Swedish Massage Strokes Chart Summary

Purpose/Us Mechanical es effect LIGHT Transition EFFLEURAG ing E Spreadin Gliding, g oil Fanning, Evaluatin Tree g branching, tissue shingling etc. Stroke Reflexive effect Relaxes muscl es (para symp atheti c nervo us syste m) Relieves pain (Gate contr ol theor y, endor phins ) Increase s arteri al and capill ary circul ation Increase s vasod ilatio n (slowi Contraindic ations Hyperest hesia Marked or pitted edem a Gross swelli ng Open woun ds distal to infla mmat ion or infect ion

DEEP EFFLEURAG E Knuckling,

ng heart rate and blood press ure) Increase Same as s above veno Deeper us muscl and e lymp relax hatic ation flow Capillary remo dilati ving on waste longe s, r reduc lastin ing g edem a Improves nutriti onal statu s of tissue s Increase s arteri al and capill ary circul ation, bringi ng nutrie

Same as

light effleu rage Very hairy skin New scar tissue Venous stasis

PETRISSAG E Picking up, wringing, kneading, open C/closed C, alternating thumb, squeezing, lifting, skin rolling (lifting tissue away from underlying structures)

Used

after effleu rage Relieves conge stion Reduces swelli ng Digestiv e disor ders Muscle short ening Spastic paral ysis Fatigue

DIRECT

Use after

nts Warms super ficial tissue Desqua matio n of dead skin Stretche s muscl e fibers and stimu lates muscl e tone, broad ens fibers Breaks up adhes ions Increase d circul ation and waste elimi natio n Moves inters titial fluid Compres

Slow-

relax d es muscl nervo es us Flaccid syste paral m ysis Fast Acute stimu infla lates mmat NS ion Increase s gland ular activi ty of skin Increase s perist alsis when done over abdo men Affects propri ocept ion Reduces For all

Atrophie

PRESSURE FRICTION Compressi on

tissue ses pain frictions: s and and Acute have sprea spas infla been ds m mmat warm tissue Hyperem ions ed up Tempora ia Neuritis Hyperton ry Increase Recent ic ische s injuri muscl mia perist es es Mobilizes alsis Osteo Treatme muscl when and nt e/ten done rheu mass don over matoi age juncti abdo d Deep on men arthri tissue tiswork espec ially acute stage s Muscles lackin g inner vatio n(par alysis ) Debilitati ng neuro musc ular dysfu nctio n such as MS, ALS, MD.

LINEAR OR CIRCULAR FRICTION

same as above

Myofasci

Cross fiber friction

Use only

after a thoro ugh warm ing of involv ed tissue Apply at right angle s to scar/f ibroti c tissue Superfici

al releas ingsepar ating adher ed fascia l plane s Broaden s and stretc hes muscl e fibers Increase s muscl e Breaks up adhes ions Assists in realig ning scar tissue

Decreas

es tensi on throu gh stimu lating Golgi tendo n reflex Increases circul ation Creates hyper emia

Relaxes

muscl es by stimu lating Golgi tendo n reflex

al tissue must move over under lying struct ure Apply frequ ently enou gh to have an impa ct Heat rub friction TAPOTEME NT Tapping, Pincement, Slapping Hacking, Cupping, Beating, Pounding
Stimulati Heats Vasodilat

on of tired muscl es Relaxatio n of hyper tonic muscl es

ation skin Relaxes Warms muscl tissue es Loosens Stimulat mucus in es thoracic nervo cavity us syste m, muscl es, vesse ls Enhance s muscl e tone via contr act-

Muscles

is spas m or cram ping Spastic paral ysis Atrophie d muscl es Flaccid paral ysis Insomnia ,

FINE VIBRATION Static or

Relaxation

neura sthen ia or comp lete relax exha respo ustio nse n Increase Neuritis s or circul painf ation ul Stimulat condi es tions organ Over s bony throu area gh No low heavy back tapot Increase emen s t over gaseo the us kidne excha ys nge No Stimulat heavy es tapot skin emen and t over gland low ular back activi in ty pregn ancy or mens truati on sedates same as nervo tapotemen us t

moving

syste m reduces pain( gate theor y) relaxes muscl e loosens ligaments

Increase

COARSE VIBRATION Static or moving JOSTLING/S HAKING

Penetratin g stimulation same as tapotemen t

SWEDISH GYMNASTI CS Active free, active assisted, passive, resistive

Stimulat s es synov organ ial s activi Reduces ty muscl Increase e s guard circul ing ation Rejuvena ting tired muscl es Stretches Stimulat muscl es NS es Increase and s ligam blood ents press Increase ure s and circul temp ation eratu and re nutriti on Increase

Torn

ligam ent, tendo n or muscl e Unheale d fractu re Post surge ry

s waste elimi natio n Loosens adhes ions Increase s ROM and flexibi lity

Heart

condi tions ( active and resisti ve) Acute injuri es