Stroke |
Purpose/Uses |
Mechanical effect |
Reflexive effect |
Contraindications |
LIGHT EFFLEURAGE
Gliding, Fanning, Tree branching,
shingling etc. |
- Transitioning
- Spreading oil
- Evaluating tissue
|
|
- Relaxes muscles (parasympathetic
nervous system)
- Relieves pain (Gate control theory,
endorphins)
- Increases arterial and
capillary circulation
- Increases vasodilation
(slowing heart rate and blood pressure)
|
- Hyperesthesia
- Marked or pitted edema
- Gross swelling
- Open wounds
- distal to inflammation or infection
|
DEEP EFFLEURAGE
Knuckling, |
|
- Increases venous and lymphatic
flow removing wastes, reducing edema
- Improves nutritional status
of tissues
- Increases arterial and
capillary circulation, bringing nutrients
- Warms superficial tissue
- Desquamation of dead skin
|
Same as above
- Deeper muscle relaxation
- Capillary dilation longer
lasting
|
- Same as light effleurage
- Very hairy skin
- New scar tissue
- Venous stasis
|
PETRISSAGE
Picking up, wringing, kneading,
open C/closed C, alternating thumb, squeezing, lifting, skin rolling (lifting
tissue away from underlying structures) |
- Used after effleurage
- Relieves congestion
- Reduces swelling
- Digestive disorders
- Muscle shortening
- Spastic paralysis
- Fatigue
|
- Stretches muscle fibers
and stimulates muscle tone, broadens fibers
- Breaks up adhesions
- Increased circulation
and waste elimination
- Moves interstitial fluid
|
- Slow-relaxes nervous system
- Fast-stimulates NS
- Increases glandular activity
of skin
- Increases peristalsis
when done over abdomen
- Affects proprioception
|
- Atrophied muscles
- Flaccid paralysis
- Acute inflammation
|
DIRECT PRESSURE FRICTION
Compression |
- Use after tissues have been
warmed up
- Hypertonic muscles
- Treatment massage
- Deep tissue work
|
- Compresses and spreads
tissue
- Temporary ischemia
- Mobilizes muscle/tendon
junction
|
- Reduces pain and spasm
- Hyperemia
- Increases peristalsis
when done over abdomen
|
For all frictions:
- Acute inflammations
- Neuritis
- Recent injuries
- Osteo and rheumatoid arthritis-especially
acute stages
- Muscles lacking innervation(paralysis)
- Debilitating neuromuscular
dysfunction such as MS, ALS, MD.
|
LINEAR OR CIRCULAR FRICTION |
same as above |
- Myofascial releasing-separating
adhered fascial planes
- Broadens and stretches
muscle fibers
- Increases muscle
|
- Decreases tension through
stimulating Golgi tendon reflex
- Increases circulation
- Creates hyperemia
|
|
Cross fiber friction |
- Use only after a thorough
warming of involved tissue
- Apply at right angles to scar/fibrotic
tissue
- Superficial tissue must
move over underlying structure
- Apply frequently enough
to have an impact
|
- Breaks up adhesions
- Assists in realigning
scar tissue
|
- Relaxes muscles by stimulating
Golgi tendon reflex
|
|
Heat rub friction |
|
|
- Vasodilatation
- Relaxes muscles
|
|
TAPOTEMENT
Tapping, Pincement, Slapping
Hacking, Cupping, Beating, Pounding |
- Stimulation of tired muscles
- Relaxation of hypertonic
muscles
|
Loosens mucus in thoracic
cavity |
- Stimulates nervous system,
muscles, vessels
- Enhances muscle tone via
contract-relax response
- Increases circulation
- Stimulates organs through
low back
- Increases gaseous exchange
- Stimulates skin and glandular
activity
|
- Muscles is spasm or cramping
- Spastic paralysis
- Atrophied muscles
- Flaccid paralysis
- Insomnia, neurasthenia
or complete exhaustion
- Neuritis or painful conditions
- Over bony area
- No heavy tapotement over
the kidneys
- No heavy tapotement over
low back in pregnancy or menstruation
|
FINE VIBRATION
Static or moving |
Relaxation |
|
- sedates nervous system
- reduces pain(gate theory)
- relaxes muscle
|
same as tapotement |
COARSE VIBRATION
Static or moving |
|
loosens ligaments |
Penetrating stimulation |
|
JOSTLING/SHAKING |
|
- Increases synovial activity
- Increases circulation
|
- Stimulates organs
- Reduces muscle guarding
- Rejuvenating tired
muscles
|
same as tapotement |
SWEDISH GYMNASTICS
Active free, active assisted,
passive, resistive |
|
- Stretches muscles and ligaments
- Increases circulation
and nutrition
- Increases waste elimination
- Loosens adhesions
- Increases ROM and flexibility
|
- Stimulates NS
- Increases blood pressure
and temperature
|
- Torn ligament, tendon
or muscle
- Unhealed fracture
- Post surgery
- Heart conditions
( active and resistive)
|