Massage by huanghengdong

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									Massage
Procedures I
Massage
• Recreational massage:
  – The use of a variety of manual techniques designed
    to relieve stress, promote relaxation and general
    wellness in a person who has no definable health
    problem
• Therapeutic massage:
  – The use of a variety of manual techniques designed
    to promote stress relief and relaxation, mobilize
    various structures, relieve pain and swelling, prevent
    deformity and promote functional independence in a
    person who has a specific health problem
Purposes of Massage
• Release of muscle spasm
• Stretching of shortened fibrous tissue
• Stimulate production of ground substance
  to promote tissue repair
• Decongest tissue
• Increase blood flow
• Increase local lymphatic flow
• Increase local metabolism
• Relieve pain
Preparation for massage
• Remove jewelry from wrist & fingers to avoid
    scratching patient.
•   Fingernails need to be reasonably short with
    rounded tips
•   Use lubricant to facilitate movement of the
    hands over body tissues, except when
    performing friction massage
•   Position pt in a very comfortable position with
    easy access to area being massaged.
•   Pt should be draped accordingly.
Types of massage strokes
• Effleurage: slow stroking movement
  – Hand in complete contact with surface
  – Begin & end routine with it (Gradually increase)
  – Can be light to deep
  – Stroke should be smooth & rhythmic (slowly) and at
    the end of each stroke, the hands may be allowed to
    gently stroke back to their starting position
  – Used to move the contents of the superficial veins &
    lymph vessels
Massage strokes cont.
• Petrissage: can be applied with whole hand,
    finger, or thumb
•   4 types of Petrissage:
    – Kneading: tissues are alternately compressed and
      released in a circular motion.
    – Picking up: grasp muscle and lift away from
      underlying tissue, squeeze and release; perform in
      circular motion
    – Wringing: tissue lifted with both hands & compressed
      alternately between the fingers & thumb of opposite
      hand; used on muscle tissue
    – Skin rolling: skin & subcutaneous tissue is rolled over
      deeper structures
Massage strokes cont.
• Friction:
   – Use no lubricant; given transverse to the muscle
     fibers & in circular movements
   – Used to mobilize tendons, ligaments, joints capsules
     & muscle tissue
• Tapotiment:
   – Clapping, hacking, beating, and pounding
• Vibration:
   – Shaking movements used to move secretion in lungs
Myofascial triggers

• During massage you might find areas of
  hypersensitivity, know as myofascial
  triggers
• The spot most sensitive is called the
  trigger point
Contraindications for massage

• Danger of dislodging a thrombus
• Presence of acute inflammation
• Skin lesions
• Malignancies
• When aggravates patients mental or
 physical distress

								
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