. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. tendons of the backof the hand or fascia over joints. In infiltrated or edematousparts it strives to dispose of the waste matter and to pressit into the circulation. This process is hastened by anappropriate combination of friction and effleurage. Friction is frequently combined with pressing, constantor intermittent, e. g., over nerve points or over the pointof fracture in cases with delayed union of the fragments. THE CLAPPING AND SHAKING MANIPULATIONS. Tapotement.—Tapotement consists i
. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. tendons of the backof the hand or fascia over joints. In infiltrated or edematousparts it strives to dispose of the waste matter and to pressit into the circulation. This process is hastened by anappropriate combination of friction and effleurage. Friction is frequently combined with pressing, constantor intermittent, e. g., over nerve points or over the pointof fracture in cases with delayed union of the fragments. THE CLAPPING AND SHAKING MANIPULATIONS. Tapotement.—Tapotement consists in clapping, slapping,hacking, or tapping the skin, usually of large fleshy parts. ss TECHNIC OF MASSAGE with the hands, fists, or fingers. It is done with one hand,and more frequently, in an even rhythmical way, with bothhands. We distinguish the following ways of tapotement:(a) Clapping with the fist: the hand is more or less closedto a fist and strikes the part either with the ulnar side orwith the knuckles. The more firmly the fist is closed theharder will be the effect of the striking (Fig. 23).. Fig. 23.—Clapping. (b) Slapping is done with the palmar side of the openedhand. (c) Hacking is done with the ulnar side of the fingerswhich strike the part so that the fifth finger comes in contactwith the skin first and is followed by the others in quicksuccession, each coming to lie close behind the precedingone, while the hand is slightly supinated (Fig. 24). CLAPPING AND SHAKING MANIPULATIONS 89 (d) Tapping is done with the tips of the fingers which areheld as in playing the piano (Fig. 25). A very light kindof this massage is called rain douche massage.
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