Reclaiming the maimed; a handbook of physical therapy . nt is contraindicated, and of themanipulations of massage themselves, tapotement may beeffective when effleurage would be useless, as will appear. Efffeurage is essentially a surface manipulation. It formsthe beginning of treatment in all painful conditions likesprains, fractures, or after breaking down adhesions. It isa preparation for more active manipulations. The hand ispassed lightly over the skin, like stroking a cat, usually fromthe periphery to the center. It is performed by the palm ofthe hand, the thumb, or the finger tips. Both
Reclaiming the maimed; a handbook of physical therapy . nt is contraindicated, and of themanipulations of massage themselves, tapotement may beeffective when effleurage would be useless, as will appear. Efffeurage is essentially a surface manipulation. It formsthe beginning of treatment in all painful conditions likesprains, fractures, or after breaking down adhesions. It isa preparation for more active manipulations. The hand ispassed lightly over the skin, like stroking a cat, usually fromthe periphery to the center. It is performed by the palm ofthe hand, the thumb, or the finger tips. Both hands areused for large fleshy parts like the buttock, thigh, chest,back, or neck; the thumb or finger tips are employed around 54 RECLAIMING THE MAIMED 55 bony parts like the hand, ankles, wrist, forehead, and scalp,and about adherent scars; the fingers adapting themselvesto the part worked upon. If properly done, it should act as asedative to pain ; and when the fears of the patient have beenstilled, friction may be made vigorous enough to act upon. Fig. 41. — EiSeurage of the arm. the deeper structures and wake up the sluggish circulation inand about the seat of trouble. In petrissage or kneading, the skin moves with the handlike a glove. It is done with the thumb opposed to the hand,the fingers opposed to the palm, or the two hands opposed toone another. The muscles are rolled under the hand andskin, and intermittently pressed against the underlying is slow and deep, usually following the course of the venouscirculation. This manipulation should be firm, but not too 56 RECLAIMING THE MAIMED painful, — persistent pain following treatment means eithera clumsy operator or a condition that should not be is most useful for stretching adherent scars, for removingthe products of fatigue or effusions, and for improving theblood supply. It is the main manipulation used in general
Size: 1878px × 1330px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bo, bookcentury1900, bookdecade1910, booksubjectwoundsandinjuries
