Therapeutic uses/ indications of rocking and shaking
Relax hypertonic muscles
Contraindications of rocking and shaking
Acute injuries to bones, jts, muscles and nerves
Classification of tapotement
Various parts of the hand striking tissues at a fairly rapid rate. Generally using both hands, but can be performed with one.
Movement of tapotement
Light and springy
Tapotement is stimulating to the tissue how
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
Benefit of cupping/ clapping
Can be used over lungs to loosen secretions
Technique of cupping/ clapping
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.
Technique of beating
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.
Technique of hacking
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.
Movement of hacking should not come from...
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