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Tapotement
Any stroke that "strikes" the skin. Usually a series of brisk blows.
l Can be used to excite the nerves
l Can be used to calm the nerves
l Increases circulation
l Used in hospitals for bronchitis, pneumonia, and other like
conditions to release mucus from the lungs. Hacking
Like doing karate chops but keep the fingers VERY loose. Your
arms should not move, flick at the wrist.
Cupping
You are NOT slapping. To find out how your hands should be
cupped place your hands over your ears. Your arms should not
move, flick at the wrist.
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Pincement
You are lightly pinching at the skin
Beating
Make a VERY loose fist. Your arms should not move, flick at the
wrist.
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Vibration
A vibrating/shaking movement. Can be done to the skin or an
entire limb or even the whole trunk.
l Relaxes the patient
http://www.smphealth.org/info/massage/vibration.html [8/23/2002 6:16:00 \
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Back Massage
45 Min
WEB effleurage on retracted scapula - place patients left hand on their lower back. Place your left hand under their
shoulder and elbow under their elbow. Lift your left hand up to retract their scapula. Massage under scapula.
A. Entire Back from Sacrum to Neck 1.
Bilateral Effleurage
a. Apply oil
b. 8 to 10 strokes for warm up and
familiarization
2.
Alternating Effleurage
(Shingles)
2x
B. Gluteal Area and Sacrum 1.
Alternating Thumb Friction
2.
Cross Fiber Friction
Rotation - Forward
3. Bilateral Effleurage -3x-
C. Entire Back 1.
Bilateral Effleurage -3x-
D. Opposite Side of Spinal Column 1.
Fingertip Friction -close to
spine 2x, 1" from spine 2x-
2.
Palm Friction -2x-
3. Raking
4.
Cross Fiber Friction (peeling)
5.
Alternating Hand Effleurage (shingles) -both sides-
E. Repeat step "D" on other side
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Rotation - Backward
F. Scapula, Traps, Deltoids & Elbow up 1.
Alternating Thumb Friction
2. WEB effleurage on retracted scapula
Traction with slight vibration
3. ROM on shoulder a. Rotation
b. Traction with
slight
vibration
G. Repeat step "F" on other side
H. Entire Back 1.
Bilateral Effleurage -Deep 3x (use palms)-
2.
Petrissage
Two finger Petrissage
3. Tapotement -2 types-
4.
Bilateral Effleurage -Deep 3x-
I. Neck 1.
Two finger Petrissage
2.
Fingertip Friction
3.
Palm Friction - shoulders & lower
neck
4.
Cross Fiber Friction
Fingertip Friction
J. Skull
1. Fingertip Friction to Sutures
2. Fingertip Friction to entire skull
3. Fast Fingertip Friction to entire skull
K. Back 1.
Bilateral Effleurage -3x-
2. Vibration
3. Bilateral Effleurage (LIGHT) -3x-
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Fingertip Friction to entire skull
L. Nerve Strokes
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Foot Massage
A. Entire Foot 1. Apply Oil
B. Plantar Surface of Foot 1. Palm Effleurage
2. Knuckling Effleurage
3. Alternating Thumb Friction
4. Palm Friction
5. Stationary Thumb Friction
6. Cresting Friction
7. Knuckling Effleurage
8. Palm Effleurage
C. Toes 1. Fingertip Friction
2. Traction
3. Extend & Flex
D. Top of Foot 1. Rolling Metatarsal
2. Alternating Thumb Friction
3. Rolling Shuffle
E. Ankle - Annular Ligament 1. Alternating Thumb Friction
F. Entire Foot 1. Nerve Strokes
http://www.smphealth.org/info/massage/foot.html [8/23/2002 6:16:25 PM]

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15 Laws of a Good Massage
1. Wash hands before every massage.
2. Make sure fingernails are trimmed and filed.
3. Do not use cold hands (if necessary warm hands with warm water).
4. Take off watches and all other items that might scratch the patient.
5. Use a clean room to give the massage in.
6. Do not over or under lubricate the patient.
7. Put a pillow under the patients ankles.
8. Never take your hands off the patient after you start the massage.
9. Always massage a muscle that is relaxed.
10. Never cross the spine with pressure when you are giving the massage.
11. Massage on the opposite side that you're working on when your doing friction.
12. Always work toward