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

2. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–2: Petrissage Petrissage: rhythmic stroke that lifts muscle off bone and other muscles; compresses it between fingers; rolls muscle fibers as muscle falls back into position. –Stimulate circulation in muscles. –Make soft tissue more pliable. –Break up adhered fibers.

3. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–2: Petrissage Effects of Petrissage –Stimulates sebaceous secretion; conditions skin. –Stimulates local circulation to warm soft tissue; improves nutrient and waste exchange. –Decreases muscle tension. –Decreases adhesions in soft-tissue structures.

4. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–2: Petrissage Effects of Petrissage –Adhesions lead to decreased blood flow, decreased ROM, pain, decreased function in the area. –When you run myofascial fibers through your fingers during petrissage stroke, stroke: Helps break up adhesive bonds. Makes tissue more pliable. Gives ground substance good stirring.

5. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–2: Petrissage Effects of Petrissage –Skin rolling: lifts skin and superficial fascia away from underlying muscle; rolls it through fingertips. –Reduces adhesions in superficial fascia. –Should not be used on atrophied muscles that lack moderate tone. –Not applied over open skin legions, skin diseases, bruises, acute injuries, inflammation, varicose veins.

6. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–2: Petrissage Application of Petrissage –Wrap one hand around tissue, keeping your fingers together as unit. –Lift muscle away from bone until you feel it stretch. –Roll muscle through your fingers and out of your hand as your other hand lifts up another section of tissue.

7. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–2: Petrissage Application of Petrissage –Too much lubricant prevents you from getting good hold on muscle; use little lubricant for this technique. –Rhythmic, kneading action continued over entire body area. –Often referred to as “milking” tissue of metabolic wastes because of increase in local circulation.

8. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–2: Petrissage Application of Petrissage –How much lift and squeeze to use depends on body area where stroke applied. –Be careful not to pinch client or pull on body hair during petrissage. –If client complains that stroke is pinching, make sure that you lift enough tissue during stroke.

9. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–2: Petrissage Application of Petrissage –To flush metabolic wastes released from tissue, apply effleurage strokes directly after petrissage. –Pay attention to lift of tissue and its texture as it runs through your fingers.

10. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topic 13–2: Petrissage Application of Petrissage –Differences in tissue tells you about health of myofascia; how much massage needed in particular area. –Check with client frequently to ensure pressure of stroke comfortable. –See Technique 19: Petrissage.