. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. easily reached onboth sides of the leg between the condyles of the femur andthe tibia back of the hamstring tendons. On both sides of thepatellar tendon the plicae alares and variable masses offat are between the joint and the surface. Because ofthe large size of the joint and the ease in reaching itthe methods of massage usually employed are somewhatdifterent from those used with other joints. Here both KNEE 115 hands are usually employed in kneading manipulations, asin the large, fleshy
. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. easily reached onboth sides of the leg between the condyles of the femur andthe tibia back of the hamstring tendons. On both sides of thepatellar tendon the plicae alares and variable masses offat are between the joint and the surface. Because ofthe large size of the joint and the ease in reaching itthe methods of massage usually employed are somewhatdifterent from those used with other joints. Here both KNEE 115 hands are usually employed in kneading manipulations, asin the large, fleshy parts of the thigh. We may grasp thejoint from either side and move especially the parts on theside and above the patella, rolling with the heel of the handtoward the bone and toward the other side (Fig, 45); orwhile the hands press from the side forward, the thumbs makestroking manipulation upward; or the left hand presses thecontents of the joint from the outer toward the inner side,where the right hand then performs stroking, kneading andfrictioning manipulations; or the left hand grasps the knee. Fig. 45.—Kneading of the knee from both sides. from the popliteal region and the right hand works in frontwith slight circular kneading, rolling and pressing manipula-tions; or one hand works from above and the other frombelow the patella (Fig. 40). If there is stiffness of the patella or adhesions in theregion of the knee a typical friction is added in all placeswhere the joint is easily reached (Fig. 47). Lateral andup-and-down motions of the patella are done w^hich maybe connected with frictioning manipulations, using the patellaitself as the part which is moved. The quadriceps extendsfar down over the upper recessus of the knee-joint, especiallyon the inner side, thus the manipulations of the knee-joint 116 APPLIED MASSAGE will also be of benefit to these muscles which are more orless atrophied in all cases of injury ol* inflammation of the
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Keywords: ., book, bookcentury1900, bookdecade1910, booksubjectexercisetherapy
