INTRO TO PT - MOD 8 THERAPEUTIC MASSAGE

Massage

systemic and scientific manipulation of body tissues for

remedial or restorative purposes?

Massage

application of systematic manipulation to soft tissues of the body (skin, tendon, ligaments) for therapeutic purposes?

Physiotherapy

Massage is the place where ____ started?

Massein

Massage came from the Greek word “______” meaning to knead, in Arabic, it is termed “mass” which means to press.

Posture

• The ability to administer a good massage will depend largely on your comfort.

• Maintaining a good posture is beneficial to both you and your client

• Work with your back as straight as possible.

- By flexing your hips and knees, you will be able to move more efficiently and with less stress on your

back.

• Foot position is also important and should be such that you

can move in an anteroposterior direction without placing

undue strain on your back.

Ulnar border and Base of the thumb.

What are the most useful areas of the hand?

palm and the palmar surfaces of the fingers and

thumbs

What are other important areas of the hand?

Physical contact

• Always maintain contact with your client.

  - This allows them to relax, especially if they are lying face down.

  - Removal of the hands may also be interpreted as an indication that the session is over and so causes unwanted movement.

Position and support

• The position of choice is that which is optimal for the patient's comfort and physiological or orthopedic disability.

• Always explain what you are going to do to the patient and why.

• Drape the patient appropriately

• Always support the part as it aids in relaxation, aids flow of venous and lymphatic fluids, and reduces edema by gravity assisting

-Unscented talcum

- Mineral oil (mineral oil and alcohol, 3:1)

- Peanut oil Cold cream

-baby oil

-cocoa butter

What are the 5 lumbrications used to reduce friction?

Circulation

Increase in heat, increase in circulation.

“vasodilation”

Sleepy

Sedative effect depress circulation

Amputation stump

To relieve pain

Phantom pain

Desensitize

Indications

Subacute and chronic pain

• Muscle spasm

• Superficial scar formation

• Edema

• Postural drainage

Contraindications

• Elevation of temperature

• Skin diseases

• Active infections

• Malignancies

• Abdominal massage in pregnancy

• Debilitating diseases

• Neurotic pain

Effleurage (gliding)

Glides over the skin without attempting to move the muscle

mass.

• Movements of light or heavy stroking of the skin surfaces.

• Used for the beginning and ending of massage as well as in

between strokes.

Superficial stroking

reflex effect; done gently and rhythmically.

Deep stroking

mechanical effect on the veins and

lymphatic vessels; hastens the movement of their contents

in physiologic directions.

Aims of effleurage

Introduce touch to the client

✓ Put the client at ease

✓ Warm the superficial tissues

✓ Relax the muscles

✓ Allow you to palpate and sense the condition of the tissue

✓ Stimulate the peripheral nerves

✓ Increase blood and lymph flow, thus aiding in the removal

of waste products

✓ Stretch tissues

✓ Relax the client before the end of the session

Petrissage (kneading)

Consists of kneading manipulations that press and roll the

muscles under the fingers or hands

• The skin is lifted up, pressed down and squeezed, pinched

and rolled

• Alternate squeezing and relaxation of the tissues stimulate

the local circulation and may have a pain-relieving effect

with some muscular disorders

To knead

Petrissage is derived from a french word, meaning?

Squeezing

Picking up

Shaking

Rolling

Wringing

Techniques of petrissage

Percussion/tapotement manipulations

• Series of brisk blows, administered with relaxed hands and following each other in rapid alternating movements

• Has a penetrating effect that is used to stimulate subcutaneous structures

• Any series of brisk blows following each other in a rapid alternating fashion:

-hacking, cupping, slapping, beating, tapping, pinchinG

Myofascial release

• Manual technique for stretching the fascia a aiming to release fascia restrictions

• Fascia is located between the skin and the underlying structure of muscle and bone and connects the muscles, organs, and skeletal structure in our body

Injuries, stress, trauma, and poor posture

Fascia can be restricted through?

Trigger point therapy

• Applying pressure to tender muscle tissue to relieve pain and dysfunction in other parts of the body.

• Trigger points are active centers of muscular hyperactivity, which often cross over with acupuncture points

Deep transverse frictions

• Transverse frictions are a transverse connective tissue therapy applied directly by the fingers

• Oscillating pressure is applied across the direction of the tissue fibers.

• Mainly used on tendon or ligament injuries to help break down thickened, pain-producing scar tissue.

Compression massage

• Rhythmic compression into muscles used to create a deep hyperaemia and softening effect in the tissues.

• Often used for sports massage as a warm-up for deeper, more specific massage work.

Cross fiber

• Applied in a general manner to create a stretching and broadening effect in large muscle groups; or on site-specific muscle and connective tissue, deep transverse friction is applied to reduce adhesions and to help create strong, flexible repair during the healing process.

Swedish massage

_________ massage techniques includes long strokes, kneading, friction, tapping, percussion, vibration, effleurage, and Shaking motions.

The sequence of use is generally:

• Effleurage: Gliding strokes with the palms, thumbs and/or fingertips

• Petrissage: Kneading movements with the hands, thumbs and/or fingers

• Friction: Circular pressures with the palms of hands, thumbs and/or fingers

• Vibration: Oscillatory movements that shake or vibrate the body

• Percussion: Brisk hacking or tapping

• Passive and active movements: Bending and stretchingEffleurage: Gliding strokes with the palms, thumbs and/or fingertips