. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. n small circles; especi-ally in those cases where infiltration exists and the circulationis to be stimulated, friction and stroking should be freelymixed. In most cases massage of the head is combined withthat of the neck. Neck.—For the massage of the neck the same position maybe used as in that for the head. The four fingers beginimmediately below the lower jaw and follow the directionof the large vessels on the inner side of the sternocleido-mastoid muscles, while the thumbs rest agains
. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. n small circles; especi-ally in those cases where infiltration exists and the circulationis to be stimulated, friction and stroking should be freelymixed. In most cases massage of the head is combined withthat of the neck. Neck.—For the massage of the neck the same position maybe used as in that for the head. The four fingers beginimmediately below the lower jaw and follow the directionof the large vessels on the inner side of the sternocleido-mastoid muscles, while the thumbs rest against the cervicalspine. Or with the described manipulations of the fourfingers, the thumbs and parts of the hands may be used atthe same time to effleurage the lateral posterior muscle 92 APPLIED MASSAGE groups down to the shoulders. The massage of the neckmay also be done by the operator sitting in front of thepatient, starting with the four fingers at and behind themastoid process and going gently downward with the secondfinger following the anterior border of the sternocleidomastoidmuscle (Fig. 27).. 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 strok
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