry.
 
iii Harstad Strategic Research 2007 National Consumer Survey.
 
iv ibid.
 
v ibid.
 
vi ibid.
 
vii Massage, bodywork and somatic therapies are often complex
mixtures of holistic healing practices involving physical, emotional
and spiritual components. The definitions in the Massagetherapy.
com glossary (
www.massagetherapy.com/glossary) have been compiled
from a wide variety of sources over two decades. Some were
supplied by developers of techniques, others by associations and
educational institutions. Still others are a blend of data gleaned
from several sources.
 
viii Compiled from state websites, not including the District of
Columbia and U.S. Territories. For more information, visit
www.massagetherapy.com/media and click on “Public Policy
and Licensing.”
 
 
 
 
Touch Therapy Institute at the
Associated Bodywork & Massage Professionals
25188 Genesee Trail Rd., Ste. 200
Golden, CO, 80401 ph. 800-458-2267
 
 


November 2008

 

 

 

 

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