. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. Fig. 26.—Friction of face. The kneading of the lateral groups (trapezius, levatorscapulae, etc.) is best done from behind (Fig. 28), liftingthe muscles up and kneading and rolling them betweenthe points of the fingers or larger parts of the hands. Whenthere is any rigidity or muscular spasm it is advisable to havethe patient lie down, because in the upright position themuscles of the neck will be too much contracted to allowthorough manipulations. Chest.—Massage of the chest is not very f
. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. Fig. 26.—Friction of face. The kneading of the lateral groups (trapezius, levatorscapulae, etc.) is best done from behind (Fig. 28), liftingthe muscles up and kneading and rolling them betweenthe points of the fingers or larger parts of the hands. Whenthere is any rigidity or muscular spasm it is advisable to havethe patient lie down, because in the upright position themuscles of the neck will be too much contracted to allowthorough manipulations. Chest.—Massage of the chest is not very frequently done,except for the pectoral muscles and the anterior serratus CHEST 93 which are subjected to treatment in all shoulder of the pectoral muscles is done by the operatorsright hand grasping the muscles between the thumb and thefour fingers while the arm of the patient is somewhat ab-ducted and elevated. The thumb serves as a pad over whichthe other fingers stroke and press the muscle tissue in- the. Fig. 27.—Effleurage of neck. direction of the axilla. Or both sides may be treated inthe supine position, the operator beginning with his handsflat on the sternum and stroking toward the axilla. Theanterior serratus is preferably treated in the lying position,the operators left hand raising and supporting the rightarm of the patient somewhat, and his right hand applyingeffleurage and kneading over the lateral part of the thorax 94 APPLIED MASSAGE toward the scapula. Stroking and kneading of the inter-costal muscles are also best done in the \ying position, thefingers following the intercostal space from the back forward,giving effleurage and friction.
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