. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. Fig. 27.—Effleurage of neck. direction of the axilla. Or both sides may be treated inthe supine position, the operator beginning with his handsflat on the sternum and stroking toward the axilla. Theanterior serratus is preferably treated in the lying position,the operators left hand raising and supporting the rightarm of the patient somewhat, and his right hand applyingeffleurage and kneading over the lateral part of the thorax 94 APPLIED MASSAGE toward the scapula. Stroking and kneading
. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. Fig. 27.—Effleurage of neck. direction of the axilla. Or both sides may be treated inthe supine position, the operator beginning with his handsflat on the sternum and stroking toward the axilla. Theanterior serratus is preferably treated in the lying position,the operators left hand raising and supporting the rightarm of the patient somewhat, and his right hand applyingeffleurage and kneading over the lateral part of the thorax 94 APPLIED MASSAGE toward the scapula. Stroking and kneading of the inter-costal muscles are also best done in the \ying position, thefingers following the intercostal space from the back forward,giving effleurage and Fig. 28.—Kneading of trapezius. Back.—For the massage of the back the patient lies prone,his arms hanging over the sides of the table or lying close tothe body. The operator stands on the left side of the patient. The muscles of the back are divided into two large groups(Fig. 29): (1) the so-called erector spinse, really a number ofmuscles situated on both sides of the spinous processes, and(2) the broad flat muscles, latissimus dorsi, trapezius, rhom-boidei, and the muscles of the scapulae. The lymphatic drain-age of the latter is directed toward the cervical and axillarglands, while, according to v. Mosengeil, Bum, Hoffa andothers, two different lymphatic systems are situated in differ-ent layers of the erector spinse, one draining into the cervical BACK 95 and the other into the inguinal glands. Therefore theeffleurage of these muscles should be done both in upward
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