Massage Flashcards
What is Effleurage?
A gliding manipulation performed with light pressure that deforms subcutaneous tissue down to the layer of deep fascia.
What mediums are used in Effleurage?
Lotion, oils, bee’s wax.
What is the contact area for Effleurage?
Whole relaxed palmar surface of hand.
What is the pressure applied in Effleurage?
Light.
What is the direction of Effleurage?
Towards axillary or inguinal region.
What are the indications for Effleurage?
Lymphatic congestions, dependent edema, edema or effusion, psychological effects, infant colic.
With edema, often times elevation of limb is utilized.
What is Petrissage?
Kneading; a group of related techniques that repetitively compress, shear, and release muscle tissue.
How is Petrissage applied?
Begin proximal and proceed distal.
What are the four types of Petrissage?
Muscle squeezing, wringing, picking up (C-kneading), deep kneading technique.
What is the contact area for Deep Kneading Technique?
Full palmar surface of hand (usually reinforced on wrist, fist/knuckles, forearm).
What is the pressure applied in Deep Kneading Technique?
Light to heavy.
What is the direction of Deep Kneading Technique?
Circular.
What is the rate for Deep Kneading Technique?
10-25 cm/sec.
What is the duration for Deep Kneading Technique?
20-60 seconds or more.
What is the contact area for Muscle Squeezing?
Entire palmar surface; thumb, index finger (web space).
What is the pressure applied in Muscle Squeezing?
Light to moderate.
What is the direction of Muscle Squeezing?
Applied around the circumference of muscle belly and limbs.
What are the indications for Muscle Squeezing?
Specific area/rx, increase circulation, mobilization of soft tissue.
What is the contact area for Wringing?
Palmar surface of both hands.
What is the pressure applied in Wringing?
Light to heavy.
What is the direction of Wringing?
Across long axis of body segment.
What is the contact area for Picking Up (C-Kneading)?
Palmar surface, especially between web space between thumb and index finger.
What is the pressure applied in Picking Up (C-Kneading)?
Light to moderate.
What is the direction of Picking Up (C-Kneading)?
Parallel to the long axis of body segment.
What is the duration for Picking Up (C-Kneading)?
20-60 seconds or more.
What is Tapotement?
Percussion, repeated rhythmical light striking.
What are the uses of Tapotement?
Clearance of airways, proprioceptive stimulation, increasing levels of arousal, pain relief.
What is the contact area for Tapotement?
Fingers, fingertips, ulnar border of hands, palms.
What is the pressure applied in Tapotement?
Light to heavy (quick, light, and even).
What is deep friction massage?
Deep circular or cross fiber massage.
Applies stress to scar tissue as it matures to align collagen for normal mobility.
What are the indications for deep friction massage?
Used to break up adhesions or minimize ‘rough’ surfaces between tendons and their sheaths; Increase Mobility of scar tissue.
What are the contraindications for massage?
Inflammation due to infection; ossification in soft tissue structures; bursitis; RA; around nerves.
Cancer, thrombolysis, acute inflammation
What are the principles of deep friction massage?
Movements must have sufficient depth to reach lesions; direction of stroke is across the fibers; muscles must be put on slack; tendon must be put on stretch.
What is the duration for deep friction massage?
1-10 minutes.
