Massage Techniques

Definition

Therapeutic stretching and loosening of tight fascial layers surrounding muscle and functional groups

Clinical Application

• Muscle should be in neutral position or slack position
• Slow application of technique, stop and wait for release
• Pain should decrease with each application
• Clear area well

Indications

• Adhesive scar tissue due to trauma
• Adhesive fascial restriction due to postural abnormalities or immobilization
• Joint restriction due to immobilization

Contra-indications

• Acute inflammation or inflammatory conditions
• Excessive hyperaemia or heat
• Unhealed wounds, burns and cute skin conditions

Physiological Effect

Fascial tissue is separated from adhered muscle fibres

Definition

Slow rhythmical gliding strokes in the direction of blood flow maintaining continuous contact.

Clinical Application

• Introduction of touch
• Spreads oil or lotion
• Finishing stroke
• Ensure hands are relaxed , flexible
• Heavier pressure on upstroke and lighter on the down stroke

Indications

• Begin and end treatment
• Palpation assessment
• Sluggish circulation
• Edema
• Muscle tension
• Pain control
• Prevents adhesions and fibrosis

Contra-indications

• High blood pressure
• DVT/varicose veins
• Unhealed wound
• All local and general CI’s

Physiological Effect

• Increase superficial blood flow
• Increases blood pressure initially then decreases
• Increases permeability
• Increases lymphatic flow/ decreases edema
• Stimulates large mechanoreceptors which modulates pain