How To Perform a Forearm, Wrist, Hand Massage - Class 5 Flashcards
what positions can massage be performed in
supine or sitting positions
w/ the UE above the heart
when should we have the UE above the heart
if edematous
what should we do before starting this massage
take a radial pulse
to determine patency of blood distally
how do we open the massage
open the proximal segment first
what strokes should we use to open the proximal segment
clearing stroke (effleurage)
kneading strokes (petrissage)
how do we work the proximal segment
most proximal segments and work distally until the entire limb is “opened”
what does the clearing strokes ensure
any fluid or waste buildup proximally will be eliminated
why would we want to remove build-up/fluid
increase ability of the distal fluids/waste to smoothly be “pushed” into the circulatory system
what do we do after we have “cleared” the proximal joints
open up the massage with a 2 part opening
how do we do a 2 part opening
w/ 1 or 2 long strokes
from fingers to elbow
from elbow to shoulder
after the 2 part opening…
start massage at forearm and move distally to hand and wrist
how do we begin the forearm
using effleurage strokes in a distal to proximal direction
effleurage strokes
clearing
shingling
bilateral tree
horizontal strokes
after clearing strokes of the forearm
MFR skin glides
fingers slides along wrist flexor and extensor mm
after MFR of the forearm
mobilize radius and ulna
progress to deeper NM strokes
