. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. ^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 Fig. 21.—Kneading of anterior and posterior axillar muscles. Kneading has a stimulat
. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. ^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 Fig. 21.—Kneading of anterior and posterior axillar muscles. Kneading has a stimulating effect on the vessels, especiallythe smaller arteries of the deeper parts. It stimulates themuscle tonus and acts as a kind of passive exercise ofthe muscles. In connection with effleurage it relieves thefatigued muscle by removing its contents of waste muscles and tendons are stretched, and thus 80 TECHNIC OF MASSAGE limitation of motion may be relieved. Done over a largeI)art of the body, kneading raises the blood-pressure con-siderably, more so than effleurage alone, although this effectis best accomplished l)y a mixed massage and by vibrationand shakinu of the whole bodw
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