. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. Fui. 19.—Knoadiiifz: of upper arm. greatly disturbed circulation, it seems more rational to beginat the proximal end of long muscle groups and work graduallydown in order to clear the path for the venous and lym-phatic flow from the peripheral parts. Grasping alone is not much used, but more in combinationwith kneading, rolling, or pressing. These latter manipula- 84 TECHNIC OF MASSAGE tions are more often used where special attention is given tolimited parts of the muscle group. In rolli
. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. Fui. 19.—Knoadiiifz: of upper arm. greatly disturbed circulation, it seems more rational to beginat the proximal end of long muscle groups and work graduallydown in order to clear the path for the venous and lym-phatic flow from the peripheral parts. Grasping alone is not much used, but more in combinationwith kneading, rolling, or pressing. These latter manipula- 84 TECHNIC OF MASSAGE tions are more often used where special attention is given tolimited parts of the muscle group. In rolling, one hand orboth grasp the muscle and roll it over its base. In pressing,one hand or both grasp the muscle and make a rhythmicalpressing Fig. 20.—Kneading of biceps. A similar manipulation over parts such as the ham-stringtendons has been described as harping, where motionsare done similar to playing the harp. According to variousregions of the body and various indications an infinite varietyof petrissage manipulations may be described, and ever}^masseur develops details of such a technic in a more or less THE KNEADING MANIPULATIONS 85 different way. These may safely be left to the knowledgeand common sense of the operator. Much more importantthan the knowledge of a great many technical points is, inour opinion, the knowledge of what kinds of mechanicalstimulations are required in the given case, and a good knowl-edge of the anatomical outlines.
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