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Guias e Dicas
Guias e Dicas


manual massagem, Manuais, Projetos, Pesquisas de Fisioterapia

manual massagem

Tipologia: Manuais, Projetos, Pesquisas

Antes de 2010

Compartilhado em 25/02/2010

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Learn Massage
About Us - Contact Us - Links - Home
Massage
Massage Strokes
Effleurage Petrissage Friction Tapotement Vibration
Massage Routines
Back Massage Foot Massage
Basics of Massage
15 Laws of Massage Posture, Positioning, and Hands
Definitions of Direction Terms
http://www.smphealth.org/info/massage/index.html [8/23/2002 6:15:09 PM]
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Learn Massage

About Us - Contact Us - Links - Home

Massage

Massage Strokes

Effleurage Petrissage Friction Tapotement Vibration

Massage Routines

Back Massage Foot Massage

Basics of Massage

15 Laws of Massage Posture, Positioning, and Hands Definitions of Direction Terms

http://www.smphealth.org/info/massage/index.html [8/23/2002 6:15:09 PM]

About Us - Contact Us - Home

Effleurage

Any stroke that glides over the skin without attempting to move the muscle beneath. Apply firm even pressure. Effleurage strokes are usually directed toward the heart.

l Is used more than any other stroke l Usually begins and ends each treatment l Used as a bridge between many strokes l Accustoms the patient to the touch of the operator l Allows the operator to search for areas of spasms and soreness l Allows the operator to become familiar with the condition of the patient's muscles l Increases circulation to the skin and more superficial muscles

Bilateral Effleurage

Start at the lower back with one hand on each side of the spine. Go towards the upper back, all the way to the shoulders. While returning to the lower back go along the sides of the back. To give a deeper massage lean your body weight into the massage.

http://www.smphealth.org/info/massage/effleurage.html (1 of 3) [8/23/2002 6:15:36 PM]

Nerve Strokes

Lightly run your fingertips all over the back

http://www.smphealth.org/info/massage/effleurage.html (3 of 3) [8/23/2002 6:15:36 PM]

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Petrissage

A stroke that picks up the muscle and squeezes it. Usually done with two hands, alternating between each hand, but can be done with one hand.

l Milks the muscle of waste products l Can help to free adhesions l Increases circulation and nutrition to the muscle l Along with effleurage can be considered a complete back massage

http://www.smphealth.org/info/massage/petrissage.html [8/23/2002 6:15:43 PM]

Cresting Friction

Small circles made with the part of your fingers inbetween your knuckles

Palm Friction

Small circles made with the palm

Alternating Thumb Friction

With both thumbs side by side bring one thumb forward while bringing the other back. Then bring the one back while bringing the other forward. When going shallow go faster and slower when going deeper

Cross Fiber Friction (Peeling)

Use the part of your palm near your thumb as a "potatoe peeler".

http://www.smphealth.org/info/massage/friction.html (2 of 3) [8/23/2002 6:15:47 PM]

Try to "peel" the skin back and forth going across the fibers of the muscle instead of with the fiber of the muscles.

http://www.smphealth.org/info/massage/friction.html (3 of 3) [8/23/2002 6:15:47 PM]

Pincement

You are lightly pinching at the skin

Beating

Make a VERY loose fist. Your arms should not move, flick at the wrist.

http://www.smphealth.org/info/massage/tapotement.html (2 of 2) [8/23/2002 6:15:55 PM]

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Vibration

A vibrating/shaking movement. Can be done to the skin or an entire limb or even the whole trunk.

l Relaxes the patient

http://www.smphealth.org/info/massage/vibration.html [8/23/2002 6:16:00 PM]

Rotation - Backward

F. Scapula, Traps, Deltoids & Elbow up

  1. Alternating Thumb Friction
  2. WEB effleurage on retracted scapula

Traction with slight vibration

  1. ROM on shoulder a. Rotation b. Traction with slight vibration

G. Repeat step "F" on other side H. Entire Back

  1. Bilateral Effleurage -Deep 3x (use palms)-
  2. Petrissage

Two finger Petrissage

  1. Tapotement -2 types-
  2. Bilateral Effleurage -Deep 3x-

I. Neck

  1. Two finger Petrissage
  2. Fingertip Friction
  3. Palm Friction - shoulders & lower neck
  4. Cross Fiber Friction

Fingertip Friction

J. Skull

  1. Fingertip Friction to Sutures
  2. Fingertip Friction to entire skull
  3. Fast Fingertip Friction to entire skull

K. Back

  1. Bilateral Effleurage -3x-
  2. Vibration
  3. Bilateral Effleurage (LIGHT) -3x-

http://www.smphealth.org/info/massage/back.html (2 of 3) [8/23/2002 6:16:14 PM]

Fingertip Friction to entire skull

L. Nerve Strokes

http://www.smphealth.org/info/massage/back.html (3 of 3) [8/23/2002 6:16:14 PM]

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15 Laws of a Good Massage

  1. Wash hands before every massage.
  2. Make sure fingernails are trimmed and filed.
  3. Do not use cold hands (if necessary warm hands with warm water).
  4. Take off watches and all other items that might scratch the patient.
  5. Use a clean room to give the massage in.
  6. Do not over or under lubricate the patient.
  7. Put a pillow under the patients ankles.
  8. Never take your hands off the patient after you start the massage.
  9. Always massage a muscle that is relaxed.
  10. Never cross the spine with pressure when you are giving the massage.
  11. Massage on the opposite side that you're working on when your doing friction.
  12. Always work toward the head.
  13. Never massage in a untidy or cluttered room.
  14. Use good posture while giving the massage.
  15. Always remember to get feedback from the patient.

http://www.smphealth.org/info/massage/laws.html [8/23/2002 6:16:40 PM]

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Misc. Things to Remember

Care of the Hands

The hands are the most valuable tool a massage therapist has. They should be taken care and kept in a presentable manner. The fingernails should be kept short, filled and clean. The hands should be washed before and after each massage so that you don't transfer the diseases from one patient to another. The hands should be warm when you give the massage. Be careful not to do any activities that might give you a blister before you give a massage.

Would you want someone to massage you with dirty hands? Would you want to receive a massage from someone that is scratching you with their long nails?

Posture

Remember to maintain good posture while giving a massage. When your giving 3 or 4 massages a day having good posture makes a difference in the way you'll feel at the end of the day. Stand erect and have your feet spread a part shoulder length. Instead of stooping to give strokes that require you to be closer to the patient (like tapotement & petrissage) spread your legs apart more. Give a massage on a table that is the proper height for you (A good test is to stand erect, arms at your sides, and if the table is about where your palms begin then it is fine.) By following the rules of posture you will keep yourself from needing a massage at the end of the day.

Positioning of the Patient

http://www.smphealth.org/info/massage/posture.html (1 of 2) [8/23/2002 6:16:46 PM]

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Definitions of Direction Terms

Superior

Inferior

Superior means toward the

head, and inferior means

toward the feet. Example the

mouth is inferior to the nose,

but the mouth is superior to

the chin.

Anterior

Posterior

Anterior means from front or

in front of; and posterior

means back or in back of.

Example the knees are on the

anterior surface of the body

but the back is on the

posterior.

Medial

Lateral

Medial means toward the

middle of the body, and

lateral means toward the side

or outer part of the body.

Example the nose lies medial

to the eyes.

http://www.smphealth.org/info/massage/definition.html (1 of 3) [8/23/2002 6:16:58 PM]

Proximal

Distal

Proximal means closer to the

trunk or point of origin of a

body part, and distal means

farther from the trunk or body

part. Example the hand lies at

the distal end of the elbow,

but is on the proximal end of

the fingers.

Superficial

Deep

Superficial means closer to

the surface and deep means

more in depth. Example if

your patient is feeling pain

when you give him the

massage, give him a more

superficial massage.

Supine

Prone

Supine means lying on your

back and prone means to lie

face down.

Transverse plane

The plane that cuts across

your stomach. It would but

you from one hip to the other

Sagittal plane

The plane that cuts right down

the middle of your body. It

would cut you from your nose

to your belly button.

Frontal plane

A plane that cuts you down

your side. It would cut you

from your ear though your hip

to your feet.

http://www.smphealth.org/info/massage/definition.html (2 of 3) [8/23/2002 6:16:58 PM]