The document provides information about therapeutic massage including definitions, history, types, relevant anatomy and physiology, effects, and application techniques. It defines massage as the scientific manipulation of soft tissues and outlines its uses in ancient civilizations. The types of massage discussed include Western, shiatsu, tui-na, and Ayurvedic massage. Key effects of massage include mechanical, circulatory, nervous system, musculoskeletal, and psychological benefits. Assessment techniques and specific manipulation methods like effleurage, petrissage, and stroking are also described.
this ppt is about therapeutic massage by physiotherapist. includes details like indications, contraindications, effects, preparation of patient & therapist & classification of manipulations.
A technique which uses water as a therapeutic modality. This therapy is usually used by Physiotherapist for healing wound, edema drainage, improving balance and posture and decreasing pain.
13.2 Physiological effects of Massage.pptxalpadhanani
physiological effects of massge
https://www.slideshare.net/alpadhanani/i have uploaded all massge ppt..as students n people can use it for learning purpose ..n i have uploaded it as they have syllabus according to veernarmad University...so 8 hope everyone can use this ppt for the learning .....n those who don't reffere book in this digital world it's best for 5hen to reffer with important points highlight wd..colour maks
this ppt is about therapeutic massage by physiotherapist. includes details like indications, contraindications, effects, preparation of patient & therapist & classification of manipulations.
A technique which uses water as a therapeutic modality. This therapy is usually used by Physiotherapist for healing wound, edema drainage, improving balance and posture and decreasing pain.
13.2 Physiological effects of Massage.pptxalpadhanani
physiological effects of massge
https://www.slideshare.net/alpadhanani/i have uploaded all massge ppt..as students n people can use it for learning purpose ..n i have uploaded it as they have syllabus according to veernarmad University...so 8 hope everyone can use this ppt for the learning .....n those who don't reffere book in this digital world it's best for 5hen to reffer with important points highlight wd..colour maks
This PPT is made to explain basic techniques of therapeutic massage in detail.
It includes : Stroking, Pressure Manipulation, Tapotement & Vibration
Physiological effects, Therapeutic uses, Caution & Contraindications.
Co-ordination Exercise,Definitions,Nervous control,Motor pathway,Cerebral cortex,Kinesthetic sensation,Causes of Incoordination,Flaccidity
Spasticity ,Cerebellar ataxia,Loss of kinesthetic sensation,Types of coordination,Posterior column,Test for Incoordination.
IFT which stands for Interferential Therapy is one of the types of electrotherapy used for the management of pain. The principle of interferential therapy is to cause two medium frequency currents of slightly different frequencies to interfere with one another. For example, if circuit A carries a current with the frequency of 4000Hz and Circuit B carry a current with a frequency of 3980 Hz, then the low frequency produced will be 20 Hz and this frequency is very useful in pain modulation. A new low-frequency current known as the beat frequency is equal to the difference in frequencies between the two medium frequency currents produced in the tissues at the point where the two currents cross.
It is basically used for the treatment of Chronic, Post Traumatic, and Post-surgical pains. The basic principle involves the utilization of effects of low frequencies (<250pps) without painful or unpleasant side effects. The major advantage of IFT is that it produces effects in the tissue, exactly where required without unnecessary and uncomfortable skin stimulation. This technique is widely used to elicit muscle contraction, promote healing and reduce edema.
Vector effect: The interference field is rotated to an angle of 450 in each direction, the field thus covers a wider area. This is useful in diffuse pathology or if the site of the lesion cannot be accurately localized.
Frequency swing: Some equipment allows a variation in the speed of the frequency swing. A rhythmic mode may be a continuous swing from 0 to 100 Hz in 5-10s and back in similar time or it may hold for 1-6s at one frequency followed by 1-6s at another frequency with a variable time to swing between the two.
Constant frequency: Some treatments may be carried out with the interference fixed at a certain frequency. Rhythmic frequency is useful if several types of tissues are to be treated at once. A variation in the frequency also overcomes the problem of tissue accommodation where the response of a particular tissue decreases with time.
WORKING PRINCIPLE: Interferential current therapy works by sending small amounts of electrical stimulation to damaged tissues in the body. The therapy is meant to boost the body's natural process of responding to pain, by increasing circulation thus produces hormones that promote healing. IFT delivers intermittent pulses to stimulate surface nerves and block the pain signal, by delivering continuous deep stimulation into the affected tissue. IFT relieves pain, increases circulation, decreases edema, and stimulates the muscles. A frequency of 100Hz may stimulate the large diameter A-beta fibers, which have an effect on the pain gate, and inhibit the transmission of small-diameter nociceptive traffic ( C and A-delta fiber), which effectively closes the gait to painful impulses. Interferential current Increases the circulation of blood thus reduces swelling.
It is a direct current named after inventor Dr.L. Galvani. 2. Its direction of polarity is constant and passing continuously in one direction only, so termed as constant direct current. 3. Because of its unidirectional property, when applied to a muscle tend to contract and remain in that position till it is brought to zero, which seems to be very painful. GALVANIC CURRENT
Knowledge about the faradic current and its physiological effects,indications and its contraindication and the methods of the application of the faradic current,motor point stimulation and its benefit used in physiotherapy
Rebox electrotherapeutic method is based on non-invasive transcutaneous application of specific electric currents to a living tissue. Main indications for using the Rebox include treatment of acute and chronic pain, immobility, musculoskeletal and neurological disorders and oedema.
This PPT is made to explain basic techniques of therapeutic massage in detail.
It includes : Stroking, Pressure Manipulation, Tapotement & Vibration
Physiological effects, Therapeutic uses, Caution & Contraindications.
Co-ordination Exercise,Definitions,Nervous control,Motor pathway,Cerebral cortex,Kinesthetic sensation,Causes of Incoordination,Flaccidity
Spasticity ,Cerebellar ataxia,Loss of kinesthetic sensation,Types of coordination,Posterior column,Test for Incoordination.
IFT which stands for Interferential Therapy is one of the types of electrotherapy used for the management of pain. The principle of interferential therapy is to cause two medium frequency currents of slightly different frequencies to interfere with one another. For example, if circuit A carries a current with the frequency of 4000Hz and Circuit B carry a current with a frequency of 3980 Hz, then the low frequency produced will be 20 Hz and this frequency is very useful in pain modulation. A new low-frequency current known as the beat frequency is equal to the difference in frequencies between the two medium frequency currents produced in the tissues at the point where the two currents cross.
It is basically used for the treatment of Chronic, Post Traumatic, and Post-surgical pains. The basic principle involves the utilization of effects of low frequencies (<250pps) without painful or unpleasant side effects. The major advantage of IFT is that it produces effects in the tissue, exactly where required without unnecessary and uncomfortable skin stimulation. This technique is widely used to elicit muscle contraction, promote healing and reduce edema.
Vector effect: The interference field is rotated to an angle of 450 in each direction, the field thus covers a wider area. This is useful in diffuse pathology or if the site of the lesion cannot be accurately localized.
Frequency swing: Some equipment allows a variation in the speed of the frequency swing. A rhythmic mode may be a continuous swing from 0 to 100 Hz in 5-10s and back in similar time or it may hold for 1-6s at one frequency followed by 1-6s at another frequency with a variable time to swing between the two.
Constant frequency: Some treatments may be carried out with the interference fixed at a certain frequency. Rhythmic frequency is useful if several types of tissues are to be treated at once. A variation in the frequency also overcomes the problem of tissue accommodation where the response of a particular tissue decreases with time.
WORKING PRINCIPLE: Interferential current therapy works by sending small amounts of electrical stimulation to damaged tissues in the body. The therapy is meant to boost the body's natural process of responding to pain, by increasing circulation thus produces hormones that promote healing. IFT delivers intermittent pulses to stimulate surface nerves and block the pain signal, by delivering continuous deep stimulation into the affected tissue. IFT relieves pain, increases circulation, decreases edema, and stimulates the muscles. A frequency of 100Hz may stimulate the large diameter A-beta fibers, which have an effect on the pain gate, and inhibit the transmission of small-diameter nociceptive traffic ( C and A-delta fiber), which effectively closes the gait to painful impulses. Interferential current Increases the circulation of blood thus reduces swelling.
It is a direct current named after inventor Dr.L. Galvani. 2. Its direction of polarity is constant and passing continuously in one direction only, so termed as constant direct current. 3. Because of its unidirectional property, when applied to a muscle tend to contract and remain in that position till it is brought to zero, which seems to be very painful. GALVANIC CURRENT
Knowledge about the faradic current and its physiological effects,indications and its contraindication and the methods of the application of the faradic current,motor point stimulation and its benefit used in physiotherapy
Rebox electrotherapeutic method is based on non-invasive transcutaneous application of specific electric currents to a living tissue. Main indications for using the Rebox include treatment of acute and chronic pain, immobility, musculoskeletal and neurological disorders and oedema.
scientific background
Anatomy, Physiology, Kinesiology & Bio-Mechanism
Answers are given in Blue for all questions.
1) Why yoga student should know about “anatomy and physiology” To understand mechanisms involved in different yogic practices with a scientific background
2) Function of diaphragm in respiration.
It is a dome shaped main muscle in our respiratory system, which
is located just below the lungs and heart. It contracts
rhythmically and continuously. Upon inhalation, the diaphragm contracts and flattens and the chest cavity enlarges. This
Benefits of massage, Swedish massage, Massage presentation by samiullah, History of the Massage, Deep Tissue Massage, Hot Stone Massage, Purpose of Massage, Types of massage ppt, Purpose of the Massage, Physiological effects, Thai Massage, Contraindication of Massage
homepagephoto3Thank you for considering Island Massage for your good care!
For over 20 years I have strived to make each individual session a new best, for myself and for my client
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(zaid hijab) 4th stage
Rehabilitation of sciatica
Sciatica is a common pain syndrome, considering that ∼10% of low back pain
episodes, which have a lifetime cumulative incidence of 80%, will be accompanied
by sciatica. Nerve root compression by disc herniation is regarded as the most
frequent cause of sciatica.
College of
Health and medical technology
Baghdad
Department of
Physiotherapy & Rehabilitation
Arthritis affects more than 50 million Americans today, and one out of two people will statistically be diagnosed with arthritis at some point. Although dozens of different types of arthritis exist, the primary two forms which affect the greatest number of people are Osteoarthritis and Rheumatoid Arthritis. Let’s take a look at what each of these arthritic diseases entails and the possible massage treatments for each.
Things about massage that you should knowDianne Myo
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small correction in slide number: 10
during flexion of tibia over femur in OKC; tibia glides and rolls posteriorly
during extension of tibia over femur in OKC: tibia glides and rolls anteriorly
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it is another taping technique which inhibits or control the movement. it is helpful in postural correction and movement pattern correction as well. usually used clinically
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Personal Stories: Real stories of recovery emphasize hope and resilience.
Interactive Q&A: Engage the audience and encourage discussion.
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Resources: Provide contact information and links for further support.
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Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
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2. CONTENTSCONTENTS
DefinitionDefinition
Introduction & HistoryIntroduction & History
TypesTypes
Relevant anatomy and physiologyRelevant anatomy and physiology
Effects of therapeutic massageEffects of therapeutic massage
Application techniques: assessment andApplication techniques: assessment and
treatmenttreatment
IndicationsIndications
ContraindicationContraindication
3. DefinitionDefinition
““Massage is the term used to express certain scientificMassage is the term used to express certain scientific
manipulations, which are performed by the hands of the operatormanipulations, which are performed by the hands of the operator
upon the body of the patient. It is a means used for creating energy,upon the body of the patient. It is a means used for creating energy,
where such has become exhausted , from whatsoever cause and is awhere such has become exhausted , from whatsoever cause and is a
natural method of restoring the part either locally or generallynatural method of restoring the part either locally or generally
injured, to its normal condition.”injured, to its normal condition.”
Massuse’s Pcketbook (1907)Massuse’s Pcketbook (1907)
““The scientific manipulation of the soft tissues of the body apartThe scientific manipulation of the soft tissues of the body apart
from mere rubbing.”from mere rubbing.”
Prosser (1941)Prosser (1941)
““Technically it can be described as therapeutic manipulation of softTechnically it can be described as therapeutic manipulation of soft
tissue.”tissue.”
Vickers (1996)Vickers (1996)
4. Introduction & HistoryIntroduction & History
The word massage comes from ‘mass’ the Arabic term denoting ‘toThe word massage comes from ‘mass’ the Arabic term denoting ‘to
press’.press’.
Massage is used therapeutically since ages by many civilization fromMassage is used therapeutically since ages by many civilization from
5000 years ago.5000 years ago.
Almost all civilizations like: Hindus of India, Chinese, Japanese, theAlmost all civilizations like: Hindus of India, Chinese, Japanese, the
Thai, ancient Egyptians, Greeks and Romans.Thai, ancient Egyptians, Greeks and Romans.
Hippocrates described its medical uses as well.Hippocrates described its medical uses as well.
Massage played an important role in Roman Bath concept as well.Massage played an important role in Roman Bath concept as well.
5. TypesTypes
There are various types of massages like;There are various types of massages like;
A.A. Western forms of massage.Western forms of massage.
B.B. Shaitsu: a modern form of accupunctureShaitsu: a modern form of accupuncture
C.C. Tui-na: a form of accupressureTui-na: a form of accupressure
D.D. Anma (amma): Japanese massageAnma (amma): Japanese massage
E.E. Ayurvedic massageAyurvedic massage
6. Relevant anatomyRelevant anatomy
THE SKIN:
Functions:
1.Protection from dehydration,
chemicals, UV rays, trauma
2.Regulation of temperature in
order
3.Has various sensory nerve
endings: nociceptors, ruffini’s
corpuscles, pacini’s corpuscles,
Merkle’s disc, Meissner’s discs
4.Excretion of excess fluids
5.Production of Vitamin D
6.Absorption of drugs and some
other substances such as
essential oils
7.For immunity by acting as
barrier
7. Effects of Therapeutic MassageEffects of Therapeutic Massage
1.1. Mechanical effectsMechanical effects
This effects is seen due to constant passage of hands over theThis effects is seen due to constant passage of hands over the
skin which removes dead surface cells and allows the sweatskin which removes dead surface cells and allows the sweat
glands, the hair follicles and the sebaceous glands to be free ofglands, the hair follicles and the sebaceous glands to be free of
obstruction and to function better.obstruction and to function better.
The increased lubrication effect is seen in subjects withThe increased lubrication effect is seen in subjects with
desquamationdesquamation
Used in management of scars by inducing space; thus looseningUsed in management of scars by inducing space; thus loosening
up the adhesion and inducing scar tissue mobilisation.up the adhesion and inducing scar tissue mobilisation.
8. Effects of Therapeutic MassageEffects of Therapeutic Massage
2. Physiological effects2. Physiological effects
A.A. Circulatory effects:Circulatory effects:
Initial capillary constriction occurs in response to light pressureInitial capillary constriction occurs in response to light pressure
seen as a transient white lineseen as a transient white line
Skin rolling a form of therapeutic massage release a histamineSkin rolling a form of therapeutic massage release a histamine
related substancerelated substance
Massage helps to increase circulation of the skin due to intermittentMassage helps to increase circulation of the skin due to intermittent
pressure applied and relieved during massage.pressure applied and relieved during massage.
Increased lymphatic drainageIncreased lymphatic drainage
Improved venous return to heartImproved venous return to heart
9. B. Effects on nervous system:B. Effects on nervous system:
Slow rhythmic stroking: gives relaxation effectSlow rhythmic stroking: gives relaxation effect
Fast stroking gives: excitatory effectFast stroking gives: excitatory effect
Deep massages: relaxation/inhibitory effectDeep massages: relaxation/inhibitory effect
C. Effects on Pain:C. Effects on Pain:
Pain caused due to muscles under spasm, tightness: slow and deepPain caused due to muscles under spasm, tightness: slow and deep
massagemassage
Pain due to irritation of muscle in acute stages like muscle tear:Pain due to irritation of muscle in acute stages like muscle tear:
massage is contraindicatedmassage is contraindicated
Pain due to muscular pressure on nerves: Radiculopathy: deep massagePain due to muscular pressure on nerves: Radiculopathy: deep massage
along the neuromuscular interface till the end point of radiating pain.along the neuromuscular interface till the end point of radiating pain.
10. D. Effects on Musculoskeletal system:D. Effects on Musculoskeletal system:
Slow deep massage: Reducing tone in spasmodic musclesSlow deep massage: Reducing tone in spasmodic muscles
Quick stroking massage: Improving tone in flaccid muscleQuick stroking massage: Improving tone in flaccid muscle
Constant deep massage: Improves the flexibility as well as extensibility of the muscleConstant deep massage: Improves the flexibility as well as extensibility of the muscle
Helps in relaxationHelps in relaxation
E. Effects on Psychological system:E. Effects on Psychological system:
Massage helps in relieving tension/anxious moods by inducing somatic arousal andMassage helps in relieving tension/anxious moods by inducing somatic arousal and
reducing tension with the muscle indirectly reducing anxiety in subjects.reducing tension with the muscle indirectly reducing anxiety in subjects.
Increase in sympathetic activityIncrease in sympathetic activity
Pain caused due to muscles under spasm, tightness: slow and deep massagePain caused due to muscles under spasm, tightness: slow and deep massage
Pain due to irritation of muscle in acute stages like muscle tear: massage is contraindicatedPain due to irritation of muscle in acute stages like muscle tear: massage is contraindicated
Pain due to muscular pressure on nerves: Radiculopathy: deep massage along thePain due to muscular pressure on nerves: Radiculopathy: deep massage along the
neuromuscular interface till the end point of radiating pain.neuromuscular interface till the end point of radiating pain.
11. Application techniques:Application techniques:
A. AssessmentA. Assessment Assessment of part to beAssessment of part to be
massaged is done by followingmassaged is done by following
methods:methods:
i.i. ObservationObservation::
Postural evaluationPostural evaluation::
Observation of each bonyObservation of each bony
landmark or joint and itslandmark or joint and its
position with respect toposition with respect to
contralateral side. Eg forcontralateral side. Eg for
dysfunction: pectoralisdysfunction: pectoralis
tightness: shoulder goes intotightness: shoulder goes into
protraction which is viewed asprotraction which is viewed as
protracted shoulder in lateralprotracted shoulder in lateral
view posture analysis.view posture analysis.
12. A. Assessment Continued..A. Assessment Continued..
- Observe during movements:Observe during movements:
for any muscular tightnessfor any muscular tightness
while performing movement.while performing movement.
Eg: compare the angle of HipEg: compare the angle of Hip
flexion with knee extensionflexion with knee extension
in supine: if one leg is of lessin supine: if one leg is of less
angle actively and reaches toangle actively and reaches to
equal angle when doneequal angle when done
passively; indicates tightness.passively; indicates tightness.
Respective to the angleRespective to the angle
various muscles are tight.various muscles are tight.
Angles of hip flexion and pain occurring varies with the type of dysfunction.
a. 0-30: hip joint pain
b. 30-70: sciatica: Massage is sometimes used to treat
c. 70-120: hamstring muscle dysfunction: Massage is used to treat
d. 120 and above: SI joint pain
Angles of hip flexion and pain occurring varies with the type of dysfunction.
a. 0-30: hip joint pain
b. 30-70: sciatica: Massage is sometimes used to treat
c. 70-120: hamstring muscle dysfunction: Massage is used to treat
d. 120 and above: SI joint pain
13. ii.ii. Palpation: there are various softPalpation: there are various soft
tissue palpation techniques, usedtissue palpation techniques, used
to assess the muscle turgour.to assess the muscle turgour.
These techniques involveThese techniques involve
superficial and deep palpationsuperficial and deep palpation
A.A. Flat palpation technique: forFlat palpation technique: for
flatter muscles and moreflatter muscles and more
superficially located onessuperficially located ones
B.B. Snapping palpation technique: forSnapping palpation technique: for
cord like structures which arecord like structures which are
deeply locateddeeply located
C.C. Pincer grasp: for superficial bulkPincer grasp: for superficial bulk
like biceps brachiilike biceps brachii
14. B. Massage manipulationB. Massage manipulation
techniquestechniques
There are various types of technique performed differentlyThere are various types of technique performed differently
also used for different conditions:also used for different conditions:
1.1. EffleurageEffleurage
2.2. PetrissagePetrissage
3.3. MF TrP TherapyMF TrP Therapy
4.4. RollingRolling
5.5. StrokingStroking
6.6. Deep tissue massageDeep tissue massage
15. 1.1. EffleurageEffleurage
It is a unidirectional manipulation in which the practitionersIt is a unidirectional manipulation in which the practitioners
hand passes from distal to proximal with a depth compatiblehand passes from distal to proximal with a depth compatible
with the state of the tissues and the desired effect.with the state of the tissues and the desired effect.
Manipulation usually starts at one end and proceedsManipulation usually starts at one end and proceeds
proximally, thus draining the part underneath.proximally, thus draining the part underneath.
Aims:Aims:
i.i. Assists venous and lymphatic drainageAssists venous and lymphatic drainage
ii.ii. Assists fluid interchangeAssists fluid interchange
iii.iii. Assists in relaxation of the subject due to sedative effectAssists in relaxation of the subject due to sedative effect
iv.iv. Helps in decreasing or increasing muscle tone.Helps in decreasing or increasing muscle tone.
v.v. Passively stretches the fibers.Passively stretches the fibers.
16. Subjects position: relaxedSubjects position: relaxed
position of the part to beposition of the part to be
treated.treated.
Therapists position: StepTherapists position: Step
standingstanding
Hand position: PerformedHand position: Performed
with whole hand, softlywith whole hand, softly
curved and relaxed to fitcurved and relaxed to fit
the part, should be placedthe part, should be placed
obliquely on the skin. Bothobliquely on the skin. Both
hands can also be used tohands can also be used to
treat.treat.
17. 2. Stroking2. Stroking
It is a unidirectional manipulation in which the practitionersIt is a unidirectional manipulation in which the practitioners
hand passes usually from proximal to distal down the lengthhand passes usually from proximal to distal down the length
of the tissues at speed compatible with the desired effect. Theof the tissues at speed compatible with the desired effect. The
direction of stroking may be varied to give greater comfort.direction of stroking may be varied to give greater comfort.
The depth of the stroking is minimal in order to induceThe depth of the stroking is minimal in order to induce
relaxation/stimulating.relaxation/stimulating.
Aims:Aims:
i.i. Assists in creating sedative effect (slow): one stroke per 5Assists in creating sedative effect (slow): one stroke per 5
secondsseconds
ii.ii. Assists in creating a stimulating effect (fast): four strokes perAssists in creating a stimulating effect (fast): four strokes per
5 seconds5 seconds
18. Subjects position: relaxed positionSubjects position: relaxed position
of the part to be treated.of the part to be treated.
Therapists position: Step standingTherapists position: Step standing
Hand position: stroke should startHand position: stroke should start
with a firm contact and finish withwith a firm contact and finish with
a smooth lift off of hands. The handa smooth lift off of hands. The hand
can be positioned obliquely so thatcan be positioned obliquely so that
heel travels first, but application isheel travels first, but application is
only by the finger tips.only by the finger tips.
i.i. One hand: narrow area like thighsOne hand: narrow area like thighs
ii.ii. Two hands: broader area like backTwo hands: broader area like back
““Thousand hands technique”Thousand hands technique”
One hand performs a short stroke, theOne hand performs a short stroke, the
second hand does pass over onesecond hand does pass over one
another to gain contact as theanother to gain contact as the
manipulation proceeds down the lengthmanipulation proceeds down the length
of the part under treatmentof the part under treatment
19. 3. Petrissage3. Petrissage
It is a type of massage manipulation in which the soft tissuesIt is a type of massage manipulation in which the soft tissues
are compressed either against underlying bone or againstare compressed either against underlying bone or against
themselves.themselves.
Aims:Aims:
i.i. Assists venous and lymphatic drainageAssists venous and lymphatic drainage
ii.ii. Assists fluid interchangeAssists fluid interchange
iii.iii. Increases mobility of underlying tissueIncreases mobility of underlying tissue
iv.iv. Has an effect on somatovisceral reflexesHas an effect on somatovisceral reflexes
20. Petrissage are divided into:Petrissage are divided into:
I.I. KneadingKneading
II.II. Picking up manipulationPicking up manipulation
III.III.WringingWringing
IV.IV.RollingRolling
V.V. ShakingShaking
21. I. KneadingI. Kneading
It is a type of circular manipulation performed so that theIt is a type of circular manipulation performed so that the
skin and subcutaneous tissue are moved in a circular mannerskin and subcutaneous tissue are moved in a circular manner
on the underlying structures.on the underlying structures.
The circle is described by the part of your hand in contact.The circle is described by the part of your hand in contact.
The actual range or number of degrees for which pressure isThe actual range or number of degrees for which pressure is
exerted varies with the part to be treated.exerted varies with the part to be treated.
22. Subjects position: relaxed positionSubjects position: relaxed position
of the part to be treated.of the part to be treated.
Therapists position: Stride standingTherapists position: Stride standing
Hand position: performed with;Hand position: performed with;
- Whole hand kneadingWhole hand kneading
- Palmar kneadingPalmar kneading
- With fingers only: flat fingerWith fingers only: flat finger
kneading, finger pad kneading andkneading, finger pad kneading and
finger tip kneading.finger tip kneading.
- With the thumb: thumb padWith the thumb: thumb pad
kneading and thumb tip kneadingkneading and thumb tip kneading
- Both hands when one isBoth hands when one is
superimposed on the othersuperimposed on the other
- Double handed: alternatively orDouble handed: alternatively or
simultaneouslysimultaneously
23. II. Picking UpII. Picking Up
It is a type of manipulation in which tissues are compressedIt is a type of manipulation in which tissues are compressed
against underlying bone, then lifted, squeezed and released.against underlying bone, then lifted, squeezed and released.
The manipulation is often performed single handed with stheThe manipulation is often performed single handed with sthe
thumb and thenar eminence as one component and thethumb and thenar eminence as one component and the
medial two or three fingers and hypothenar eminence as themedial two or three fingers and hypothenar eminence as the
other component of the grasp.other component of the grasp.
Types of grasp:Types of grasp:
A.A. ‘‘C’- shaped grasp: for wider or larger areasC’- shaped grasp: for wider or larger areas
B.B. ‘‘V’-shaped grasp: for narrower areas.V’-shaped grasp: for narrower areas.
24. The cleft between the thumb and index finger should alwaysThe cleft between the thumb and index finger should always
be in contact with the subjects skin, otherwise it has abe in contact with the subjects skin, otherwise it has a
pinching effect and the depth of massage is lost.pinching effect and the depth of massage is lost.
The technique is performed with arms held in slightThe technique is performed with arms held in slight
abduction and elbows semi-flexed.abduction and elbows semi-flexed.
25. III. WringingIII. Wringing
It is a type ofIt is a type of
manipulation in whichmanipulation in which
tissues are compressedtissues are compressed
against underlyingagainst underlying
structures, then, pullstructures, then, pull
them with one handthem with one hand
while pushing them inwhile pushing them in
the prior mentionedthe prior mentioned
direction with the thumbdirection with the thumb
of opposite hand.of opposite hand.
Basically the structure toBasically the structure to
be treated is wringedbe treated is wringed
between two handsbetween two hands
It is a type ofIt is a type of
manipulation in whichmanipulation in which
tissues are lifted andtissues are lifted and
rolled between thumbsrolled between thumbs
and fingers of the twoand fingers of the two
hands.hands.
Two types:Two types:
A.A. Skin rolling: performedSkin rolling: performed
on back, abdomen,on back, abdomen,
thighs, knees and on scarthighs, knees and on scar
tissues.tissues.
B.B. Muscle rolling:Muscle rolling:
performed by workingperformed by working
along the long axis of thealong the long axis of the
IV. RollingIV. Rolling
26. Skin rollingSkin rolling
Muscle rollingMuscle rolling
WringingWringing RollingRolling
27. V. Muscle shakingV. Muscle shaking
Long bellies may be shaken andLong bellies may be shaken and
muscle manipulation can bemuscle manipulation can be
performed on the larger musclesperformed on the larger muscles
likes: biceps brachii, tricepslikes: biceps brachii, triceps
brachii, quadriceps, gastrocnemiusbrachii, quadriceps, gastrocnemius
and also on the small muscles ofand also on the small muscles of
thenar and hypothenar eminences.thenar and hypothenar eminences.
Movement of the model isMovement of the model is
sideways and involves rapid radialsideways and involves rapid radial
and ulnar deviation of the wrist.and ulnar deviation of the wrist.
28. FrictionFriction
Frictions are small range, deep manipulationsFrictions are small range, deep manipulations
performed on specific anatomical structuresperformed on specific anatomical structures
with the tips of the fingers or thumbs (no otherwith the tips of the fingers or thumbs (no other
part of the therapist hand must come in contactpart of the therapist hand must come in contact
with the subject body part to be treated)with the subject body part to be treated)
Two types:Two types:
A.A. Circular: performed with finger tipsCircular: performed with finger tips
B.B. Transverse: advocated by James cyriax: knownTransverse: advocated by James cyriax: known
as cyriax deep transverse friction massageas cyriax deep transverse friction massage
29. CircularCircular
Finger tips only in a circularFinger tips only in a circular
manner with graduallymanner with gradually
increasing depth for three orincreasing depth for three or
four circles.four circles.
The pressure is released andThe pressure is released and
manipulated againmanipulated again
One hand can reinforceOne hand can reinforce
other.other.
TransverseTransverse
To and fro movementTo and fro movement
Pronosupination graspPronosupination grasp
Pincer graspPincer grasp
Pulp of thumbPulp of thumb
30. To and Fro movement:To and Fro movement:
Used for round and flat surfaces.Used for round and flat surfaces.
To and Fro movement:To and Fro movement:
Used for round and flat surfaces.Used for round and flat surfaces.
Types of grips for Cyriax deepTypes of grips for Cyriax deep
friction massagefriction massage
33. Pulp of Thumb:
For flat surfaces,
taut bands,
nodules in flat
surfaces
Pulp of Thumb:
For flat surfaces,
taut bands,
nodules in flat
surfaces
34. PercussionPercussion Percussion manipulations are those the treated part is struck softPercussion manipulations are those the treated part is struck soft
blows with the hand.blows with the hand.
Whole hand contact/finger tip contact can be used.Whole hand contact/finger tip contact can be used.
Six types:Six types:
A.A. Hacking: skin is struck using the back of the tip of three medialHacking: skin is struck using the back of the tip of three medial
fingersfingers
B.B. Clapping: whole palmar aspect is used to strike the body part (makeClapping: whole palmar aspect is used to strike the body part (make
sure the hand is cupped slightly)sure the hand is cupped slightly)
C.C. Vibration: involves a movement in which tissues are pressed andVibration: involves a movement in which tissues are pressed and
released using an up and down motionreleased using an up and down motion
D.D. Beating: dorsal aspect of middle phalanx of loosely clenched fistBeating: dorsal aspect of middle phalanx of loosely clenched fist
(with thumb inside the fist) is used for the strike(with thumb inside the fist) is used for the strike
E.E. Pounding: ulnar aspect of loosely clenched fist is used to strikePounding: ulnar aspect of loosely clenched fist is used to strike
F.F. Tapping: with the tips of finger pads on a smaller are such as face;Tapping: with the tips of finger pads on a smaller are such as face;
index, ring and middle finger may be used together or in a singlyindex, ring and middle finger may be used together or in a singly
sequence.sequence.