Basic Techniques of Massotherapy Prof. Roberta Masina roberta@sogab.com.

br 1) Landslide: Consists of gliding your hands over the body surface, with differe nt pressures: mild, medium and deep. In directions longitudinal, transverse and oblique. The slip GENTLE acts in the epidermis, sensitizing nerve endings, remov ing the epithelial layer, with soothing action and raising body awareness. Middl e age slip in the dermis and hypodermis, acting on the elasticity of the skin, b reaks down adhesions, stimulates lymphatic and blood circulation, thereby increa sing tissue oxygenation and nutrition. 2) Kneading: A shifting series of maneuve rs by pressing and compressing the entire surface of hands on the muscles. The p hysiological action of kneading is acting on epithelial tissues, nerve, blood, l ymphatic, fatty, glandular, contributes to strengthening of venous return, detox ifying muscle fibers by increased cellular nutrition. You can use the kneading i n all types of massage because it is considered one of the most comprehensive ma neuvers. Kneading should not be applied to avoid profound cause skin irritation. It is appropriate for application in cases of muscular atrophy and flaccid tiss ues in the abdomen, buttocks, and regions of dorsal and lumbar spine. 3) Frictio n: The maneuver consists of friction in the sliding of hands over the body surfa ce in a circular motion, fast, short and rotated. The local friction produces he at, and their strength should start reaching mild to strong, while being harmoni ous. Can be used throughout the body. When applied to the head, it uses the pulp of the fingers, rubbing the scalp and face. 4) Clamping: It consists of movemen ts of the fingers to pinch and squeeze the muscles and ligaments, using two, thr ee or five fingers. It is intended to stimulate blood circulation, activate musc les, manipulating adhesions and stimulating blood circulation and sagging. The c lamping Simple: He holds the skin on the fingertips, it stretches to its maximum elasticity and loose, unraveling adhesions and stimulating blood circulation. T he clamping elevators: He holds the skin on your fingertips and it is a rolling motion in straight lines. This type of clamping has also undo the physiological action of adhesions in addition to being used in localized pains. The clamping c an be applied in the upper limbs, lower limbs, buttocks, neck, abdomen and lumba r regions of the spine, back and neck. 5) Vibration: This maneuver is applied wi th the palms pressing the skin with intense force. It has a soothing effect, ana lgesic and antispasmodic, acting on nerve endings and activates circulation. Facial Massage Roberta Masina A facial massage can also be added to general massage. Patients w ith insomnia often respond very satisfactorily to the facial massage. The moveme nts are done on a small area should be soft, so usually there is no need to use a lubricant. As always, hands should be washed and dried before treatment. The p atient should be lying supine with the head on a pillow. Sequence relaxing massa ge on the face: 1) The palms are placed side by side on the forehead. The tips o f the fingers lie on top of the head and make a smoothing to the edge side of th e forehead, returning to the starting point without contact with the patient. Th e movements are repeated two times. 2) The fingertips rest on the hairline, so t hat the palms are positioned on the cheeks. Repeated movements of an item. 3) Th e thumbs are positioned at the center of the chin. These fingers are smoothing a long the lateral border of the mandible to the ear lobe. Movements are repeated two times. 4) In the center, the lower limit of the forehead, the pads of your t humbs do a simultaneous rubbing in small circles continuing up to the hairline. Repeat until all tests have been massaged. Repeated movements two times. 5) The fingertips of each hand make contact with the temples, and the palms are placed together with the edges of the radial head. Palms effecting a smoothing laterall y from the midline, with a firm pressure. Repeat 3 times. 6) The fingertips are in contact with the temples, and the distal phalanges of the thumbs are position ed on the tip of the nose. It is performed with an alternating friction pads of the thumbs on the sides of the nose to the nasal bridge. The thumbs are a break with a firm pressure on the two depressions formed by the nasal bridge and media

l part of the supra-orbital ridge. Repeat 3 times. 7) The thumbs are smoothing o ut, with a firm pressure on the supra-orbital re return without contact with the face.€Repeat four times. 8) Same as item 7, but the thumbs will smooth region o n the infra-orbital ridge. Repeat four times. 9) The thumbs remain in contact with the face and fingertips while effecting a crus hed into small circles, starting at the temples and following the hairline, cont inue along the back of the ears until the fingers are in the cervical spine up t o 7 ° cervical vertebra. The thumbs make contact with the anterior border of the trapezius gradually reducing the pressure to the top of the shoulders. Source Bibliography: Domenico of Giovanni and Wood, Elizabeth. Massage Technique s for Beard, Editora Manole, 4th edition, 1998. Exercise Study for Preparation Assessment Course: Introduction to Prof. Massothe rapy. Roberta Masina roberta@sogab.com.br 1) What are the materials that the massage therapist needs to perform a massage? 2) Before commencing the service to a client / patient again, the care and proce dures that the massage therapist must perform to get to know your patient and th eir health situation? 3) What are the positions of the patient to bed for the ap plication of general massage on posterior and anterior? 4) Explain and justify t he care that the massage therapist must have with the environment and personal a ppearance, 5) Explain the importance of stretching before starting a massage pra ctice massage; 6) Describe what the main contraindications for the application of massage thera py, 7) Describe the effects of massage on the following systems: muscular, skele tal, nervous, circulatory and on the skin. Manipulations maneuvers Relaxing Massage Prof. Roberta Masina roberta@sogab.com.br Sliding Definition: A motion smoothing is performed with the entire palmar surface of on e or both hands. When done slowly, smoothing helps the patient relax. This move also proves helpful in the union of the sequences of other movements. Effects of Smoothing: The therapeutic effects are generated primarily through a direct mec hanical impact in tissues, and reflexively through the sensory nervous system. C an be obtained a significant relaxation, producing a sedative effect which can r elieve pain and muscle spasm. When performed quickly and smoothly, smoothing has a stimulating effect on sensory nerve endings, resulting in a generalized effec t of reinvigoration. The smoothing deep can cause dilation of arterioles in the deeper tissues and also in surface structures. Therapeutic uses of Smoothing: As a means to help the patient get used to the contact of the hands of the thera pist. Help general relaxation or location. - As a means of providing information about the patient's tissues. - As an aid in relieving muscle spasm and thus ind irectly to relieve pain assossiada. - How to help in the relief of flatulence an d other disturbances of bowel movement, mechanical effects in the intestinal con tent. - In promoting relaxation and inducing sleep in people suffering from inso mnia. Contraindications: - Large open areas (eg, burns or wounds) - Edema very l ong, if it appears there is a risk of causing discontinuity in the skin. - Varic ose veins significant event may result some damage to the venous walls. (There m

ay be a possibility of very light smoothing. - Areas of hyperesthesia (very sens itive to the touch) - extremely hairy areas (if smoothing causes pain) Kneading Definition Kneading is a manipulation in which the muscles and subcutaneous tiss ues are alternately compressed and released. During the pressure phase of each m ovement, the hand (or hands) and the skin move together on the deeper structures . During the release phase (relaxation), the hand (or hands) slides smoothly int o an adjacent area and the movement is repeated. Effects of Kneading About Circulation: For the alternate compression and relaxation of muscles, vein s (both surface and deep) will be emptied and filled alternately. So, is relieve d the congestion in the capillary beds, and improves blood flow from arterioles to capillaries. The lymph flow is stimulated by the same mechanism. The administ ration of a vigorous kneading causes vasodilation in the skin. Skin temperature of the part may rise slightly. This effect is probably produced by the release o f substances that produce vasodilation. Muscles: Increases blood supply. Worthle ss products of metabolism are eliminated more readily, due to the acceleration i n the venous and lymphatic flow. The slow, rhythmic kneading relaxes muscles and reduces pain.€Skin and subcutaneous tissue: Increased blood supply is important for facilitating the resolution of the inflammatory processes of skin and subcu taneous tissues. The skin is mobilized by the manipulations, and it promotes its elasticity. Contraindications of Kneading - Kneading deep lacerations in acute muscle (especially intramuscular hematomas). - Kneading around acutely inflamed joints. - Skin diseases (especially acute dermatitis, psoriasis or any communica ble skin infection). - Injury or blood vessel disease - malignant disease (cance r or tuberculosis), the area under treatment or nearby. - Bacterial infection in the areas under treatment, or in its vicinity, especially infections in joints. Frictions Definition frictions consist of brief movements, precisely located and deeply pe netrating made a circular direction. These movements are usually made by deep fi ngertips, while the pad of the thumb or palm can also be used. Effects of fricti on and continuous pressure deep in the tissues causes local injury and releases a substance similar to histamine and other metabolites that act directly in the capillaries and arterioles of the site, causing vasodilation. The magnitude of t he response depends on the depth of manipulation and duration of application. Th e local vasodilation causes an increase in tissue fluid in the area, which will cause local distension. Indeed, the motion produces an inflammation of áreaalvo controlled and at the same time, mobilizing structures that were not having a pr oper mobility. If manipulation is maintained for some time, very few sensory eff ects will be perceived by the patient, but initially it can be painful. In fact, the friction produces a profound answer very effective, if painful. Contraindication s Friction - Lacerations acute muscle (especially intramuscular hematomas). - Ac utely inflamed joints. - Skin diseases (mainly acute dermatitis, psoriasis or an y communicable skin inflammation) in the area being treated. - Blood vessels in diseased or injured area to be treated. - Neoplasm or tuberculosis in the area t o be treated or nearby - Bacterial infections in the area to be treated, or in i ts vicinity, especially joint infections. Tips for evaluation and evolution: Prof. Pablo Massot Flôres Days. Cynthia Schneider Semiology: A study that deals with research, analysis or diagnosis. Knowledge of what is normal and abnormal ( disease) - physiology. Areas: • Medical Semiology / Semiotics Orthopaedic Clinic • • Semiology image tests / radiological semiology • Nutritional Assessment can be divided into two parts: the history (questionnaire investigation of the pati ent), the physical examination. Anamnesis has specific items that should be note d by the following professional to the patient: Anamnesis: Questionnaire investi

gation of patient information set. • Identification data: name, gender, telephon e number, physician contact, age ... • QP: chief complaint of the patient. It's the exact transcript of what the patient reports. • HDA: history of present illn ess. The professional in his own words describes everything that happened with t he patient since the first symptoms to the doctor and looking up to their servic es. • HPP: past medical history. Identifies pathologies that occurred with the p atient in the past that may or may not be related to current illness, worsening or not interacting. • SH: social history. Alludes to the habits of the patient, as well as housing, hygiene, socioeconomic and cultural. Eg smoking, alcohol con sumption .... • HGP: pregnancy history of childbirth. Study the issues and probl ems during pregnancy and after childbirth. • General Note: questioning the patie nt makes use of some medication, other treatment is done ..... Physical examinat ions: • Inspection • Palpation can develop specific assessment tests, such as th e posterior drawer test for posterior cruciate ligament injury. The physical examination is divided into two phases: inspection and palpation. C an be used to complete the assessment exams, which are the clinical trials and / or functional outcome that may assist the clinical diagnosis. Ex: x-ray, tomogr aphy, laboratory tests ..... But before you begin the descriptive part and physi cal evaluation should observe the patient, and this observation now provides imp ortant information about the patient's general condition. This information can b e passed through in facies and attitudes of the patient to enter the waiting roo m. Eg if the patient comes limping, relacionase pathology with the leg.€* Proped êutica clinic: physical examinations, observations, palpation ..... Complementar y tests: Are clinical trials and that can help or functional outcome of clinical diagnosis. Ex1: imaging tests, x-ray, angiography, arthrography, MRI, ultrasoun d, CT ... Ex2: laboratory and microbiology, clinical biochemistry ... Registrati on evolution: Whatever is observed, reported and performed with the patient shou ld include progress. Evolution is a record that should be kept updated on all se rvicing carried out, respecting certain premises, following the sequence shown b elow: 1. General Description of the Presentation of the patient to receive it, i ncluding attitudes, fascias and general health. 2. Description of intervention a nd therapeutic techniques (exercises). 3. Description of patient positioning. 4. General Description of the Presentation of the patient after the procedure, inc luding attitudes, fascias and general health. General Description of the Present ation of the Patient • Signs: The professional notes on observation or palpation , clear and visible changes. Ex: "The patient has a higher upper trapezius muscl e tension on the left" "The patient was referred after cosmetic surgery and lipo suction, has yellowish brown spots on skin • Symptoms: The patient reports and n otes on professional development. Therefore, SIC is shown to add to the text of evolution. Ex: "SCI patient has barely slept the night" "As patient is pain in t he trapezius after exercise. Www.floresdias.com.br www.sogab.com.br (51) 3066893 0