Presentation is loading. Please wait.

Presentation is loading. Please wait.

Chapter 5: Massage routines and relevant anatomy and physiology Image bank.

Similar presentations


Presentation on theme: "Chapter 5: Massage routines and relevant anatomy and physiology Image bank."— Presentation transcript:

1 Chapter 5: Massage routines and relevant anatomy and physiology Image bank

2 Figure 5.1 Anatomy of the leg

3 Figure 5.2 Areas to be massaged

4 Figure 5.3 Areas to avoid

5 1. Effleurage (front and sides) Massage routine for front of legs

6 2. Deeper effleurage over thigh Massage routine for front of legs

7 3. Alternate palmar kneading over abductors and adductors (avoid massaging over the femoral triangle) Massage routine for front of legs

8 4. Reinforced or double-handed kneading over thigh Massage routine for front of legs

9 5. Wringing to thigh (medial to lateral and back) Massage routine for front of legs

10 6. Picking up – reinforced or double handed (double-handed picking up illustrated here; follow with tapotement if appropriate) Massage routine for front of legs

11 7. Tapotement (optional) – hacking. The movements in steps 7–10 will depend on the type of massage the client needs. Massage routine for front of legs

12 8. Tapotement (optional) – cupping Massage routine for front of legs

13 9. Tapotement (optional) – beating Massage routine for front of legs

14 10. Tapotement (optional) – pounding Massage routine for front of legs

15 11. Deep effleurage to thigh Massage routine for front of legs

16 12. Thumb kneading around patella Massage routine for front of legs

17 13. Effleurage to lower leg Massage routine for front of legs

18 14. Thumb kneading to anterior tibials (lateral to shin bone) Massage routine for front of legs

19 15. Stroking to dorsal surface of foot Massage routine for front of legs

20 16. Digital kneading around malleoli Massage routine for front of legs

21 17. Thumb kneading between metatarsals Massage routine for front of legs

22 18. Thumb kneading to toes Massage routine for front of legs

23 19. Ulnar border kneading to sole of foot Massage routine for front of legs

24 20. Thumb kneading to sole of foot Massage routine for front of legs

25 21. Effleurage to whole leg. Massage routine for front of legs

26 1. Effleurage to back of leg and buttock (lighten the pressure over the popliteal space) Massage routine for back of legs

27 2. Deep effleurage to hamstrings and buttock Massage routine for back of legs

28 3. Alternate palmar kneading to hamstrings and buttock Massage routine for back of legs

29 4. Reinforced or double-handed kneading to top of thigh and buttock Massage routine for back of legs

30 5. Wringing to hamstrings and buttocks Massage routine for back of legs

31 6. Double-handed picking up to hamstrings and buttocks Massage routine for back of legs

32 7. Hacking, cupping, beating and pounding Massage routine for back of legs

33 8. Deep effleurage to thigh and buttock Massage routine for back of legs

34 9. Effleurage to gastrocnemius Massage routine for back of legs

35 10. Reinforced kneading to gastrocnemius Massage routine for back of legs

36 11. Wringing to gastrocnemius Massage routine for back of legs

37 12. Reinforced picking up to gastrocnemius Massage routine for back of legs

38 13. Effleurage to gastrocnemius Massage routine for back of legs

39 14. Effleurage to back of leg and buttock (lighten the pressure over the popliteal space) Massage routine for back of legs

40 Figure 5.4 Anatomy of the arm

41 Figure 5.5 Flexors of the lower arm

42 Figure 5.6 Extensors of the lower arm

43 1. Effleurage to arm Massage routine for the arms

44 2. Alternate palmar kneading over deltoid. Work down the deltoid to the point of insertion on the anterior and posterior fibres, as shown above, then work up the middle fibres. Repeat the movement. Massage routine for the arms

45 3. Single-handed kneading to triceps Massage routine for the arms

46 4. Single-handed picking up to triceps Massage routine for the arms

47 5. Single-handed kneading to biceps (support the elbows as shown in 6) Massage routine for the arms

48 6. Single-handed picking up to biceps Massage routine for the arms

49 7. Wringing to triceps (if suitable). If the movements shown in steps 7–9 are suitable for your client, support the client’s arm with a bolster pillow or rolled towel Massage routine for the arms

50 8. Hacking Massage routine for the arms

51 9. Cupping to triceps Massage routine for the arms

52 10. Stroking to upper arm Massage routine for the arms

53 11. Effleurage to forearm. Change over hands and effleurage the flexors of the lower arm Massage routine for the arms

54 12. Thumb kneading to flexors of wrist (anterior aspect). Your hands support the client’s arm. The client’s hand should not rest against you Massage routine for the arms

55 13. Thumb kneading to extensors of wrist (posterior aspect) Massage routine for the arms

56 14. Thumb kneading around styloid processes Massage routine for the arms

57 15. Thumb kneading between metacarpals (dorsal aspect) Massage routine for the arms

58 16. Thumb kneading to fingers (it is more comfortable for the client to support their arm below the styloid processes) Massage routine for the arms

59 17. Thumb kneading to thenar and hypothenar eminences and palm Massage routine for the arms

60 18. Effleurage to arm Massage routine for the arms

61 Figure 5.7 Anatomy of the chest and abdomen

62 Figure 5.8 Chest and abdomen: points to consider

63 1. Effleurage to abdomen. Place a bolster pillow or a rolled towel under the upper legs to relax the abdominal area Massage routine for the abdomen

64 2. Reinforced kneading to the waist Massage routine for the abdomen

65 3. Wringing to the waist if suitable Massage routine for the abdomen

66 4. Skin rolling to the waist Massage routine for the abdomen

67 5. Digital kneading around colon. When working over the colon pressure is applied on the upward movement over the ascending colon; across on the transverse colon; and down on the descending colon Massage routine for the abdomen

68 6. Ulnar border kneading around colon Massage routine for the abdomen

69 7. Reinforced stroking to colon Massage routine for the abdomen

70 8. Effleurage (see step 1) Massage routine for the abdomen

71 Figure 5.9 Anatomy of the back

72 Figure 5.10 Back: points to consider

73 1. Stroking over the back. Use this movement to palpate and sense the tissues as you move over the area Massage routine for the back

74 2. Effleurage over back Massage routine for the back

75 3. Effleurage over trapezius (neck and shoulders) Massage routine for the back

76 4. Finger kneading each side of neck Massage routine for the back

77 5. Thumb kneading either side of neck Massage routine for the back

78 6. Alternate thumb stroking on neck area Massage routine for the back

79 7. Picking up on the neck Massage routine for the back

80 8. Digital or thumb kneading to upper fibres of trapezius. Be aware of your client’s body language; ensure the depth of pressure is comfortable Massage routine for the back

81 9. Digital or thumb kneading from neck down between scapulae Massage routine for the back

82 10. Finger kneading around scapulae Massage routine for the back

83 11. Reinforced stroking around scapulae (figure of eight) Massage routine for the back

84 12. Alternate palmar kneading all over back: work down the back then on return stroke work up close to the spine. Massage routine for the back

85 13. Double-handed kneading over back (one side to other and back in four strips) Massage routine for the back

86 14. Thumb kneading to scarum and lumbar area Massage routine for the back

87 15. Transverse stroking over back Massage routine for the back

88 16. Alternate finger kneading down right and left erector spinae Massage routine for the back

89 17. Stroking down right and left erector spinae Massage routine for the back

90 18. Effleurage over the back (Repeat movement shown in step 2) Massage routine for the back

91 Figure 5.11 Bones of the skull

92 Figure 5.12 Bones of the face

93 Figure 5.13 Facial muscles

94 Figure 5.14 Muscles of the face and skull (side view)

95 2. Effleurage. Place fingertips at the side of the neck. Slide under the clavicle onto the sternum, fingers overlapping above the breasts. Pull hands apart, apply suitable pressure towards the axilla, on and around the shoulders, over the trapezius, up the neck and stretch before reaching the occipital bone Massage routine for the décolleté/chest area

96 3. Repeat Step 2, using finger kneading over the trapezius, up the back of the neck, stretch before reaching the occipital bone Massage routine for the décolleté/chest area

97 4. Knuckling. Place fingertips at the side of the neck. Slide under the clavicle onto the sternum, with fingers overlapping above the breasts. With knuckles facing, knuckle across the pectoral muscle in circular movements towards the axilla, slide around the deltoid, over the trapezius up the neck and stretch before reaching the occipital bone Massage routine for the décolleté/chest area

98 5. Alternate finger stroking. Place the fingertips at the side of the neck, slide around the clavicle onto the pectorals. Work on the right side, fingers of the left hand point to the axilla, fingers of the right hand point towards the sternum. Work across towards the right axilla with short overlapping strokes. Repeat movement three times. Work on left side three times Massage routine for the décolleté/chest area

99 6. Lymph drainage. Left hand in fist at axilla, fingers of right hand point towards the fist. Move fist lightly over pectorals on left side, apply pressure with fingers and first as they move over pectorals on right side, draining lymph into right axilla. Change over right hand in a fist at right axilla, fingers of left hand point towards the fist. Move lightly over the right pectrorals, increasing the pressure over the left pectorals, draining lymph into the left axilla. Massage routine for the décolleté/chest area

100 7. Repeat Step 2 Massage routine for the décolleté/chest area

101 1. Effleurage. Place the right hand at the base of the neck on the left- hand side. Place the left hand on the jawline on the left-hand side. Six alternate strokes across the neck draining into submandibular submental lymph nodes. Left hand finishes at right-hand jawline. Slide along the jawline to the left-hand side and repeat movement. Position the fingertips under the chin area ready for the next movement Massage routine for the face

102 2. Knuckling across the neck in three rows, starting at the top of the neck either side of the windpipe, working out until in line with the ear lobes. Repeat with two more rows, working down to just above the base of the neck Massage routine for the face

103 3. Double-handed picking up along the jawline – centre to left; left to right; right to centre Massage routine for the face

104 4. Finger kneading up the labial nasal folds – pressure on the upward movement. Repeat movement Massage routine for the face

105 5. Levator lifts. Place the index fingers together (tips only) above the top lip and tips of the middle fingers under the bottom lip. Pull Fingers apart beyond the corner of the lips. Turn and lift the index fingers, holding the muscle with the middle and ring fingers. Move up the sides of the nose without pressure and lift the corrugator. Move fingers still pointing downwards, across the forehead to the temples (avoid lifting the eyebrows). Slide down the face along the jawline with ring finger and repeat movement Massage routine for the face

106 6. Masseter lifts. Take the right hand down the side of the face along the jawline, on the left side, with the fingers pointing towards the ear and wrist above the chin lift the masseter muscle. Hold in position for a count of two; still in contact, turn hand so fingers are pointing down towards the neck. Hold in position for a count of two. Release muscle and slide hand up and over the forehead to the right temple. Repeat on right side Massage routine for the face

107 7. Finger pressures (index, middle and ring fingers) to cheek area in three lines. Starting either side of the nostrils work out, slide in. Repeat the movement under the zygomatic bone and ridge of eye sockets, following the lines as shown in step 8 Massage routine for the face

108 8. Lymph drainage over cheek area. Place index, middle and ring fingers either side of nose under zygomatic bones. Slide out towards the parotid lymph node to drain area. Repeat on other two lines Massage routine for the face

109 9. Lymph drainage over forehead. Place fingers at temples and thumbs side by side on the corrugator. Slide thumbs with pressure to the hairline and place overlapping hands on the forehead. Draw fingers outwards towards and drain to parotid lymph node. Repeat the movement Massage routine for the face

110 10. Eye circles. Place the fingers at the temples and slide the ring fingers under the eyes and in towards the nose; just above the corner of the inner eye lift the corrugator towards the eyebrow, release pressure and return to the temples. Repeat the movement Massage routine for the face

111 11. Thumb frictions. place thumbs together just above the eyebrows and, working in a clockwise direction, apply pressure in a small circular motion, release and move up the forehead and repeat the movement Massage routine for the face

112 12. Forehead stroking. Position the hands horizontally, slide the right hand over the forehead closely followed by the left hand. Contour hand and fingers to the area. For the last movement, place one hand on top of the other and slide out to the temples Massage routine for the face

113 13. Effleurage. Slide index fingers down the jawline, heel of hands to stay in contact with the chin. Cup the chin by overlapping hands or linking fingers, pull apart, slide over the cheek area, up either side of the nose, pull up on the corrugator with the fingers and slide out to temples and apply pressure. Repeat movement Massage routine for the face

114 1. Stroking. Place thumbs in front of the ears and fingers lightly on top. The pads of the thumbs trace the hairline in a stroking movement to the centre of the forehead. Draw the fingers of both hands through the hair from roots to tips; pull at the roots to stimulate hair growth. Repeat the movement Massage routine for the scalp

115 2. Stroking movements. The right hand works over the left side of the scalp and vice versa. Place the fingers of the right hand on the left side of the scalp at the hairline above the ear. From the hairline slide over the scalp and draw the fingers through the hair, from roots to tips; pull slightly at the roots to stimulate hair growth. As this movement finishes follow with the left hand. Slide fingers through the hair covering the right side of the scalp. Work with alternate hands to cover the scalp Massage routine for the scalp

116 3. Reinforced thumb frictions. Circles in a clockwise direction down the centre of the scalp from hairline to crown. Ensure thumbs move the scalp and do not move over the scalp Massage routine for the scalp

117 4. Alternate thumb stroking, working from hairline to crown Massage routine for the scalp

118 5. Finger and thumb friction movements to the entire area (digits move the scalp and do not move over the scalp). Use small circular movements Massage routine for the scalp

119 6. Palmar kneading (static movement). Place hands at each side of the scalp above the ears with fingers covering the temples. Circle the scalp in a clockwise direction twice. Move slightly towards the midline and repeat the movement twice. Place the palms over the crown, thumbs touching, and repeat the movement twice Massage routine for the scalp

120 7. Rake through the hair using fingertips. Place fingers on the hairline above each ear and rake over the scalp from roots to tips. Repeat the movement, each time moving up towards the midline Massage routine for the scalp

121 8. Knuckle and pull. Start above each ear and work towards the midline in lines. Grasp the hair near the roots, turn the knuckles in towards the scalp and hold for a few seconds before releasing and moving on Massage routine for the scalp

122 9. Turn the head to the left. Place the hands over the ears with the fingertips pointing downwards towards the shoulders. Gently turn the head to the left. Work the right hand Massage routine for the scalp

123 10. Stroking. Start at the base of the skull and work medially to laterally in three lines, following the contour of the skull to the crown (each line is similar in shape to a segment of an orange). With the fingers of the right hand, work up the first line contouring the skull and at the crown pull the fingers through the hair from roots to tips. Repeat the movement on the other two lines Massage routine for the scalp

124 11. Finger and thumb frictions to the area (see Step 5 ) Massage routine for the scalp

125 12. Palmar kneading (static) to the scalp (see Step 6). Contour the right hand over the skull with fingers pointing to the neck. Hand moves the scalp in a clockwise direction. Release move up towards the crown and repeat movement Massage routine for the scalp

126 13. Rake through the hair using the fingertips (see Step 7). Start at the base of the skull and work medially to laterally in three lines following the contour of the skull to the crown Massage routine for the scalp

127 14. Knuckle and pull (see Step 8). Start at the base of the skull and work medially to laterally in three lines, following the contour of the skull to the crown Massage routine for the scalp

128 15. Finger kneading (index and middle fingers). Place fingers in the indentation behind the mastoid process and perform finger kneading following the line beneath the occipital bone Massage routine for the scalp

129 19. Stroking (repeat Step 1) Massage routine for the scalp


Download ppt "Chapter 5: Massage routines and relevant anatomy and physiology Image bank."

Similar presentations


Ads by Google