. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. Fig. 33.—Kneading of lumbar muscles. UPPER EXTREMITY 99 the patient lying so that the muscles are entirely relaxed;especially in individuals with a marked lumbar lordosis it isof advantage to have a pillow under the abdomen in orderto straighten out the lordotic spine to some Fig. 34.—-Effleurage and kneading of scapular muscles. Upper Extremity.—IVIassage of the shoulder is done inthe sitting position or lying if marked spasm of the musclesexists. To cover all shoulder muscles s
. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. Fig. 33.—Kneading of lumbar muscles. UPPER EXTREMITY 99 the patient lying so that the muscles are entirely relaxed;especially in individuals with a marked lumbar lordosis it isof advantage to have a pillow under the abdomen in orderto straighten out the lordotic spine to some Fig. 34.—-Effleurage and kneading of scapular muscles. Upper Extremity.—IVIassage of the shoulder is done inthe sitting position or lying if marked spasm of the musclesexists. To cover all shoulder muscles sufficiently both aprone and supine position should be taken, or the patientmust lie on the other side. The deltoid muscle is usually divided into two or moreparts. The operator, who sits on the right side of the patient,strokes with his right hand over the anterior, with his lefthand over the posterior, part of the deltoid. This manipula-tion can be done more effectively when for the posterior partthe operator places his left hand underneath the deltoidand the adjoining muscles, using it as a pad over which themuscle is effleuraged, and vice versa for the anterior side;the right hand is used as a pad and the left hand also find this method very useful for kneading, whichcan also be done by both hands at the same time, the 100 APPLIED MASSAGE thumb of each hand acting
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