Handbook on Spa and Massage Types

Handbook
on Spa
and
Massage
A Reference Tool for Spa/Salon
Operators, Clients and
Massage Enthusiasts

Benjamin Eugenio Jr. LMT
Lorinda de Guzman, LMT
Lalaine Olubalang, LMT

2 Handbook on Spa and Massage

INTRODUCTION

S
pa and massage are two of the most
interesting buzz words in this
unprecedented time and age of health
and wellness. However, due to some constraints,
not everyone is familiar with the existing laws and
regulations pertaining to the spa and massage
industry.

This handbook is divided into four major
areas: a) things one has to know about spa and
massage; b) government regulations being
implemented by DOH and TESDA; c) relevant
information pertaining to licensing and certification
of massage practitioners, relative to DOH exams
and various kinds of massage; d) hiring and
placement of qualified massage
therapists/practitioners.

We hope you will find this handbook
indispensable.
The Authors

HIMAS Asian Wellness and Spa Academy


Table of Contents

Introduction 2
Things You Have to Know About Spa and
Massage 4
Types of Spas 4
Practice of Massage 6
Different Kinds of Massage in the Philippines 7
DOH Massage Code of Ethics 15
Government Regulations on Massage 16
Requirements for DOH Massage Licensure
Examinations 20
Tips on Taking the DOH Massage Licensure
Examinations 21
Helpful Facts on Human Anatomy (Massage
Related) 22
List of DOH Accredited Training Institutions 33
Spa and Massage Associations in the Philippines 36
References 37



THINGS YOU HAVE TO KNOW ABOUT SPA
AND MASSAGE

According to the Webster‟s Dictionary, a
spa is a „mineral spring or a locality in which such
springs exist‟. Commercially, it means, “Salus per
Aqua‟ or „healing through water”.

At present, there are several types of spas:
day spa, hotel or resort spa, destination spa and
medical spa.

1. Day Spa – this is a business
establishment where people go for
professionally administered personal
care such as massages, and facials. It
is similar to a beauty salon. It is only
visited for the duration of the
treatment.

2. Hotel or Resort Spa – this is owned by
or located within a hotel or resort that
offers professional services such as
massage, fitness and wellness
components and a variety of spa
cuisine menus.

3. Destination spa – this is a short term
residential lodging facility with the


primary purpose of providing individual
services for spa goers to help develop
healthy habits.

4. Medical spa – is a hybrid between a
medical clinic and a day spa. This
operates under a medical doctor. It
combines elements of a cosmetic
surgery, aesthetics clinic and a beauty
salon.

A spa must have a clean, safe, calming and
nurturing environment. It should have private
treatment rooms. shower and changing rooms,
professional massages, professional body
treatments, therapeutic spa ingredients,
hydrotherapy or steam or sauna.

People avail of spa services for the following
reasons:
o to relieve stress. ( 47%)
o to reduce stress. (46% )
o to soothe the sore joints and
muscles. ( 3%)
o to feel better about oneself.
(31%)

The current international spa trends: Based
on a study made by Pilzer, hotels and resorts that


offer excellent spa services generate additional
revenues. Furthermore, survey shows that the
(hotel spas) tend to attract more leisure travelers.

In the Philippines, especially in some key
cities, it is quite noticeable that more people have
become more health conscious. One best indicator
is the proliferation of spa establishments in almost
every part of the cities.

According to Paul Zane Pilzer, author of the “
Wellness Revolution”, the wellness industry is the
„next trillion dollar‟ industry in the next decade.”

PRACTICE OF MASSAGE

Massage is the systematic manipulation of
soft body tissues through manual or mechanical
means for relaxation or therapeutic purposes.

There are two general types of massage: oil
massage- a kind of massage that uses oil and other
form of lubricants, such as Swedish and Balinese
massage; dry massage – massage that uses bare
thumbs and fingers. This occasionally uses powder
instead of oil.



DIFFERENT KINDS OF MASSAGES IN THE
PHILIPPINES

1. Balinese massage- Balinese massage is
one of the traditional Indonesian
massages.
This is a full body, deep-tissue, holistic
treatment that combines acupressure,
reflexology, stretching and aromatherapy.

Known personality – Mangku Made Pogog
(Indonesia)
Contribution to Wellness: a Balian (healer)
is known for his unique combination of
massage, yoga and mantra. Because of
his healing prowess, he was well-sought
among the rich and powerful people
everywhere.

2. Foot Reflexology – Foot Reflexology is a
simple, non-invasive method used to help
balance the body. It is based on the
principle that there are reflexes in the
body which corresponds to every part of
the body. When done properly, it could
provide a truly relaxing experience, while
enjoying its therapeutic benefits as well.

Known personality -Dr. William H.


Fitzgerald (USA)
Contribution to wellness: Dr. Fitzgerald is
better known as the Father of Reflexology.
He was brought to prominence because of
his 10 zone theory concept which says that
every part of the foot is connected to a
specific part of the human body.

3. Foot spa includes soaking of foot in a
slightly warm water and then scrub it to
feel its relaxing effects. Its variations
may include foot massage and nail
treatments. 15-20 minutes warm foot
soak affects the entire vascular system
and helps improve blood circulation.

4. Indian head massage – this is an
Ayurvedic form of massage that
has been practiced for thousands of years.
It is a very relaxing
treatment and is excellent for neck and
shoulder tension. In earlier
times, this was enjoyed only by the elite
classes in India. It was only recently that
a vast majority of people begin to enjoy its
wide range of benefits.
Champi is the Indian word for head
massage. Champissage is another term for
Indian Head massage.


5. Hawaiian Lomi Lomi Massage- Lomi Lomi
means to „rub‟ or „massage‟ in Hawaiian.
This is a traditional Hawaiian massage
treatment used to bring about physical as
well as mental relaxation. This massage
aims to rid the body of physical and
mental stresses and increase energy flow.

Known Personality: Auntie Margaret
Machado (Hawaii, USA)
Contribution to wellness: She is known
Hawaiian “kahunan” or healer
whose lomi based healing skillls brought
her to international prominence. Because
of Aunt Margaret‟s efforts, Lomi Lomi,
an ancient form of healing, became
popular.

6. Mukha Alaga (Facial) – Facial massage is
an easy and important
part of beauty regimen. Besides softening
the skin, another good effect of facial
massage is the stimulation of blood
circulation and removal of dead skin.

Author:Lorinda de Guzman, LMT
This type of massage is accredited by the
Department of Health


7. Bilis Sarap Chair Massage is a form of
chair massage that is aimed at providing
a quick massage treatment that covers
the head, shoulder, hands and legs. It is
non-invasive and does not use oil.

It is inspired by Namikoshi seated
massage. Chair massage is popular in
Japan, and is often found in subway train
stations.

8. Namikoshi Shiatsu is an authentic method
of massage which was made popular in
Japan by its author, the late Todujiro
Namikoshi. Originally this massage is
meant for therapeutic purposes only.
Today, more and more individuals avail
of this excellent form of massage
treatment as well. Essentially, this
shiatsu massage carefully observes
prescribed shiatsu points and Japanese
style of body mechanics.

Known personality: Tokujiro Namikoshi
(Japan)
Contribution to Wellness: Mr. Namikoshi
started giving shiatsu treatment at age 7 to
his sick mother.


The healing made him an instant folk hero
in his hometown.

9. Pindot Sarap, also called Pisil Sarap, is a
Filipino verson of shiatsu. It observes
three point massage system representing
a triad: first, the west, where knowledge
of anatomy came from; second, Japan,
where shiatsu originally was developed,
and third, Philippines. The Filipino
therapist, whose innate desire to care for
others is the heart and soul of this
massage style

Author: Benjamin B. Eugenio, Jr. LMT
This style of massage is accredited by the
Department of Health

10. Spa Hilot/Pinoy Hilot/Philippine massage -
Hilot is a traditional form of healing
among Filipinos especially during the
pre-Spanish era. According to tradition,
„hilot‟ helps remove blockages in the body
also known as „lamig‟ when done with
slightly heated and oiled banana leaves.
Once the „lamig‟ is removed through Hillot,
a balanced state of well-being is achieved.



The warm oiled banana leaf is believed to
have an absorbent power.
Hilot is the only massage method in the
world thatsees „lamig‟ as a sign of ill-health
or imbalance.

11. Swedish Massage is the basic, classic
form of Western massage that uses pressure
to make it‟s client relax and calm. It
generally uses the so called 5 basic classical
movements, such as: effleurage (to glide),
petrissage (to knead), friction (to rub),
tapotement (to tap) and vibration (to
shake). Majority of modern-day massage in
the world follows some of the massage
strokes mentioned above.

Known personality : Per Henrik Ling
(Sweden)
Contribution to wellness: His writings
regarding the five classical
movements (mentioned above) helped made
Swedish massage the most sought-after
massage method in the world.

12. Thai massage is a form of massage
that involves stretching and deep massage.
It is believed to have been developed by
Thai monks 2,500 years ago. It integrates


movements for the entire skeletal system,
enhancing joint range of motion, removing
blockages and improving blood circulation.
Due to its wide range of movements, it
is better done on the floor.

Father of Thai massage- Dr. Shivago
Komarpaj (Jivaka Kumarabhacca)
Thai massage has been practiced as a form
of medical science in Thailand for over
2,500 years.

TIPS ON GIVING AND RECEIVING MASSAGE

For the Therapist:
 Make sure that you are physically, mentally
and psychologically
prepared to give massage
 Hands must be clean and nails properly
trimmed.
 Make sure that everything needed for the
treatment is at hand.

For the receiver/Client:
 Never have a full stomach before the
massage
 Communicate clearly what you want.
 Enjoy the entire session
 Give tips to your favorite therapist


DOH MASSAGE CODE OF ETHICS

An excerpt from the Preamble of DOH Code of
Ethics for Massage Therapists:

“Massage therapists are duly licensed
individuals who possess, maintain and uphold at all
times the dignity, integrity and reputation of the
profession with high moral values, as well as
technical skills and professional competence. They
strictly adhere to the principles, standards and
values of the profession.

Massage therapists are guided by the code
if ethics in his/her relationships with his/her clients,
co-practitioners, employers, members of the allied
profession and the public, in general.”

General Responsibilities:

a. Duties toward the client - client‟s health
and well-being and comfort
are of paramount concern.
b. Duties toward the profession - strived for
excellence and advance the moral
reputation of the profession



c. Duties toward co-practitioners – foster
fellowship, mutual assistance and
professional respect.”
d. Duties toward employers – fair, honest and
loyal in dealing with a
e. Duties toward allied professionals - working
harmoniously with allied professionals
f. Duties toward the general public – obey the
laws of the land, and all
laws governing the practice of the
profession.”

GOVERNMENT REGULATIONS ON MASSAGE

1. Top government agencies that regulates the
massage practices
* Department Of Health (DOH)
* Technical Education and Skills
Devt. Authority (TESDA)

2. Philippine Law that regulates the practice of
massage
 Presidential Decree 856, Code
of Sanitation of the Phil
Chapter XIII “Massage and
Sauna Bath Establishments”

Date issued: Dec. 1975



3. Latest government directive on massage.
 Administrative Order 2010-2003
issued by the Dept of Health on
Dec. 10, 2010 entitled: Revised
implementing rules and
regulations governing massage
clinics and sauna bath
establishments.”

- Key provisions of the AO issued by DOH
a. Lowering of the age requirements
for DOH exam applicants from 21-
18 years of age – section 3.3.1
b. “Only persons holding a valid
certificate of registration issued by
the Committee and approved by
the Secretary of Health shall be
allowed to practice massage as a
profession in the Philippines”
Section 5.1.1
c. Removal of the mandatory bi-
monthly check up among massage
therapists - Section 5.1.7

d. The minimum base pay of licensed
massage therapist shall
not be below the minimum wage
mandated by the Dept of
Labor (DOLE)- Sec.5.2.2


d. However, for small establishments,
the management and spa therapist
may agree on a payment scheme
acceptable to both parties

- Compromised made by the spa
association (PHILWELL) with the
DOH relative to AO 2010-0034.
There shall be a 3 year moratorium
in the implementation of the AO
among existing spas – that is:
January 2011 to December
2014.

- The penalty for violation or refusal to
comply with the AO.The Penal Provision,
Section 7.1, says that guilty parties
shall be prosecuted before the Court of
Justice as provided for by PD 856.

C. Mandate of TESDA

TESDA provides direction, policies,
programs and standards towards
quality technical education and skills
development (TESDA) Mission:
www.tesda.gov.ph



The TESDA National Certification is not
valid as a massage license. Based on
PD856. the Code of Sanitation of the
Philippines and AO 2010-0034, Revised
Implementing Rules and Regulations
Governing Massage and Sauna Bath
Establishments.”

Both the Dept. of Health (DOH) and TESDA
are perfect partners in the
professionalization of the local massage and
spa industry. With DOH giving the entry
level massage regulatory requirements and
TESDA to provide for advance massage skills
certification. Latest information received
from DOH states that TESDA is sending its
assessors to DOH for massage licensure
examinations.

REQUIREMENTS FOR DOH MASSAGE
LICENSURE EXAMINATIONS

Takers of licensure examinations must be:

a. Filipino citizen, eighteen years of age
b. of good moral character



c. have clearance from NBI or provincial
fiscal
d. physically and mentally fit to take the
exams
e. at least a high school graduate
f. have a certificate from a DOH
accredited training provider of at least
60 hours of practical massage.
g. have a certificate from a DOH
accredited training center
that he/she received basic instructions.
h. have a passing grade: 75% general
average on theoretical exams; 75%
general average on oral/practical
exams.

TIPS ON TAKING THE DOH MASSAGE
EXAMINATIONS

1. Study hard but a day before the exams
drop all notes and take time to relax.
2. Wake up early, pray, eat a full meal


3. Dress well and bring pens, and Exam
Slip.
4. Be on time.
5. Follow instruction from examination
proctors carefully.
6. Read all questions fully as well as the
answers.
7. Do not rush, the DOH exams were
never been time-pressured. But don‟t
stay too long on any difficult item.
8. Expect the best results.
9. Bring pen and exam permit for written
exam
10. Bring 2 pcs of towel, white scrub suit
for practical exam.

Note: DOH may announce from time to
time what other items to bring

REVOCATION OF DOH LICENSE.

Grounds for the cancellation of DOH License: As
provided by AO 2010-0034, DOH license will be
revoked or cancelled due to the following:

 Court conviction involving moral turpitude
 Insanity
 Fraud in the acquisition or renewal of
license


Gross negligence, incompetence and
ignorance in
the practice of the profession..
 Addiction to alcoholic drinks and prohibited
drugs.
 False or unethical advertisement and
practice
 Physical incapacity impairing the
performance of duty as therapist
 Failure to renew license for at least 5 years.
 Similar grounds affecting the profession.

HELPFUL FACTS ON HUMAN ANATOMY AND
PHYSIOLOGY

Anatomy is the study of the functional areas or
parts of human body.

Physiology is the study of biological and chemical
processes in the human body.

Cells are the simplest units of living matter
that can maintain life and reproduce themselves.
Every person is made up of billions of cells. A cell
is composed of 3 major parts: a) the cell
membrane; b) the cell nucleus; (main body) and
c) cytoplasm (liquid).



The human body can be likened to the
universe “made up of very small parts organized to
function as a unit”, according to Susan Salvo in her
Book, “Massage Therapy, Principles and Practice.”

The stages of life are as follows:

a) Chemical stage – deals with the
biochemistry of the body.
b) Cellular stage – deals with cells and its
internal processes.
c) Tissue stage – group of cells that
performs specific functions.
d) Organ stage – contains two or more
groups that carry on
specific functions.

e) Organism stage – highest stage of
organization presenting a
living individual.

The human body systems:

A. Skeletal system - it consists of bones, cartilage,
ligaments and tendons and accounts for about 20
percent of the body weight. They provide a rigid


frame work, known as the skeleton, that support
and protect the soft organs of the body. The large
bones of the lower limbs support the trunk when
standing. The skeleton also protects the soft body
parts. The fused bones of the cranium surround the
brain to protect it from injury. Vertebrae surround
and protect the spinal cord and bones of the rib
cage help protect the heart and lungs of the thorax.

Fast facts:

 There are 206 bones in the
human body.
 The bone which is
commonly broken is the
clavicle, also called the
collar bone.
 Bones help in the
production of white and
red blood cells.

B. Muscular System – gives shape to the
individual‟s physique. It also helps in the
movement of the body by contraction.

Fast facts:

 An adult person have at least 650


muscles in his body.
 Satorius muscle, found between the
hip and the inner thigh is considered
to be the longest muscle.
 Stapedius, found in the middle of the ear ,
is the smallest muscle.

C. Integumentary system or skin system – is the
organ system that includes the skin, hair, nails and
related glands.

Fast facts:

 Skin is the largest organ in the human
body.
 It s weight is 12-15% of the total body
weight.
 The three layers of the skin are: epidermis,
dermis, and subcutaneous fat.
 The dermis is sometimes called the true
skin
because it consists of elastic layers
containing
blood vessels that nourish the skin.

D. Circulatory system - is composed of the heart,
which is a muscular pumping device, and a closed
system of vessels called arteries, veins, and
capillaries. It is the organ system that passes


nutrients, gases, hormones, blood cells and other
nutrients to and from cells of the body. Blood is
pumped by the heart around a closed circuit of
vessels as it passes again and again through the
various "circulations" of the body.

Fast facts:

 It takes about 20 seconds for a red blood
cell to circle the whole body.
 Blood travels in veins back to the right side
of the heart.
 The average size of a heart is as big as
one‟s own fist.
 The heart is located at the middle part of
the chest and
tilted a little towards the left.

E. Lymphatic and immune system - consists of
organs, ducts, and nodes. It is home to
lymphocytes, small white blood cells that are the
key players in the immune system. The immune
system is a network of cells, tissues, and organs
that work together to defend the body against
attacks by disease causing microorganisms such as
bacteria,viruses, parasites, and fungi.



Fast facts:

 The spleen is the largest organ in the
lymphatic system
 Enlarged lymph nodes are a sign of
infection in colds and sore throats.
 The system acts life a filter that removes
foreign bodies to prevent
Infections.

F. Digestive system – is a series of complex
organs and glands that process food for
utilization of body cells. It consists of the
mouth, pharynx, esophagus, stomach,
small intestine, large intestine rectum and
anus. The salivary glands, liver, gallbladder,
and pancreas are major accessory
organs that have a role in digestion.

Fast facts:

 The human mouth can produce 3 pints of
saliva a day.
 Chewing is the first stage of digestion.
 The enzymes in the mouth help break
down food.



Diagram of the digestive system

G. Respiratory system – helps supply blood with
oxygen for transport to all parts of the body. It
works with the circulatory system to provide this
oxygen and to remove the waste products of
metabolism. It also helps to regulate pH of the
blood. The nose, pharynx, larynx, trachea, bronchi
and lungs are parts of the respiratory system.

Fast facts:

 In human beings, the right lung is larger
than the left lung to accommodate the
heart.



 The droplets that come out from coughing
are spread up to 3 feet. People are advised
to cover the mouth when coughing.

Diagram of the respiratory system

H. Urinary system – is the organ system that
produces, stores and eliminates urine and waste
products of cellular metabolism. It includes the two
kidneys, two ureters, bladder, urethra and two
sphincter muscles. The principal function of the
urinary system is to maintain the volume and
composition of body fluids within normal limits.


Fast facts:

 The health status of a person can be
determined through his/her urine.
 Urine can be tested to find out if a person
has urinary tract infection.
 The ancient Romans used urine as a
bleaching agent in washing clothes.

I. Nervous system - is responsible for sending,
receiving and processing
of nerve impulses in the body. It is the major
controlling, regulatory, and communicating
system in the body. It is the center of all
mental activity including thought, learning, and
memory. Through its receptors, the nervous
system keeps us in touch with our environment,
both external and internal. It consist of two
parts: The central nervous system (main) and
the peripheral nervous system (accessory).

Fast facts:

 There are millions of nerve cells in the
human body.
 As we grow older, the brain loses a gram of
its weight every year.



 The nervous system transmits nerve
impulses at a tremendous speed of 100
meters per second.

J. Endocrine system – acts through chemical
messengers called hormones that influence
growth, development, and metabolic activities. It
coordinates the activities of the organ systems. The
pituitary gland at the base of the brain is the
master gland.

Fast facts:

 A specialist in the endocrine system is an
endocrinologist
 The sex hormones are produced in the
gonads. Gonads are ovaries in females,
testes in males.
 The endocrine system influences cell and
function of the body

K. Reproductive system - is a system within an
organism which works together toward
reproduction. It consists of gonads, associated
ducts and external genital. Within the context of
producing offspring, the reproductive system has
four functions:
 To produce egg and sperm cell.
 To transport and sustain these cells


 To nurture the developing offspring
 To produce hormones

Fast facts:

 The urologist is a physician that specializes
in male reproductive system.
 The specialist on women‟s reproductive
system is called a gynecologist.
 Dysmenorrhea is the term called „painful‟
or difficult menstruation‟.

LIST OF DOH ACCREDITED TRAINING
INSTITUTIONS

 AKLAN – Hand-Med Integartive Health
Center (HMIHC)
Osmena Ave., Kalibo, Aklan
Tel. No. (036) 268-2910
Mobile No. 0929 7350080

 ANGELES CITY – NMA Center of Aquatic
Therapy and Massage
(NMACATM) #2 Brgy Court Villa, Angela
Subd., Angeles City
Tel No. (0929) 8062688

 CEBU/QUEZON CITY


Cebu – International NKYR Academy
(INKYRA)
Quezon City – Unit D, Pro Vita Bldg, 26,
Columbia cor. Yale St.
Cubao, Quezon City,
Tel. No. (02) 473 5115

 ILOILO- Early Divine School Forever
Alternative Medicine Rehabilitation and
Training Center (EDSFAMRTC).
59-A Escarilla Subd. Mandurriao, Iloilo City.
Tel. No. 0927 6898089

 ILOILO – Remnant Institute of Alternative
Medicine (RIAM)
Jamerian Bld., Iznart St., Iloilo City
Tel. No. (033) 3379298
Mobile No. 0920 9513598

 LAGUNA – Hilot at Hilom Pilipinas (HIHIP)
#33 Bakersfield St. Laguna Bel Air I
Don Jose Sta. Rosa, Laguna
Tel. No. (049) 544 0704
Mobile No. 0917 5457494

 MAKATI – Spa@Work
Suite 2205,Cityland 10 Tower
#2/154 H.V. dela Costa cor Valero St.,
Salcedo Village, Makati


Tel. No. 840-1239

 PAMPANGA – Central Luzon Alternative
Health and Devt. Inc (CLHAD)

2nd flr. ABN Bldg, MacArthur Highway, Del
Rosario,San Fernando, Pampanga
Tel. No. (045) 861 2493 –
Mobile No. 0915 9970969

 QUEZON CITY/DAVAO-HIMAS Asia
Wellness and Spa Academy (AWSA)

Manila main – 3F Crispina Bldg.
Quezon Ave., Quezon City
Tel. No. (02) 4107369
Mobile No. 0917 5117744

Davao Branch
D2, Sazon Bldg. Ponciano St., Davao City
Tel. No./ (082) 305 1013
Mobile No. 0927 6076543

 TAGUM CITY – Ventura College of Natural
Therapeutic Health and Science (VCNTHS)
Tagum City, Davao
Tel. No. (084) 218 2152



SPA AND MASSAGE ASSOCIATIONS

 Philippine International Association of
Massage Practitioners, Inc.
(PHILPRAC)
Secretariat Office, 3F Crispina Bldg.
1589 Quezon Ave. Quezon City
Tel. No. 4107369
Mobile No. 0917 5117744

 Philippine Wellness and Spa Association
(PHILWELL)
Rm 412,Office of the Product Research and
Development
Dept. of Tourism, TM Kalaw St., Manila
Tel. Nos. (02) 5466738
Mobile No. 0917 8975678

 Philippine Association of Massage
Therapists, Inc. (PALMT)
2nd Flr. ABN Bldg, Mc Arthur Highway, Del
Rosario, San Fernando, Pampanga
Tel. No. 045) 861 2493
Mobile No. 0915 997099969



REFERENCES

 Administrative Order 2010-004, “Revised
Implementing Rules and Regulations
Governing Massage and Sauna bath
Establishments”
 DOH Massage Therapy Manual (2010)
 PD 856- “Code of Sanitation of the
Philippines”
 Pilzer, Paul Zane, The Wellness Revolution
 Salvo, Susan, Massage Therapy: Principles
and Practice
 TESDA, www. tesda.gov.ph
 Wikipedia- www.en.wikipedia.org
 Google – www.google.com



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