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
deeper NM strokes (1)
stripping
kneading
skin rolling
broad and specific contact compressions along anterior/posterior forearm
deeper NM stroke (2)
circular frictions along wrist flexor and extensor mm or radioulnar space
how do we work in the forearm region
distally towards the carpal bones
wrist massage
circular frictions along the carpal bones
dorsal and palmar sides
how do we perform a hand massage
moving from
-distal to proximal
-palmar and dorsal surfaces
hand massage includes
stripping
circular frictions
stretching web spaces
ROM to each finger
stripping –> hand
along digits distal to proximal
circular frictions –> hand
along flexor and extensor tendons of each finer
over and b/w each metacarpal
b/w each web space and along thenar and hypothenar eminences
palmar aponeurosis
after the massage…
stretch the arches of the hand
stretching the arches of the hand
two transverse arches
one longitudinal arch
what must we do after stretching
must close the arches back into fxnal position after stretching
how do we close the massage
one part
2 part
one part closure
long effleurage from fingertips to shoulder
2 part closure
fingertips to elbow
below elbow to shoulder
how do we always start
taking a pulse for distal patency
what should we always do first
clear proximal joints in the extremity
w/ a clearing stroke and kneading
then clearing again
what should we do intermittently
perform long effleurage strokes
to “push” the distal fluid back into circulation
how should we always perform the strokes
distally
proximally
A and P
cover the extremity
how do we close the massage
effleurage strokes
deeper to more superficial
moving in a distal to proximal direction
