Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
50 Cards in this Set
- Front
- Back
|
Friction of the Forehead
3 passes NO LOTION direction does not matter You can get down on one knee or squat or get a chair to do this procedure • Use the “pads” of the fingers, not just the fingertips, but not the entire hand • One finger at a time coming on like a waterfall • Alternating hands • Eyebrows to hairline • Pressure of friction – NOT stroking – you should see the eyebrows move |
Friction of the Neck (Both Ways) 3 passes of each pathway
• Apply lotion in the same route as Stroking of the Neck • 1st pathway is a Figure 8 – Left hand on client’s left side, then alternate with my right hand on client’s right side. • Direction is from the sternum, up and over to the backside of the shoulder, curving around to the outside of the arm (deltoid), then back to the center (sternum). STAY UNDER THE CLAVICLE. • As one hand comes off, the other goes on so that the client does not notice any lapse in the movement. • Start and end on my fingertips • 2nd pathway is from the center (sternum) to outer shoulder, then behind the neck and go up ending at the occipital along the client’s ear. • Do 3 times on each side (you DO NOT alternate so that the client’s head is not going back and forth) |
|
|
Friction of Anterior Neck
3 passes apply lotion as in stroking of the neck • stand at client’s head, cup around their ears & turn their head to the side (your hand remains under their head, but step more to the side as if you’re facing them, hand will be more “turned” than previously) • working only on the SCM (sterno-cleido mastoid) if you are not sure where it is, have the client to raise their head just slightly – it will stick out. • This is a very short area. Don’t “roll” your hand, just stroke to the bottom of the SCM and stop |
Gerster’s Method (anterior neck) pg 47 West
3 passes NO LOTION client sits upright stand facing the front of the client • Fingers held close together, extended, palms upright • Apply your little fingers (ulnar border) to the neck just below the ears (mastoid) • Move your hands downward, rotating inward so that the tips of each thumb falls on the sides of the larynx • At the base of their neck, go out toward the shoulders |
|
|
Hoffinger’s Method (posterior neck) pg 46 West
3 passes NO LOTION client sits upright MT stands behind the client • Fingers held close together, extended, palms upright • Apply your little fingers (ulnar border) to the neck just below the ears (mastoid) • Move your hands downward, rotating your arms inward at the same time. • At the base of the neck, go out toward the shoulders |
Friction of Posterior Neck
3 passes apply lotion as in stroking of the neck • stand at client’s head, cup around their ears & turn their head to the side (your hand remains under their head) Work opposite side of the direction you turned their head. • You can tip their chin down a little bit (toward their shoulder) • start at the mastoid process (the lump behind their ear) with long even strokes, go down their neck and out to the shoulder • pressure is in the heel and thenar area of the hand, not in the fingertips • fingers stay pointed straight towards her feet and keep the thumb alongside of the hand |
|
|
Friction of the Chest
3 passes spread lotion from shoulder to sternum on top of chest on clinical side of table then spread lotion below chest from center to side go to non-clinical side of table and repeat spread of lotion on this side start procedure on non-clinical side of the table in the same manner • above the chest from shoulder to sternum 3X alternating hands • then under the chest from center to side 3X alternating hands |
Friction of the Abdomen
ASK THEM TO RAISE THEIR KNEES! 3 passes ask them to tuck sheet into their shorts spread lotion “sun (clockwise) and moon” as your hand comes up to the 1:00 position, the “moon” part begins • 1st pathway is “paddlewheel” – 3 times – stay off the ribs – fingers are “facing each other” until the last hand on the opposite side of the table, then it can stay the same • 2nd pathway is midline out – starting at umbilicus and moving outward – with each stroke move down • then midline toward you 3X |
|
|
Spiral Friction of the Arms
3 passes • Apply lotion in long smooth strokes • Place client’s arm with palm facing up • Come onto client’s wrist with your fingertips • Use entire palmar surface of your hand to go up and around the curve of the client’s shoulder, “hooking” your thumb in their axillary region as you turn your hand and end under the clavicle |
Spiral Friction of the Legs
3 passes • Apply lotion in long smooth strokes • Place the dorsal side of your “fist” against the client’s knee • Starting at the arch of their foot, follow the path of the greater saphenous vein o on top of the foot until past the lateral malleolus o then to the inside of their leg o curve behind to the popliteal region o come back to the inner thigh o ending on the top of their leg just to the side of the pubis area (BE SURE TO END BY BRINGING THE HEEL OF YOUR HAND “UP TO” YOUR FINGERTIPS) |
|
|
Centripetal Friction of Arm
3 passes on each section • Spread lotion in long, even strokes • Shake hands with inside hand • (inside hand supports client’s hand) • On the back of client’s hand, stroke from base of nail bed and stop at wrist • Then turn palm up • Start at tips of finger • Hook thumb in their thumb • Thenar to thenar 3X • wrist to elbow • alternating hands with my thumb on the top and the other 4 fingers towards the bottom • bring client’s arm up along my side at my hip (their palm up so they can’t hold me around my waist) • Friction from elbow up to shoulder • (alternate hands and the outside hand goes up and over the deltoid, (3 passes) |
Centripetal Friction of the Legs
• Tuck the sheet - Apply lotion in long smooth strokes • With the “inside” hand, shake hands with the foot & hold • Starting with fingertips at base of toenails go up toward the ankle and separate your thumb to go around the medial malleolus; then alternate – begin again at the toes, go up toward the ankle and separate into your “spock fingers” (split between the middle and the ring finger) and take the ring finger and the pinkie down and around the lateral malleolus; alternate medial malleolus and lateral malleolus (3 x on each) • Foot “sandwich” (be sure to take your hand all the way down to the bottom of their heel) • Raise their leg up by putting your forearm against the bottom of their foot and placing the dorsal side of your hand under their knee and lift. Place their foot on the table. • Working ankle to knee, alternate left/right hands (using the fingers only) applying pressure to the back of the lower leg (gastronemus muscle). Apply pressure while going UP, then “withdraw” your hand, and start again at the ankle (do not go up and down on the leg) • Turn and face the feet • Split the tibea with your thumps up, and starting at the ankle, go up to the knee with themar (base of thumb) pressure and at the knee (popliteal region)use your fingers to apply light pressure in the back of the popliteal area (only one pass up to the knee), and then, quickly, using both hands at the same time, alternate between the sides of the thigh and the front//back of the upper thigh |
|
|
Circular Friction of the Arms
3 passes apply lotion with long, even strokes • Raise the client’s arm straight up and ask her to hold it there. • Stack my hands on her arm, starting at the wrist, with the hand of my arm that is closest to the client’s head on the bottom) • Using two hands, “twist” fingers to finger, then thumb to thumb (letting up as I go over the elbow) • Finish by going AROUND the deltoid but don’t drag back up the arm. |
Circular Friction of the Leg
3 passes if you put your hands, one on each side of their knee, this will show you which hand should be “on top” as you come up the leg in this procedure. • Apply lotion in long, even strokes • Pop their knee with the dorsal side of my hand • Right hand on the top for lower leg (face the client’s head) • Left hand on the top for the upper leg (face the client’s feet) • End towards greater trocanter |
|
|
Centrifugal Friction of the Arm
3 passes Reverse of “Spiral Friction of the Arm” Apply lotion as in stroking of the arm – long even strokes • Come onto their chest just inside the axillary region (under the clavicle) • Using the palmar surface of your hand from the axillary area to their wrist • Stop at the client’s wrist, but stop with the palmar area of your hand, not your fingertips (almost “wrist to wrist” |
Centrifugal Friction of the Leg
3 passes Reverse of “Spiral Friction of the Leg” Apply lotion as in stroking of the arm – long even strokes • Face the client’s feet • Use “support hand” by placing your fist next to the outside of their knee • Starting high on their thigh, lead on with the fingertips but immediately go to the entire palm of your hand as you continue down the leg. • Follow the Greater Saphenous vein down their leg (to the inside as you get closer to the knee • dip behind the popliteal area, then slowly come back to the top of their leg (closer to the medial malleolus) • finish at the arch of their foot |
|
|
Rotary Friction of the Hip
3 passes tuck the sheet & ask to expose lower back & hip (to greater trocanter) Apply lotion from greater trocanter to sacrum (work cross body) Remember: “Down the crack and bring it back” • Working from greater trocanter to sacrum • The hand closest to their head rests on their sacrum • The other hand circles DOWN (toward the greater trocanter) and then up (staying on their side) and back up toward the other hand • The still hand “raises” up the “catches” the tissue as you bring it back around to the still hand |
Centripital Friction of the Hip
3 passes Ask to expose lower back & hip Apply lotion from greater trocanter to sacrum (work cross body) • Working from greater trocanter to sacrum • Procedure is same way as applying lotion - work cross body • fingertips END at sacrum • go to other side of the table to work cross body on the remaining hip |
|
|
Palmar/Centripital Friction of the Back
ask to tuck the sheet and expose their lower back 3 passes apply lotion in long even strokes all the way down for this procedure, you can stay on the clinical side to do the right side of their back, or you can walk around to the other side of the table. • Fingertips at sacrum split their back in “half” (do not work on the spine) • Left hand on top of right hand and 3 pathways straight up their back – on each side of spine (not on the spine itself) • There will be 9 passes on each side of the spinal column |
Rotary Friction of the Back
3 passes apply lotion in long even strokes • 1 hand on each side of spine • Like “wax on – wax off” • Alternate hands working up and out ending at the neck • Pressure is applied on the UP and OUT motion, but not on the down motion as you circle the hand to come back into position • As one hand comes “out” the other hand begins |
|
|
Kneading of the Arm
Each step is 3 passes No lotion Inside hand “shakes hands” outside hand does the work • Start with the digits, one at a time using a “trigger finger” doing each digit 3X • Do 4 digits but not the thumb (not yet) • Knead the interossceus space (the channels between the phalanges) 3X • Knead thumb 3X • With both hands alternating, do the carpals (at the wrist) going side to side • Turn the palm over • With alternating thumbs, do entire palmar surface • Do carpals from this side as well • On the forearm, “lift and compress” • Upper arm – put her wrist on my hip (palm up) knead arm up to the deltoid then go over the deltoid 3X |
Thumb Kneading of the Spine
No Lotion 3 passes ask to expose lower back and tuck the sheet • start at head of table with thumbs on occiput (hands tucked or made into fists) • outward circles with the tumb on either side of the spine • hands flare out (or come out of fist position) as you get a little further down the spine • about 1/3 the way down the spine, step to the side (corner) of the table • finish at the sacrum |
|
|
Kneading of the Leg
Each step is 3 passes No Lotion - Drape sheet • Inside hand “shakes hands” with the foot – outside hand does the work • DO NOT do the toes. Begin with the interossceous space. Work in little circles toward my pinkies. • Go around the lateral and medial malleolus with the digits – full circle • Petrissage the foot centripetally – DO NOT DRAG BACK • Compress the heel as you are raising their knee (press and rotate like turning a doorknob) • Work the gastrocnemius (working the underside only) this is done as though “pressing” the muscle up into the bone (alternating hands) • Tibialis anterior – with the thenar part of my hand. Remember, we are not doing the back of the leg – just the front • Digital kneading AROUND the kneecap, not over • TOP / INSIDE (tip their leg toward me, even against my stomach) • TOP / OUTSIDE (tip their leg toward the center of the table • TOP / BOTTOM (again, tip their leg toward me, even against my stomach) • BOTTOM / BOTTOM (just like how we did the gastrocnemius with just the pads of my fingers) |
Hitching
No Lotion 3 passes • starting at the sacrum, this procedure “inches” up the back, one hand on each side of the spine and then does this same movement “backwards” inching back down the spine again. Up and down is considered one pass. • Start with “flat” hands, and “open” your hands up as you “inch” up the back. Then you “close” into a fist again and repeat all the way up the back. The pressure is in the “heel” of your hand. |
|
|
Digital Kneading of the Spine
No Lotion 3 passes • Stand facing the clients head • To and fro motion starting at the base of occiput and working to the sacrum (constitutes 1 pass) • 1 finger on each side of spine (hand is held as in the nerve compression technique) |
Palmar Kneading of the Chest
No Lotion 3 passes • Whole palmar surface going onto client from shoulder toward the chest. Can place one hand on top of the other. (Hand with thumb closest to the clavicle should be on their skin) • 3 “presses” but on each one, you pick up your hand and move it a little closer to their sternum. • Below the chest, you face the client’s feet and start in the center and work to their side closest to you (but do NOT start on the “top” of their chest). Although you are “pushing” away from you, your hand will pick up and move a little closer down their side toward the table (coming toward you) |
|
|
Digital Kneading along the Bridge of the Nose & Under the Zygomaticus
No lotion 3 passes • Come onto the bridge of their nose with 1 or 2 fingers, then come on with other fingers making small circles as you come off the nose, staying down under the zygomaticus and out towards the ears |
Digital Kneading of the Masseter
No lotion 3 passes • Work in alternating circles down the masseter (3X) |
|
|
Kneading Around The Ears
No lotion 3 passes • With your fingers in alternation, knead in circles around their entire ear area (down and around their ear) (3X) • Knead outer helix in a “trigger motion” starting from the bottom and working up (3X) • Knead inner helix in a “trigger motion” starting from the bottom and working up (3X) • Gently roll the tragus forward and backward (3X each way) • Gently press (ALTERNATING) the tragus (6X) |
Palmar Kneading of Posterior Neck
No lotion 3 passes Starts off the same as Palmar Friction of the Neck. Turn their head to the side. Stand at the head of the table. • Start at the mastoid process. Pressure is in the thenar and heel of hand. • Knead in small circles from the mastoid process, down their neck and out to the shoulder. • Your fingers should be pointed at the client’s feet. • You can lift their head slightly if you need to. |
|
|
Palmar Kneading of the Anterior Neck
No lotion 3 passes • Don’t “open” up the neck • Turn their head and stand facing them • With the thenar area of your hand, knead in small outward circles down the SCM to the top of the clavicle. |
Digital Kneading of the Posterior Neck
No lotion 3 passes 1st pathway – do both sides of their neck from the clinical side of the table. • Right hand does their right side of their neck 3X • Work from the trapezius to the base of the occiput. 3X. • Then, the left hand does the left side of their neck 3X • From the trapezius to the base of the occiput 3X • (This is done with one hand, not two) 2nd pathway – stand at the head of the table • Repeat the same procedure, but with both hands working at the same time – • ALTERNATING circles. Do this pathway 3X |
|
|
Digital Kneading of Abdomen (Colon)
REMEMBER TO ASK THEM TO RAISE THEIR KNEES No lotion 3 passes • Start facing the client’s feet, with your Right hand inside the ilium and your Left hand forms a “T” to the one that is “holding”. Working in small circles toward the pinkie, work up the ascending colon, and HOLD the hand there. • With your other hand, “cup” the transverse colon and slowly move it along to the other side and HOLD the hand in place. • Take your “free” hand and replace the hand that is holding the “poo”, and then • With your other hand, knead in small circles toward the pinkie down the descending colon |
Thumb Kneading of the Abdomen (Colon)
REMEMBER TO ASK THEM TO RAISE THEIR KNEES No lotion 3 passes • Make sure the client’s arms are by their sides. • Start with your Right thumb on the descending colon and your Left thumb on their ascending colon. • Moving them at the same time, your left thumb will travel UP while your Right thumb is traveling down. (you can keep your hands in a fist as you do this one) |
|
|
Mass Kneading of the Abs
REMEMBER TO ASK THEM TO RAISE THEIR KNEES No lotion 3 passes REMEMBER: The client’s nose is 12:00 • Facing the client’s head, start with left hand inside the ribs (10:00) and the right hand is inside the ilium (4:00). • Knead in a large circle. |
Mass Kneading of the Hip
No Lotion 3 passes • stand between their buttocks and knees and face their head • Ask to expose the sacrum and the hip, and tuck the sheet. • Work cross body. • Begin with one hand inside of the greater trocanter, and the other hand just inside the sacrum. • With ulnar surface of your hands, “cup” the gluteal area and press fingers of one hand into the heel of your opposite hand. • This should be a very fluid movement. |
|
|
Rolling of the Arm
No lotion 3 passes 200-400 per minute Proximal to Distal • Have the client hold their arm up in the air. No matter which way they are holding their arm, make sure that you are ON the muscle. DON’T rub over the bone. • Start by the shoulder and work proximal to distal on the arm. Your hands must be ON the muscle with a considerable amount of inward compression so you don’t slip off the muscle. Squat if you need to so you are not bending over. • On the upper arm, you are working the biceps and triceps. • On the forearm, you are working the flexors/extensors. • Be sure that you are “rolling” on the muscles. |
Rolling of the Leg
No lotion 3 passes 200-400 per minute Proximal to Distal • You hand goes onto the leg in a “V”. Your hands must be ON the muscle with a considerable amount of inward compression so you don’t slip off the muscle. • On the thigh, you are working the hamstring and the quads. • In the lower leg, you are working the gastroc and the tibialis anterior (lateral side of lower leg). Be sure that you are “rolling” on the muscle, not on the shin. • Start up near the thigh and work proximal to distal down the leg, coming off at the knee |
|
|
Palmar Kneading of the Back
No lotion 3 passes • This technique is 1X up the back and then 3X across the trapezius IS ONE PASS. • Do not “rock” 3X in each spot as you are coming up the back. • Start at the sacrum and rock them back and forth just to get a rhythm. • You can “piggy back” your hands. • Working “cross body” on the other side of their spine, your thumb and thenar point toward the client’s head. • The effort is straight down and out – NO SLIDING. • As you “push” the body away from you “catch it” as it comes back and be ready with your next “push”, moving up the back on each step. • End with kneading the trapezius from the occiput out toward the deltoid. Your fingers should move in inward circles toward the thumb. This is done with one hand. |
Crowding & Gathering
No lotion 3 passes • Tuck the sheet & ask to expose the sacrum • Work cross body. • Do “crowding” from the sacrum up to the occiput, right up against the spine, but not on it. All fingers, no thumbs are on the erectors. • At the occiput, you “gather” back down the back. The thumb is on “my side” of the spine and “gather” back toward my thumbs from the opposite side of the spine. • Work my way back down to the sacrum and start “crowding” again. • Up and down is one pass. |
|
|
Kellogg’s Special Movement of the Erectors
Lotion on my hands only (don’t have to use lotion) 3 passes • Using a “flat fist” at the lower back and going upward with slight circles “outward”, the pressure is in the whole fist. • “Circles” are toward the outside once at the top. • Then “vibrate vigorously” both fists all the way back down to the sacrum. (One hand on each side of the spine). |
Wringing of the Arm
No lotion 3 passes • Proximal to distal • Inward compression • The movement is press/twist/twist. (while the muscle is compressed you twist/twist) • Thumb to thumb, then fingers to fingers |
|
|
Wringing of the Leg
No lotion 3 passes • Proximal to distal • Inward compression • The movement is press/twist/twist. (while the muscle is compressed you twist/twist). Thumb to thumb, then fingers to fingers • “V” over the lower leg so that you are not right on the bone at the shin. • The pressure is thenar on the tibialis anterior |
Fist Kneading of the Abdomen
REMEMBER TO ASK THEM TO RAISE THEIR KNEES No lotion 3 passes • The fist rocks back and then the other fist goes on right in front of the knuckles from the “previous” fist. • KEEP THE KNUCKLES RIGHT UP AGAINST EACH OTHER, no spaces. |
|
|
Chucking of the Arm (or Leg or anywhere on the body)
No lotion 3 passes 2 – 6 times • can use 2 hands or one hand. • Direction does not matter. • “Grab and lift” the muscle • hard “chucking” motion back and forth |
Chucking of the Forehead
No lotion As many “passes” as it takes to cover the forehead • Done with the thumbs only • Cover the whole area • Back and forth “chucking” motion |
|
|
Chucking of the Scalp
No lotion 3 passes This is actually MOVING the scalp, not just the hair. 1st pathway – turn the head to face away from where I am standing. • Right hand at the hairline, Left hand at the occiput. • Palms are more “cupped” and not lying directly on their scalp. 2nd pathway – turn their face up toward the ceiling • go back to clinical side of the table, and with one hand on either side of their head, do the “chucking” movement on both sides of their head. |
Digital Kneading of the Scalp
No lotion 3 passes • Turn their head to face me. • Divide each “side” of their scalp into 3 sections • 1st pass is closes to their ear, from the hairline in the front, all the way to the occiput. 3X • 2nd pass is a little further up toward the top of the scalp. 3X • 3rd pass is almost directly on top of their scalp. • Turn their head to face the other direction • Step to that same side (facing the client) • Again, divide this side of the head into 3 sections. • Lift the fingers slightly to not pull the hair if needed. |
|
|
Palmar Kneading of the Hip
No lotion 3 passes • Using one hand on top of the other, work cross body, rocking the body back and forth like palmar kneading of the back. • Start at the sacrum and stop at the base of the scapula (don’t go all the way up the scapula) • Switch hands (thumb of the hand touching the skin is always pointing in the direction your hands are headed) and head back down toward the sacrum, flaring out toward the greater trocanter (cross body) • Go to the other side of the table to work on the opposite side of their body. |
Stroking of the Neck
3 passes (1-2 inches/second) • Starting at the center (sternum) • open hands to stroke entire palmar surface across chest to the shoulders, • go around the shoulders, around to the back as you come towards the neck and up the “sides” of the neck coming back up to your fingertips |
|
|
Stroking of the Chest
3 passes (1-2 inches per second) • Superior (faces the client) stroking above the breast area o Starting at the shoulders, stroke toward the sternum • Inferior (faces client’s feet) stroking on the ribs just under the breast area. o Starting at the sides of the body, stroke towards the sternum |
Stroking of the Abdomen
REMEMBER TO ASK THEM TO RAISE THEIR KNEES! 3 passes (1-2 inches/second) 1st Position • faces client’s feet • start at the waistline and angle up towards the xiphoid 2nd Position • can face either way • start at the waistline and go straight up to umbilicus 3rd Position • faces client’s head • start at the waistline and angle down towards the pubis |
|
|
Palmar Stroking of the Back (& hips)
3 passes (1-2 inches/second) • Ask the client & tuck sheet inside their shorts • One hand on each side of their back (on either side of the spinous process) • Spread fingers slightly if it is a large area • Path is straight down to the sacrum flare out to the greater trocanter |
Knuckle Stroking of the Back
3 passes (1-2 inches per second) this is the only stroking technique with lotion – apply to my knuckles ONLY • At the shoulders, one hand on each side of the spine, make fists and “drag” your knuckles down their back, ending at the sacrum • DO NOT flare out to the greater trocanter |
|
|
Pressure for a headache
• From the clinical side of the table, your right hand goes on their forehead, with their forehead “cupped” in your palm (fingers up in their hair) and your left hand has their occipital bone in the base of your palm and their parietal lobes in the fingertip area of your hands. • You systematically “squeeze” for several seconds and release. |
Rhythmic Pressure for swollen joint
• Slight “rhythmic” pressure pulsing like a heart beat • Start below the affected area and slowly work up until you get above the affected area |
|
|
Nerve Compression (remember, nerve compression “climbs”)
2 Types • Light & Intermittant - stimulates o (3 times at each vertebrae, like little “bounces”) • Heavy & Sustained – paralyzes or sedates o (ONLY 1 time, and hold it for a few seconds) |
Percussion Back - Tim Horton Serves Better Coffee
|
|
|
Percussion Chest - Tim Horton Serves Better
|
Vibration - digital, superficial, deep, palmar, shaking
|
|
|
Friction of the Neck (Both Ways)
3 passes of each pathway • Apply lotion in the same route as Stroking of the Neck • 1st pathway is a Figure 8 – Left hand on client’s left side, then alternate with my right hand on client’s right side. • Direction is from the sternum, up and over to the backside of the shoulder, curving around to the outside of the arm (deltoid), then back to the center (sternum). STAY UNDER THE CLAVICLE. • As one hand comes off, the other goes on so that the client does not notice any lapse in the movement. • Start and end on my fingertips • 2nd pathway is from the center (sternum) to outer shoulder, then behind the neck and go up ending at the occipital along the client’s ear. • Do 3 times on each side (you DO NOT alternate so that the client’s head is not going back and forth) |
Gerster’s Method (anterior neck) pg 47 West
3 passes NO LOTION client sits upright stand facing the front of the client • Fingers held close together, extended, palms upright • Apply your little fingers (ulnar border) to the neck just below the ears (mastoid) • Move your hands downward, rotating inward so that the tips of each thumb falls on the sides of the larynx • At the base of their neck, go out toward the shoulders |
|
|
Friction of Posterior Neck
3 passes apply lotion as in stroking of the neck • stand at client’s head, cup around their ears & turn their head to the side (your hand remains under their head) Work opposite side of the direction you turned their head. • You can tip their chin down a little bit (toward their shoulder) • start at the mastoid process (the lump behind their ear) with long even strokes, go down their neck and out to the shoulder • pressure is in the heel and thenar area of the hand, not in the fingertips • fingers stay pointed straight towards her feet and keep the thumb alongside of the hand |
Friction of the Abdomen
ASK THEM TO RAISE THEIR KNEES! 3 passes ask them to tuck sheet into their shorts spread lotion “sun (clockwise) and moon” as your hand comes up to the 1:00 position, the “moon” part begins • 1st pathway is “paddlewheel” – 3 times – stay off the ribs – fingers are “facing each other” until the last hand on the opposite side of the table, then it can stay the same • 2nd pathway is midline out – starting at umbilicus and moving outward – with each stroke move down • then midline toward you 3X |
|
|
Spiral Friction of the Legs
3 passes • Apply lotion in long smooth strokes • Place the dorsal side of your “fist” against the client’s knee • Starting at the arch of their foot, follow the path of the greater saphenous vein o on top of the foot until past the lateral malleolus o then to the inside of their leg o curve behind to the popliteal region o come back to the inner thigh o ending on the top of their leg just to the side of the pubis area (BE SURE TO END BY BRINGING THE HEEL OF YOUR HAND “UP TO” YOUR FINGERTIPS) |
Centripetal Friction of the Legs
• Apply lotion • With the “inside” hand, shake hands with the foot & hold • Starting with fingertips at base of toenails go up toward the ankle and separate your thumb to go around the medial malleolus; then alternate – begin again at the toes, go up toward the ankle and separate into your “spock fingers” (split between the middle and the ring finger) and take the ring finger and the pinkie down and around the lateral malleolus; alternate medial malleolus and lateral malleolus (3 x on each) • Foot “sandwich” (be sure to take your hand all the way down to the bottom of their heel) • Raise their leg up by putting your forearm against the bottom of their foot and placing the dorsal side of your hand under their knee and lift. Place their foot on the table. • Working ankle to knee, alternate left/right hands (using the fingers only) applying pressure to the back of the lower leg (gastronemus muscle). Apply pressure while going UP, then “withdraw” your hand, and start again at the ankle (do not go up and down on the leg) • Turn and face the feet • Split the tibea with your thumps up, and starting at the ankle, go up to the knee with themar (base of thumb) pressure and at the knee (popliteal region)use your fingers to apply light pressure in the back of the popliteal area (only one pass up to the knee), and then, quickly, using both hands at the same time, alternate between the sides of the thigh and the front//back of the upper thigh |
|
|
Centrifugal Friction of the Leg
3 passes Reverse of “Spiral Friction of the Leg” Apply lotion as in stroking of the arm – long even strokes • Face the client’s feet • Use “support hand” by placing your fist next to the outside of their knee • Starting high on their thigh, lead on with the fingertips but immediately go to the entire palm of your hand as you continue down the leg. • Follow the Greater Saphenous vein down their leg (to the inside as you get closer to the knee • dip behind the popliteal area, then slowly come back to the top of their leg (closer to the medial malleolus) • finish at the arch of their foot |
Centripital Friction of the Hip
3 passes Ask to expose lower back & hip Apply lotion from greater trocanter to sacrum (work cross body) • Working from greater trocanter to sacrum • Procedure is same way as applying lotion - work cross body • fingertips END at sacrum • go to other side of the table to work cross body on the remaining hip |
|
|
Rotary Friction of the Back
3 passes apply lotion in long even strokes • 1 hand on each side of spine • Like “wax on – wax off” • Alternate hands working up and out ending at the neck • Pressure is applied on the UP and OUT motion, but not on the down motion as you circle the hand to come back into position • As one hand comes “out” the other hand begins |
Hitching
No Lotion 3 passes • starting at the sacrum, this procedure “inches” up the back, one hand on each side of the spine and then does this same movement “backwards” inching back down the spine again. Up and down is considered one pass. • Start with “flat” hands, and “open” your hands up as you “inch” up the back. Then you “close” into a fist again and repeat all the way up the back. The pressure is in the “heel” of your hand. |
|
|
Palmar Kneading of the Chest
No Lotion 3 passes • Whole palmar surface going onto client from shoulder toward the chest. Can place one hand on top of the other. (Hand with thumb closest to the clavicle should be on their skin) • 3 “presses” but on each one, you pick up your hand and move it a little closer to their sternum. • Below the chest, you face the client’s feet and start in the center and work to their side closest to you (but do NOT start on the “top” of their chest). Although you are “pushing” away from you, your hand will pick up and move a little closer down their side toward the table (coming toward you) |
Digital Kneading of the Masseter
No lotion 3 passes • Work in alternating circles down the masseter (3X) |
|
|
Palmar Kneading of Posterior Neck
No lotion 3 passes Starts off the same as Palmar Friction of the Neck. Turn their head to the side. Stand at the head of the table. • Start at the mastoid process. Pressure is in the thenar and heel of hand. • Knead in small circles from the mastoid process, down their neck and out to the shoulder. • Your fingers should be pointed at the client’s feet. • You can lift their head slightly if you need to. |
Thumb Kneading of the Abdomen (Colon)
REMEMBER TO ASK THEM TO RAISE THEIR KNEES No lotion 3 passes • Make sure the client’s arms are by their sides. • Start with your Right thumb on the descending colon and your Left thumb on their ascending colon. • Moving them at the same time, your left thumb will travel UP while your Right thumb is traveling down. (you can keep your hands in a fist as you do this one) |
|
|
Digital Kneading of the Posterior Neck
No lotion 3 passes 1st pathway – do both sides of their neck from the clinical side of the table. • Right hand does their right side of their neck 3X • Work from the trapezius to the base of the occiput. 3X. • Then, the left hand does the left side of their neck 3X • From the trapezius to the base of the occiput 3X • (This is done with one hand, not two) 2nd pathway – stand at the head of the table • Repeat the same procedure, but with both hands working at the same time – • ALTERNATING circles. Do this pathway 3X |
Mass Kneading of the Hip
No Lotion 3 passes • stand between their buttocks and knees and face their head • Ask to expose the sacrum and the hip, and tuck the sheet. • Work cross body. • Begin with one hand inside of the greater trocanter, and the other hand just inside the sacrum. • With ulnar surface of your hands, “cup” the gluteal area and press fingers of one hand into the heel of your opposite hand. • This should be a very fluid movement |
|
|
Rolling of the Leg
No lotion 3 passes 200-400 per minute Proximal to Distal • You hand goes onto the leg in a “V”. Your hands must be ON the muscle with a considerable amount of inward compression so you don’t slip off the muscle. • On the thigh, you are working the hamstring and the quads. • In the lower leg, you are working the gastroc and the tibialis anterior (lateral side of lower leg). Be sure that you are “rolling” on the muscle, not on the shin. • Start up near the thigh and work proximal to distal down the leg, coming off at the knee. |
Crowding & Gathering
No lotion 3 passes • Tuck the sheet & ask to expose the sacrum • Work cross body. • Do “crowding” from the sacrum up to the occiput, right up against the spine, but not on it. All fingers, no thumbs are on the erectors. • At the occiput, you “gather” back down the back. The thumb is on “my side” of the spine and “gather” back toward my thumbs from the opposite side of the spine. • Work my way back down to the sacrum and start “crowding” again. • Up and down is one pass. |
|
|
Wringing of the Arm
No lotion 3 passes • Proximal to distal • Inward compression • The movement is press/twist/twist. (while the muscle is compressed you twist/twist) • Thumb to thumb, then fingers to fingers |
Fist Kneading of the Abdomen
REMEMBER TO ASK THEM TO RAISE THEIR KNEES No lotion 3 passes • The fist rocks back and then the other fist goes on right in front of the knuckles from the “previous” fist. • KEEP THE KNUCKLES RIGHT UP AGAINST EACH OTHER, no spaces. |
|
|
Chucking of the Forehead
No lotion As many “passes” as it takes to cover the forehead • Done with the thumbs only • Cover the whole area • Back and forth “chucking” motion |
Digital Kneading of the Scalp
No lotion 3 passes • Turn their head to face me. • Divide each “side” of their scalp into 3 sections • 1st pass is closes to their ear, from the hairline in the front, all the way to the occiput. 3X • 2nd pass is a little further up toward the top of the scalp. 3X • 3rd pass is almost directly on top of their scalp. • Turn their head to face the other direction • Step to that same side (facing the client) • Again, divide this side of the head into 3 sections. • Lift the fingers slightly to not pull the hair if needed. |
|
|
Stroking of the Neck
3 passes (1-2 inches/second) • Starting at the center (sternum) • open hands to stroke entire palmar surface across chest to the shoulders, • go around the shoulders, around to the back as you come towards the neck and up the “sides” of the neck coming back up to your fingertips |
Stroking of the Abdomen
REMEMBER TO ASK THEM TO RAISE THEIR KNEES! 3 passes (1-2 inches/second) 1st Position • faces client’s feet • start at the waistline and angle up towards the xiphoid 2nd Position • can face either way • start at the waistline and go straight up to umbilicus 3rd Position • faces client’s head • start at the waistline and angle down towards the pubis |
|
|
Knuckle Stroking of the Back
3 passes (1-2 inches per second) this is the only stroking technique with lotion – apply to my knuckles ONLY • At the shoulders, one hand on each side of the spine, make fists and “drag” your knuckles down their back, ending at the sacrum • DO NOT flare out to the greater trocanter. |
Rhythmic Pressure for swollen joint
• Slight “rhythmic” pressure pulsing like a heart beat • Start below the affected area and slowly work up until you get above the affected area |
|
|
Vibration of the Arm
|
Petrissage of the Abs
|
|
|
Digital Kneading of the intercostals
|
Palmar Kneading of the Chest
|
|
|
Vibration of the Head
|
Petrissage of the hip
|
|
|
Superficial vibration of the abs
|
Lateral vibration of the abs
|
|
|
Knuckle vibration
|
Vibration of the Leg
|
|
|
Nerve Compression of the back for paralysis
|
Centrifugal Leg
|
|
|
Circular Friction of the Leg
|
Passive Touch
|
