. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. Fig. 41.—Kneading of abdomen. thoroughness they must be gentle and easy, never rough andquick. In the middle of the abdomen the kneading is done 108 APPLIED MASSAGE by one hand, usually the left, pressing the tissues downwardtoward the other side while the other hand performs an( the millstone-like movements just described. Thus bothhands try, in a measure, to meet underneath the rectusmuscles which are somewhat lifted up. We use the kneadingmanipulations frequently in connection with dee
. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. Fig. 41.—Kneading of abdomen. thoroughness they must be gentle and easy, never rough andquick. In the middle of the abdomen the kneading is done 108 APPLIED MASSAGE by one hand, usually the left, pressing the tissues downwardtoward the other side while the other hand performs an( the millstone-like movements just described. Thus bothhands try, in a measure, to meet underneath the rectusmuscles which are somewhat lifted up. We use the kneadingmanipulations frequently in connection with deep abdominalbreathing. During inspiration the hands are placed on bothsides of the rectus muscles and give a certain resistance tothe abdominal wall which is somewhat protruded duringinspiration. When at expiration the muscles are relaxed the. Fig. 42.—Friction of abdomen. hands follow the sinking abdominal wall and perform a fewvigorous and deep kneading and rolling movements are especially effective because themuscles are then well relaxed and allow very deep pressingof the abdominal wall into the cavity. These kneading manipulations which represent the mostthorough and efficient part of abdominal massage, arefollowed by friction in small circles which is usually donealong the course of the colon in the following way: Theoperator presses the tips of the four extended fingers of theleft hand upon the abdomen in the right lower quadrant; MASSAGE OF JOINTS, TENDON SHEATHS, BURS^ 109 the four fingers of the right hand are placed upon those ofthe left hand or vice versa, and both hands describe smallcircles of a diameter of about two inches, the left merely beingused as a pad (Fig. 42). With each circle the hands are movedsomewhat along the course of the colon until the whole pro-cedure is finished over t
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