. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. s, especially onthe inner side, reach far down over the upper part of theknee-joint, and as these muscles atrophy first of all, they areeasily neglected if the effleurage begins too high up, but onthe other hand, one should consider that these muscles coverin part the upper recessus of the knee-joint, and with anyinflammation existing great care should be taken. Effleurageof the tensor fasciae latse of the right leg is done with the lefthand, beginning above the knee-joint; the thumb glid
. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. s, especially onthe inner side, reach far down over the upper part of theknee-joint, and as these muscles atrophy first of all, they areeasily neglected if the effleurage begins too high up, but onthe other hand, one should consider that these muscles coverin part the upper recessus of the knee-joint, and with anyinflammation existing great care should be taken. Effleurageof the tensor fasciae latse of the right leg is done with the lefthand, beginning above the knee-joint; the thumb gliding onthe lateral edge of the quadriceps, the four fingers on thelateral edge of the biceps, the hand pressing against the tensorfascise. Thus the stroking is continued up to the anterior spine,where the thumb and the four fingers meet. On account ofthe very strong fascia knuckle effleurage is especially suitableon the outer side of the thigh. Also kneading may well be LOWER EXTREMITY 103 done with the knuckles. For effleurage of the adductors ofthe right thigh the thumb of the right hand ghdes on the. Fig. 36.—Muscles of the front of the right thigh. medial edge of the quadriceps, the four fingers on the medialedge of the inner hamstrings up to the groin. The fingers liftup the muscles and the ball of the hand presses from behind. 104 APPLIED MASSAGE Massage of the hamstring muscles is done with the patientlying prone, with a pillow under the foot, thus flexing theknee somewhat and relaxing the hamstrings (see Fig. 37).
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