Massage Study Guide 1-5 (Petrissage/Contraindicators)

Local

Avoid the endangered area, but you ARE able to massage the rest of the body.

New York State Contraindication

-When the therapist or client is in an altered state of mind. -When a client refuses to let you confer with their MD.

C (Grab muscle) & V (Pull away)

1 or 2 hands, grasping and lifting tissue away 1 hand works well on smaller areas; arms 2 hands work well on alternating on the lateral aspect of the back.

New York State Extreme Caution

1. Meds that weaken tissue or increase bleeding - yes, use caution 2. Decreased sensation - yes, vary/alter the massage 3. Inflammatory conditions - yes, avoid inflamed areas

Chronic

Has been going on-for awhile

Indication

A condition where massage has been proven beneficial (ex. relieving headache/mental fatigue)

Extreme Caution

A condition where massage may need to be modified in order to help client (ex. Diabetes - need to evaluate on how to proceed)

New York State Extreme Caution (CANNOT DO)

Absolute Contraindications: AVOID 1. Fever 2. Contagious Disease 3. Edema re: organ failure 4. Acute conditions 5. Phlebitis (inflamed veins) 6. Thrombosis (prone to blood clots)

Types of Petrissage

C&V Ocean Waves Fulling (broadening) Connective Tissue Massage

When in Doubt

Check with MD and/or Request medical clearance form

Elizabeth Dicke

Developed connective tissue massage or Bindewebmassage, a structural and postural integration approach

What stroke does Petrissage follow in Swedish message?

Effleurage

Contraindications

Falls under extreme condition A situation that requires the therapist to modify technique or refrain from using them to avoid possible harm.

Avoid Local (endangered areas) Massage

Fractures Open Wounds Varicosities New Scars Burns Foreign bodies/hardware No Sacral/abdominal work 1st - trimester pregnancy Confer with MD if they have: Cancer, Tumors, Acute/Chronic Infection.

Praying Hands

Hands clasped, lifting with the pressure of heels of both hands.

Benefits of Petrissage

Increases blood flow Removes metabolic wastes Reduces local swelling Relieves fatigue Improves cellular nutrition Relaxes and lengthens muscle Relieves tension under the surface Reduces muscle soreness & stiffness Stimulates the nervous system Softens superficial fascia Produces analgesia (the inability to feel pain)-skin rolling

Sub-Acute

Is in between but more acute.

Emotional Release

Letting go or releasing suppressed emotions, the client feels relaxed and safe. Ex. Crying is the most common.

Reflex Response

Nerves are stimulated, which in turn activate a reflex arc Ex. Decreased arousal of the sympathetic nervous system A trigger of stretch receptors (muscle spindles)

Absolute

No massage will be given

Mechanical Response

Occurs as a result of pressure or range of motion: Ex. Increased blood pressure Reduces swelling Reduced scar tissue formation

Acute

Sudden/no warning - it happens right now-severe

Two types of pressure

Superficial Deep

Deep Pressure

Targets muscle

Superficial Pressure

Targets skin and underlying tissue

Ocean Waves (Thigh)

Two hands move in opposite directions while compressing and lifting tissue

Fulling (broadening)

Two hands to grasp, lift and compress tissue while moving it laterally.

Characteristics of Petrissage

Uses either the entire palmer surface of hands or fingertips Palms and fingers needed for larger areas Fingers and thumb needed for skin-rolling Fingertips for the jawline Milks tissue of metabolic wastes Draws new blood and oxygen to the tissue

Connective Tissue massage

a.k.a. Skin rolling & Bindegewebmassage Lifting the skin in any direction except downward with little or no lubricant, rolling between fingertips.

Petrissage

a.k.a. kneading Rhythmic compression, lifting away from the bone, squeezing, and releasing soft tissue.