1. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 13 Swedish Massage Techniques

2. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–4: Vibration Vibration: pulsating, tremor-like or oscillating stroke that stimulates or relaxes body area or whole body depending on how it is applied. –Short bursts to particular area. –Can be tiring for therapist. –Shoulders, elbows, wrists must remain relaxed while hands vibrate rapidly. –May be fine, coarse, rocking.

3. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–4: Vibration Effects of Vibration –Depends on how stroke applied. –Initially, vibration stimulating; startles body and briefly activates sympathetic nervous system. –As stroke progresses, body relaxes. –Sustained vibration to particular area has numbing, analgesic effect, reducing pain.

4. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–4: Vibration Effects of Vibration –Fine vibration applied with fingertips on abdomen to stimulate peristalsis. Used on other delicate areas of body (face, to relax muscles).

5. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–4: Vibration Effects of Vibration –Shaking: coarse vibration in which muscle group is lifted and shaken to confuse proprioceptors so that muscles relax.

6. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–4: Vibration Effects of Vibration –Jostling: coarse vibration used to prevent muscle guarding of limb; encourage general relaxation. –Shaking and jostling encourages synovial fluid production in join; aids joint fluidity and health.

7. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–4: Vibration Effects of Vibration –Rocking: pushing and releasing area so that it sways back and forth. Soothes nervous system and relaxes muscle.

8. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–4: Vibration Effects of Vibration –Very rapid vibration: stimulates muscle spindles to cause muscle contractions that tone muscle, warm tissue, increase circulation. –Vibration should not be used over open skin legions, skin diseases, bruises, acute injuries, inflammation, varicose veins.

9. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–4: Vibration Application of Vibration –Pay careful attention to your body mechanics when performing this stroke. –Easy to tense your shoulders, elbows, wrists during fine vibration. –Focus on relaxing shoulders and arms. –Apply stroke omly for short periods of time to avoid fatigue.

10. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–4: Vibration Application of Vibration –Watch, feel, listen, think about what you see, touch, and hear. –Increased awareness will help you build palpation and assessment skills. –See Technique 21: Vibration.