CMT1 Shaking, Rocking, Tapotement.txt

Tissue is moved back and forth at an even rhythm. Pace can vary from gentle to vigorous

• Therapist grasps muscle belly. Can take the place of stroking back.
• Don't do distal to knee

Therapist grasps distal limb

• Therapist moves body region in rhythmic manner and allows it to return to original position & continues to adjacent jt.
• Can be gentle or vigorous

• Reflexively relaxes muscles (affects proprioceptors)
• Mobilize jt capsule
• Promotes jt action

• Relax hypertonic muscles
• Mobilize jts
• Relax ct
• Reduce guarding
• Transitions

Acute injuries to bones, jts, muscles and nerves

Various parts of the hand striking tissues at a fairly rapid rate. Generally using both hands, but can be performed with one.

Light and springy

By direct mechanical action and reflexively by activating the sympathetic nervous system

Cupped hands strike skin alternatively, compressing the air, causing a vibratikn wave to penetrate the tissues

Can be used over lungs to loosen secretions

Alternate flexion & extension of wrists, rest of arm used as little as possible. Performed rapidly but lightly

Loosely clenched fist strikes tissue with dorsal part of middle & distal phalanges & heal of hand. More stimulating than cupping.

Remember Tarzan "beating" of chest. Alternately flexing & extending the wrists, rest of arm as relaxed as possible. Pressure is more than cupping

Lateral & dorsal surface of 3rd, 4th, & 5th fingers strike tissue in rapid succession to create strong stimulating effect.

Therapist is at right angles to muscle direction, elbows flexed and a ducted, wrists in extension (prayer position). Rapid alternation between pronation & supination, with some radial & ulnar deviation, hands and fingers relaxed.

flexion & extension of elbows as this can produce too much pressure

Using only ulnar border of hand and fingers, used on large fleshy areas for deeper effect.

For the face and smaller areas, using tye finger tips & flexing & extending the wrists

Similar technique to hacking, but with lightly clenched fists, which creates deeper effect as ulnar borders strike the tissues. Suitable for large deep muscle masses

• Stretching effect reflexively facilitates muscle contraction
• Vasoconstriction followed by vasodilation
• Sensory nerve endings are stimulated, may give rise to pain by spinal gating mechanism
• Applied over thorax, cupping ca. Loosen adherant mucus to enable it to be coughed up

• Provudes general stimulating effect in massage sequence
• To relieve neuralgia after amputation, trauma or other pathologies
• Treatment of chronic chest conditions

• Untreated hypertension
• Hyperesthesia- (sensitive areas) may be painful or uncomfortable
• Flaccid muscles- may be overstretched
• Spasticity- may be significantly increased
• Newly formed scar tissue- may interfere with healing or stimulate overproductikn
• Cancer or tuberculosis- risk of spreading
• Vigorous clapping over severe rib fracture
• Acute heart failure esp when associated with coronary thrombosis
• Acute pulmonary embolism

• Fine shaki g movement or tremor into tissues using therapist hand or fingertips with one or both hands
• Can apply fine or course vibrations
• Techniques can be static or moving during application

• Muscles of forearm contract and relax fast enough to create a vibration
• Upper arms and shoulders are kept relaxed

• Loosens lung secretions when applied ovee thorax as ct exhales
• Fine vibrations are more soothing; coarse more stimulating
• Stimulates nerve activity
• When used in painful areas or areas needing sensory re-education, creates a different sensory input
• Decreases muscle tone when applied to tendon for up to 30 seconds

• Chronic chest congestion
• Bring awareness of a limb after cast removal
• Pain relief
• Relax or stimulate muscles

• Open or contagiius skin lesions
• Spasticity
• Acute chest conditions (over thorax)