PS 1001:03 Lecture Notes - Lecture 3: Gastrocnemius Muscle, Edema, Muscle Tone
(stroking and flat hand, effleurage and lymphatic drainage - covered in last lecture)
Petrissage
To knead
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Aid venous and lymphatic flow
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Aid removal of chemical irritants and oedema
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Imrpove mobility of subcutaneous tissues, fibrous tissues, connective tissue,
tissue interfaces
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Performed on superficial tissues e.g. muscles, ligaments
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Types
Circular movements
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With heal of hand, one hand on top of the other
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Finger pads (positive and negative reinforce)
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Thumb pad
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Elbow/fist - try to avoid as can't feel as much using these
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Can be distal to proximal or proximal to distal
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Kneading
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Picking up e.g. upper fibres trapezius, longer muscles such as triceps and
bicep
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Wringing - twisting in opp directions, e.g. gastrocnemius, common wrist
extensor attachment
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Picking up and wringing
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Shaking - e.g. gastrocnemius
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Skin rolling e.g. mid thoracic and lumbar region
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Skin rolling and shaking
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Tapotement
To tap/pat
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Hands strike tissues
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Increase local blood flow to tissues
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Provoke muscle and tendon reflexes, excitatory
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Stimulate muscle tone
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Types
Hands cupped, relaxed
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Want hollow sound, nto slap
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Strike, alternating between flexion and extension of the elbows and wrists
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Can be covered by sheet/towel
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Clapping
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L1 - Types of massage cont
Monday, 26 February 2018
8:41 PM
Week 2 Page 1
Document Summary
8:41 pm (stroking and flat hand, effleurage and lymphatic drainage - covered in last lecture) Imrpove mobility of subcutaneous tissues, fibrous tissues, connective tissue, tissue interfaces. With heal of hand, one hand on top of the other. Elbow/fist - try to avoid as can"t feel as much using these. Can be distal to proximal or proximal to distal. Picking up e. g. upper fibres trapezius, longer muscles such as triceps and bicep. Wringing - twisting in opp directions, e. g. gastrocnemius, common wrist extensor attachment. Skin rolling e. g. mid thoracic and lumbar region. Strike, alternating between flexion and extension of the elbows and wrists. Strike tissues at right angles to direction of muscle fibres. Stimulates local circulation, increasing blood flow to treatment area. Usually with pads of 2nd, 3rd and 4th fingers or thumb for small area. Often achieving adequate compression, move in small circles. When aiming to reduce adhesions and assists scar remodelling.