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TLE – HE – WELLNESS
MASSAGE
Quarter 3 – Module 3
Pre-massage Operation through Hands
and Fingers
TLE – Grade 10
Alternative Delivery Mode
Quarter 3 – Module 3: Pre-massage Operation through Hands and Fingers
First Edition, 2020

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Published by the Department of Education

Secretary: Leonor Magtolis Briones
Undersecretary: Diosdado M. San Antonio

Development Team of the Module

Writer: Acelle C. Predanio
Editor: Leila G. de Guzman
Reviewers: Gina S. Zerna and Leila G. de Guzman
Typesetter: Ivah Mae C. Estoconing
Layout Artist: Ivah Mae C. Estoconing
Management Team: Senen Priscillo P. Paulin, CESO V Rosela R. Abiera
Fay C. Luarez, TM, Ed.D., Ph.D. Maricel S. Rasid
Adolf P. Aguilar, TM, Ed.D Elmar L. Cabrera
Nilita R. Ragay, Ed.D
Antonio B. Baguio, Jr., Ed.D.

Printed in the Philippines by ________________________

Department of Education –Region VII Schools Division of Negros Oriental

Office Address: Kagawasan, Ave., Daro, Dumaguete City, Negros Oriental

Tele #: (035) 225 2376 / 541 1117
E-mail Address: negros.oriental@deped.gov.ph
 10

TLE
Quarter 3 – Module 3
Pre-massage Operation
through Hands and
Fingers
Introductory Message
For the facilitator:

Welcome to the TLE 10 – Wellness Massage Alternative Delivery Mode (ADM)

Module on Pre-massage Operation through Hands and Fingers.
This module was collaboratively designed, developed and reviewed by
educators both from public and private institutions to assist you, the teacher
or facilitator in helping the learners meet the standards set by the K to 12
Curriculum while overcoming their personal, social, and economic
constraints in schooling.

This learning resource hopes to engage the learners into guided and
independent learning activities at their own pace and time. Furthermore, this
also aims to help learners acquire the needed 21st century skills while taking
into consideration their needs and circumstances.

In addition to the material in the main text, you will also see this box in the
body of the module:

Notes to the Teacher

This contains helpful tips or strategies that
will help you in guiding the learners.

As a facilitator, you are expected to orient the learners on how to use this
module. You also need to keep track of the learners' progress while allowing
them to manage their own learning. Furthermore, you are expected to
encourage and assist the learners as they do the tasks included in the module.

For the learner:

Welcome to the TLE 10 Wellness Massage Alternative Delivery Mode (ADM)

Module on Pre-massage Operation through Hands and Fingers!
This module was designed to provide you with fun and meaningful
opportunities for guided and independent learning at your own pace and time.
You will be enabled to process the contents of the learning resource while
being an active learner.

This module has the following parts and corresponding icons:

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 This will give you an idea of the skills or
What I Need to Know competencies you are expected to learn in the
module.

This part includes an activity that aims to

check what you already know about the
What I Know
lesson to take. If you get all the answers
correct (100%), you may decide to skip this
module.
This is a brief drill or review to help you link
What’s In the current lesson with the previous one.

In this portion, the new lesson will be

What’s New introduced to you in various ways; a story, a
song, a poem, a problem opener, an activity
or a situation.
This section provides a brief discussion of the
What is It lesson. This aims to help you discover and
understand new concepts and skills.

This comprises activities for independent

practice to solidify your understanding and
What’s More
skills of the topic. You may check the
answers to the exercises using the Answer
Key at the end of the module.
This includes questions or blank
What I Have Learned sentence/paragraph to be filled in to process
what you learned from the lesson.
This section provides an activity which will
What I Can Do help you transfer your new knowledge or skill
into real life situations or concerns.
This is a task which aims to evaluate your
Assessment level of mastery in achieving the learning
competency.
In this portion, another activity will be given
Additional Activities to you to enrich your knowledge or skill of the
lesson learned.

Answer Key This contains answers to all activities in the

module.

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At the end of this module you will also find:

References This is a list of all sources used in

developing this module.

The following are some reminders in using this module:

1. Use the module with care. Do not put unnecessary mark/s on any part of the
module. Use a separate sheet of paper in answering the exercises.
2. Don’t forget to answer What I Know before moving on to the other activities
included in the module.
3. Read the instruction carefully before doing each task.
4. Observe honesty and integrity in doing the tasks and checking your answers.
5. Finish the task at hand before proceeding to the next.
6. Return this module to your teacher/facilitator once you are through with it.
If you encounter any difficulty in answering the tasks in this module, do not
hesitate to consult your teacher or facilitator. Always bear in mind that you are
not alone.

We hope that through this material, you will experience meaningful learning and
gain deep understanding of the relevant competencies. You can do it!

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 What I Need to Know

This module was designed and written with you in mind. It is here to help you
master the nature of the Nutritional Needs of Children. The scope of this
module permits it to be used in many different learning situations. The
language used recognizes the diverse vocabulary level of students. The lessons
are arranged to follow the standard sequence of the course. But the order in
which you read them can be changed to correspond with the textbook you are
now using.

After going through this module, you are expected to:

1. name the four main groups of massage strokes;
2. identify each group of massage strokes; and
3. perform the stroke technique.

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 What I Know

Direction: Choose the letter that best describes the statement. Write your
answers in your quiz notebook.

1. The hand is placed over the area and vibrated either up and down or from
side to side. The action produces vibrations in the underlying tissue.
a. Vibration b. Pounding c. Frictions d. Cupping

2. This massage strokes apply pressure to the tissues.

a. Vibration b. Knead c. beating d. Petrissage

3. Massage strokes that skim the surface of the tissues.

a. Vibration b. Effleurage c. beating d. Petrissage

4. This manipulation lifts the muscle away from the bone and moves it from
side to side in a rocking manner.
a. Vibration b. Effleurage c. Muscle rolling d. Petrissage

5. Massage strokes where the hands strike the tissues.

a. Vibration b. Effleurage c. Tapotement d. Petrissage

6. What is the regular time duration for back massage?

a. 20 minutes b. 5 minutes c. 7 minutes d. 6 minutes

7. It is also known as clapping is performed using the cupped hands to

strike the part alternately
a. beating b. cupping c. pounding d. hacki

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 Lesson PRE-MASSGE OPERATION
3 THROUGH HANDS AND
FINGERS
When massage techniques are applied to the body, they can affect it
through two different response pathways. Mechanical responses to techniques
occur as a direct result of the manipulation of the tissues from components such
as pressure, range of motion, and the pushing, pulling, lifting, compressing, and
twisting of the tissue.
Changes to the body as a result of these effects include increased
circulation to the area, changes in fluid movement, increased pliability of the
tissue, and reduction of adhesions.
The other type of response is called a reflexive response and is the result
of changes directed through the nervous system. When the nerves in the area are
stimulated, they create a response either locally or systemically.
Examples of reflexive responses include the reduction of blood pressure
through the increased diameter of blood vessels, the decreased arousal of the
sympathetic nervous system, and changes in hormone levels. While these
responses are discussed separately, they are closely related and often occur
simultaneously.

Notes to the Teacher

This contains helpful tips or strategies that will
help you in guiding the learners. The following
are information that would lead to the activities
and assessment. Some activities may need your
own discretion upon checking, or you may use
rubric if provided. Please review the activities
and answer keys and amend if necessary.

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 What’s In

Direction: Write the four main groups of massage strokes. Do this activity on your
notebook.

1.
2.

3.

4.

What’s New

Direction: Arrange the jumbled letters to form a word.

1. INSOAVRBIT

2. SSPEEIRTGA

3. FFEEERAGLU

4. SSRENIOPUC

5. OSSTRKE

What is It

Effects of Massage Strokes

When massage techniques are applied to the body, they can affect it through
two different response pathways. Mechanical responses to techniques occur as a
direct result of the manipulation of the tissues from components such as pressure,
range of motion, and the pushing, pulling, lifting, compressing, and twisting of the
tissue.

Changes to the body as a result of these effects include increased circulation

to the area, changes in fluid movement, increased pliability of the tissue, and
reduction of adhesions.

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 The other type of response is called a reflexive response and is the result
of changes directed through the nervous system. When the nerves in the area are
stimulated, they create a response either locally or systemically.

Examples of reflexive responses include the reduction of blood pressure

through the increased diameter of blood vessels, the decreased arousal of the
sympathetic nervous system, and changes in hormone levels. While these
responses are discussed separately, they are closely related and often occur
simultaneously.

THE FOUR MAIN GROUPS OF MASSAGE STROKES

1. Effleurage
2. Petrissage
3. Percussion or Tapotement
4. Vibrations

1. Effleurage
It is where the hands skim over the surface of the tissues The word
“effleurage” comes from the French verb effleurer, which means “to skim over‘.
There are two manipulations within this group:

 effleurage
stroking

Differences between effleurage and stroking

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Effleurage Technique

1. Ensure that the client is warm and

comfortable.

2. Take up a walk standing position

with the outside foot forward:
make sure you can reach all
parts.

3. Remember to bend the front knee

as the movement progresses and
use body weight to apply pressure
(pressure must not be applied
through the arms and shoulders
alone). Keep your back straight.

4. Ensure that your hands are warm,

relaxed and supple – they must
mold and adapt to the body contours.

5. The hands must move in the direction of venous return back to the heart,
beginning distally and working proximally.

6. The strokes must be directed towards, and end at, a group of lymphatic
nodes wherever possible.

7. The pressure should increase slightly at the end of the stroke.

8. The hands maintain contact on the return of stroke but apply little
pressure.

9. The movement must be smooth and rhythmical, with continuous flow and
even pressure.

10. The whole of the palmar surface of the hand, fingers and thumb should
maintain contact with the body in a relaxed manner. (Do not extend, abduct
or link the thumbs, and do not spread the fingers out, as these habits will
give uneven pressure.)

11. The hands usually work together with even pressure and rhythm.
However, the hands may be used alternately when care must be taken to
maintain an even pressure under each hand and to synchronize the flow
and rhythm.

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 12. On small areas, one hand may work while the other supports the tissues.
On very small areas such as the face, fingers or toes, the thumbs only may
be used in a sweeping action

Stroke Technique
.
1. The therapist‘s stance depends on the direction of movement – walk standing (one
foot in front of the other) if working top to bottom, stride standing (feet apart) if
working from side to side.

2. The hands must be warm, relaxed and supple; they may mold and adapt to the
contours of the body.

3. The wrists must be very flexible and loose.

4. The movement can be performed in any direction.

5. The pressure is selected at the commencement of the stroke and maintained

throughout the stroke. This pressure may be light to moderate for a relaxing
massage, or firm and heavy for a vigorous massage.

6. The movements must be rhythmical with continuous flow. The hands may
or may not be lifted off the part at the end of the stroke.

7. The whole of the palmar surface of the hand, fingers and thumb may remain
in contact with the part, or the fingers only may be used.

8. The hands usually work alternately, one hand commencing a stroke as the
other reaches the end.

9. The hands may work in opposite directions if working across the back, one
beginning on the right side, the other on the left side, then crossing the

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 back. Stroking is frequently performed from the nape of the neck to the
base of the spine, or transversely across the abdomen, back or thigh.

AREA FOR MANIPULATION

A. Head - use pinching, sliding and pressed release manipulation

- pinching – is to squeeze between your thumb and finger often in a painful
way
- sliding
- pressed release

 Shoulder – use figure of eight tech-kneading or gliding

 Forearm – use sliding and thumb walking
 Hand – use press release, slide and rotate

B. Back Area

Procedure in Massaging Back Area

Step 1: Starting on the back use a smooth stroking movement ―gliding

downwards with thumb on either side of the spine (do not press the
bones – outside them) and then take the hands to the side and glide
back up the shoulders

Step 2: From kneeling position at your partner‘s side use the whole of your
hand and a smooth stroking movement to pull up steadily. One hand
at a time working all the way up and down one side of partners back
few time then repeat to other side.

Step 3: Squeeze the muscles from one hand to the others, to knead the
muscles of the back of the shoulder and release deep selected muscles
tension, make sure you knead generously, rather than using pinching
movement, repeat to the other side.

Step 4: Stretch the back-using forearm to glide in different direction, try

to keep a constant, steady pressure. Lift off the arm when they reach
the neck and buttocks. Return to the center of the back and repeat
a few times.

C. Leg Area

Procedure in massage of the leg area

Step 1: moving down to the lower extremities – foot area, press the muscles
of the scalp then protect the tendon area.

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 Step 2: Do not put over pressure on the area behind the knee, but glide over
knead the back of the thigh, then stroke all the way up leg handover
hand, always moving in an upward direction repeat on leg.

D. Foot Area

Procedure in massaging the foot area.

Step 1. Use the stroke of press on, release, rotate and slide, repeat these
movements to the other side of the foot

After Care – end of Manipulation

Use the mild warm-up, massage for the ending manipulation, sliding from
the back of shoulder up to the buttock then up to the channel of leg and
foot.

2. Petrissage

This comes from the French verb pétrir meaning ‗to knead. There are five
manipulations in this group, but some can be further subdivided:

1. kneading
2. wringing
3. picking up
4. skin and muscle rolling
5. frictions

All the manipulations in this group apply pressure to the tissues, but each
manipulation differs in technique. The true kneading manipulations apply pressure
to the tissue and move them over underlying bone in a circular movement. However,
other manipulations have evolved where the tissues are lifted away from the bone,
squeezed and then released. Some of the manipulations in this group are quite
difficult to perform and much practice is needed to perfect them.

2.1 Kneading

There are many forms of kneading. The terminology used for each one will tell
you what should be done, so study them carefully.

2.1. a. Palmar kneading: this is kneading with the palmar surface of the
hand. There are different forms of palmar kneading.

2.1. b. Digital kneading: this is kneading with the digits (i.e. the fingers)
index, middle and ring fingers are usually used.

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 2.1. c. Thumb kneading: this is kneading with the thumbs.

2.1. d. Ulnar border kneading: this is kneading with the ulnar border of the
hand (ulnar bone or little finger side).

2.2 Wringing

Wringing is a manipulation where the tissues are lifted away from the bone,
and pushed and wrung from side to side as the hands move up and down. It must
not be used on over-stretched muscles or those with poor tone.

Technique

1. The stance is usually stride standing.

2. The hands must be warm, relaxed and supple.
3. The tissues are grasped in the palm of the hand and held between the
fingers and thumb (taking care not to pinch).
4. The tissues are lifted away from the bone. The tissues are moved diagonally
from side to side by pushing the fingers of one hand towards the thumb of
the opposite hand.
5. Keeping the tissues in the palm and lifted away from the bone, the hands
move up and down along the length of the part, pushing the flesh from
side to side. Do not pinch with the thumbs and fingers of the same hand.
6. The hands work up and down until the area is well covered and return to
starting point.

2.3 Picking Up

Picking up is also a manipulation where the tissues are lifted away from the
bone, squeezed and released. It may be performed with one hand or with both hands.
It must not be used on stretched muscles or those with poor tone.

2.3.a Single-handed picking up: technique

This method is performed with one hand grasping the muscle.

1. The stance is walk standing.
2. Spread the thumb away from the fingers, i.e. abduct the thumb.
3. Place the thumb on one side of the muscle or group and the fingers together
on the other side.
4. Grasp and lift the muscle in the palm of the hand, squeezing with the thumb
and fingers (do not pinch).
5. Release the muscle and move the hand forward, pushing upward with the
palm and web of the abducted thumb. Slight flexion and extension of the
wrist accompanies this movement.

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 6. The hand moves upwards in this manner, picking up, squeezing, releasing
and moving on.
7. The hand may work up and down, or it may work up and slide back down.
8. Use the other hand to support the tissues.

2.4 Skin Rolling

This manipulation presses and rolls the skin and subcutaneous tissues
against underlying bone.

Technique
1. The stance is stride standing.
2. Place the hands flat over the area with the
3. Thumbs abducted.
4. Lift and push the flesh with the fingers towards the thumbs.
5. Roll this flesh, using the thumbs moving across towards the fingers.
6. Move smoothly onto a lower area and then work back.

2.5 Muscle Rolling

This manipulation lifts the muscle away from the bone and moves it from
side to side in a rocking manner.

Technique
1. The stance is stride standing.
2. Place the thumbs nail to nail in a straight line on one side of the muscle
and place the fingers over the other side.
3. Grasp and lift the muscle away from the bone.
4. Push the muscle with the thumbs towards the fingers, which give slightly
as the muscle moves.
5. Push the muscle back towards the thumbs, using the fingers in the same
way.
6. Push the muscle backwards and forwards, applying pressure into the
muscle and using a rocking action.
7. Move along the muscle by sliding the hands.

2.6. Frictions
These are much localized manipulations performed with the fingers or thumb.
They may be applied transversely across muscle fibres or in a circular movement.
They are deep movements performed with much pressure. The pressure may be
selected at the commencement and kept constant throughout, as is usual with
transverse frictions, or the pressure may get progressively deeper, as with circular
frictions. The pressure must, however, be completely released before moving on to a

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new area. Frictions are performed on dry skin, free of oil or talcum powder, so that
the fingers move the skin and do not slip over it.

Remember these are specialized movements, used when localized depth and
pressure is required. They should not be confused with digital or thumb kneading,
which applies constant upward pressure using a circular movement.

Fast stroking is also sometimes referred to as brisk friction because the hands
do apply friction to the area, but this covers a large area and is not localized

2.6. a. Circular Frictions

These are small circular movements performed by the fingers or thumb.

Technique
1. The stance is usually walk standing.
2. Select and examine the small-localized area where frictions are required.
3. Stroke it gently with the sweeping thumb or palm.
4. Use the thumb or the fingers: the middle finger is usually used to reinforce
the index and ring fingers.
5. Do not hyper-extend any joints when applying pressure, as this will strain
and damage the joints. Keep the fingers straight.
6. Circular frictions are performed in small circles, moving deeper and deeper
into the tissues to a maximum depth, and then released. Repeat three to
four times over the same spot and then move to another area as required.
7. The fingers or thumb must not slide or rub over the surface of the skin,
but the superficial tissues must move with the fingers over the deeper
ones.
8. Areas requiring frictions may be tender and care must be taken not to
cause unnecessary pain through excessive pressure.
9. Effleurage or stroke the area frequently between friction manipulations
and at the end of the treatment.

3. Percussion or tapotement: where the hands strike the tissues

There are four manipulations in this group, named according to the position
of the hands and the way in which they strike the part:
1. Hacking
2. Cupping
3. Beating
4. Pounding

3.1. Hacking

This manipulation uses the ulnar border of the hand and the little finger,
ring and middle fingers to strike the tissues in a light, springy, brisk manner. The

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forearm must alternately pronate and supinate to allow the fingers to strike the
part. The hands strike alternately.

Technique
1. The stance should be stride standing, with the feet a good distance apart
and the knees relaxed or bent, keeping the back straight.
2. Place the hands together with the fingers straight as in prayer, thumbs
against chest.
3. Take the elbows away from the sides, i.e. abduct the shoulder joint. The
wrists will now be extended at an 80–90° angle.
4. Place the arms parallel and just above the part to be worked on.
5. Supinate and pronate the forearm so that the little fingers strike the part
lightly and then lift away.
6. Practice this action until the arms roll easily.
7. Now practice the whole procedure. Part the hands and strike the part
alternately (remember to keep the elbows out and wrists extended).
8. Relax or slightly flex the fingers and, keeping the same action, strike the
part alternately with the ulnar border of the little, ring and middle fingers.
9. Strike lightly, briskly and rhythmically with alternate hands.
10. Work up and down or across an area – cover thoroughly.
11. The hands may also diverge – the heels of the hand stay close but the
fingers diverge forming a ‗\/‘ shape. This is useful over the upper fibers of
the trapezius, below the nape of the neck.

3.2. Cupping
Cupping (also known as clapping) is performed using the cupped hands to
strike the part alternately. The movements are light and brisk, producing a hollow
sound.

Technique
1. The stance is stride standing, as for hacking.
2. Make a hollow shape with the hand by flexing themetacarpo-phalangeal
joints (knuckle joints). Keep the thumb in contact with the index finger.
3. Straighten the elbows – they may flex and extend slightly with the
movement.
4. Place the hands on the part.
5. Flex and extend the wrist as the hands lift up and down alternately; keep
the wrists loose and flexible.
6. Strike the part lightly and briskly with the fingers, part of the palm and heel
of the hand.
7. The hands should clap the area, making a hollow sound. Avoid a slapping
noise, which will occur if the hands are too flat. This will sting and be
uncomfortable for the client.

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 8. Work up and down or across the area. Cover it thoroughly four to six times
until an erythema is produced.

3. 3 Beating

This heavier percussion movement is useful on very large heavy areas of

adipose tissue, particularly over the buttocks and thighs. The manipulation is
performed by striking the area with a loosely clenched fist. The back of the fingers
and heel of the hands strike the part as the hands alternately drop heavily onto the
area.

Technique
1. The stance is stride standing.
2. Loosely clench the fingers; keep the thumb against the hand.
3. Straighten the elbows.
4. Place the loosely clenched hands on the part so that the back of the fingers
and heel of the hand lie in contact with the part.
5. Extend and flex the wrist and lift the arms slightly so that the hands fall
alternately and heavily on the part.
6. Work up and down or across the area and ensure that you cover it
thoroughly four to six times.
7. The movement should be brisk and rhythmical. The pressure can vary from
light to heavy, depending on the required outcome and the type of tissue
being worked on. Well-toned bulky muscles or a depth of adipose tissue
(fat) will be suitable for heavier pressure.
8. It is usual to work with both hands striking the part alternately, but it is
possible over small or awkward areas to use one hand only, supporting the
tissues with the other.

3.4. Pounding
This, again, is a heavy percussion movement, performed by the ulnar border
(little finger side) of the loosely clenched fist. The side of the hands strikes the part
alternately.

Technique
1. The stance is stride standing.
2. Loosely clench the fingers.
3. Place the ulnar border of the hands on the part, with one hand slightly in
front of the other.
4. Lift the front hand and strike behind the back hand as the back hand lifts
off the part.
5. Continue to circle the hands over each other, striking the part alternately
with each hand.
6. The movement should be brisk and rhythmical. The pressure can vary from
light to heavy, depending on the desired effect and density of tissue.

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 7. Cover the area thoroughly four to six times, or until the desired erythema
reaction is achieved.

4. Vibrations

There are two manipulations in this group: shaking and vibration. Both
produce vibrations or tremors within the tissues. Shaking is a much bigger, coarser
movement and produces shaking of the muscle, while vibrations are fine movements
that merely produce a tremor.

4.1Vibration
This manipulation is usually performed with one hand. However, on
large areas both hands can be used. The hand is placed over the area and
vibrated either up and down or from side to side. The action produces
vibrations in the underlying tissue.

Technique
1. The stance is walk standing or stride standing.
2. Support the part with one hand.
3. Place the other hand on the part.
4. Keep the fingers straight and the thumb adducted.
5. Vibrate the hand up and down or from side to side to produce a tremor in
the tissues. The hand maintains contact throughout.
6. Avoid tension developing in the working hand, arm and shoulder.

Customized Amount of Pressure Applied

Manipulations should be selected to suit the client and personal preference or

expertise. There are, however, basic rules and guidelines.

 Comfort: massage must always be comfortable. It must not hurt or injure the
client, even the vigorous and stimulating techniques.

 Direction: pressure must be applied in the direction of venous drainage

towards the heart and the direction of lymphatic drainage to the nearest
lymphatic nodes. (Do not pull back what you have pushed along, as this is
counter-productive.)

 Order: begin with effleurage, follow with applicable petrissage manipulations

then percussion if suitable, and complete with effleurage. Effleurage and
stroking may be interspersed among any of the other manipulations.

 Continuity: massage should be continuous – the transition between strokes

should be barely perceptible. The hands should not be lifted off the area once
treatment has commenced until that area is completed. Move smoothly from
one stroke to another.

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  Speed: this must be selected according to the type of massage required – slow
for relaxing, moderate for a general massage, and faster for a vigorous,
stimulating massage.

 Depth: this must be selected according to the type of massage, as described

– moderate depth for a relaxing and general massage, deeper for a vigorous
massage. Depth must also be adjusted to suit the client and the desired
outcome of the treatment. For example, young, fit clients will take greater
depth than older clients; well-toned clients will take greater depth than those
with loose, flabby muscles or thin clients; obese clients or those with specific
areas of hard adipose tissue will require greater depth. Those accustomed to
massage generally prefer a deeper massage than new nervous clients. (Always
ask the client if manipulations are too deep or not deep enough.)

 Rhythm: this must be consistent regardless of the type of client. The rhythm
is selected at the beginning of the massage and maintained throughout, e.g.
slow rhythm for a relaxing massage, moderate for a general, and a faster
rhythm for a vigorous massage.

 Stance: protect yourself from strain and injury by adopting the correct
posture. There are two standing positions used in massage:
a.) walk standing (i.e. with one foot in front of the other) is used when
massaging up and down the length of the body
b.) stride standing (i.e. with the feet apart) is used when working across the
body. Always keep the back straight and the shoulders relaxed.
c) Allow the knees to bend when necessary to apply body weight and to reach
all areas. Increased depth and pressure must come from body weight
transmitted through the arms, but not by pushing with the arms. Use a
slight swaying body movement to achieve this. Keep the feet apart – this
improves balance and provides stability, as it gives a wider base.
 Concentration: maintain your concentration throughout the massage.
Although massage movements become semi-automatic as expertise develops,
it is still important to concentrate fully on the task in hand. Continuity and
rhythm will suffer if there is a lapse in concentration, and this is transmitted
to the client.
 Coverage: cover the whole area thoroughly. Do not neglect small areas as this
will result in uneven coverage.

Duration of Application of Pressure

The timing of a body massage is usually one hour but may be longer. The
order of covering the body is usually:
➛right leg 7 minutes
➛left leg 7 minutes
➛left arm 5 minutes

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 ➛right arm 5 minutes
➛décolleté 5 minutes
➛abdomen 5 minutes
➛back of legs 6 minutes
➛back 20 minutes

What’s More

Direction: List the difference between effleurage and stroking.

What I Have Learned

Direction: Write at least a two-paragraph essay about your learning on this

lesson/module using the following guide phrases.

I have learned that

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
I have realized that

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

I will apply

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

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 Essay Rubrics
Areas of
Assessment 10 points 7 points 4 points 1 point
Presents ideas Presents ideas
in an original in a consistent Ideas are too Ideas are
Ideas manner manner general vague or
unclear

Organization Strong and Organized Some No

organized beg/mid/end organization; organization;
beg/mid/end attempt at a lack
beg/mid/end beg/mid/end

Understanding Writing shows Writing shows Writing shows Writing shows

strong a clear adequate little
understanding understanding understanding understanding

Mechanics Few (if any) Few errors Several errors Numerous

errors errors

TOTAL POINTS: /40

What I Can Do

Direction: Demonstrate each massage manipulations using a family member as your

client/customer. After your demonstration ask your client/customer to rate your
performance with 10 as the highest rate and 1 being the lowest rate. Copy the table
below in your TLE/or activity notebook and let your client/customer write their rate
for your demonstration on the table

Massage Manipulations Client/customer's Rate ( your

performance)
Effleurage
Taponement
Petrissage
Vibration

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 Assessment
Direction: Match Column B what is ask in Column A. Write the letter of the
answer on the space provided.

Column A Column B
_____1. It is where the hands skim over the a. friction
surface of the tissues. b. digital kneading
_____2.Manipulation that may be performed c. skin rolling
in any direction. d. effleurage
_____3. it is to squeeze between your thumb e. picking up
and finger often in a painful. f. petrissage
_____4. French verb meaning to knead. g. stroking
_____5. This is kneading with the digits. h. wringing
_____6. Is a manipulation where the tissues i. pinching
are lifted away from the bone, j. hacking
_____7. A manipulation where the tissues
are lifted away from the bone.
_____8. This manipulation presses and rolls the
skin and subcutaneous tissues against
underlying bone.
_____9. This manipulation lifts the muscle away
from the bone and moves it from side
to side in a rocking manner.
_____10.These are much localized manipulations
performed with the fingers or thumb.

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 Answer Key

References
Books:

Ashley, Martin, Massage a career at your fingertips, 3rd Edition.

Mo, Rosser , 2004 , Body Massage Therapy Basics (2nd Edition),

Anatomy, Physiology and First Aid.

Roseberry, Monica, The Body Shop Massage, 2005.

Rosser, Mo, Body Massage Therapy Basics, Second Edition 2004

Wellness Services – Evidence Based Review and Examples) Good

Practice, Final Report, Lyn Winter Armatage, Stanfield et al, Observatory
Report Series No. 76, Published 2010.

Williams, Anne E., Spa Bodyworks, Guide for Massage Therapist,

2015

Williams, Anne, 2007, Spa Body Work A Guide for Massage

Therapists.

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Internet Resources:
http://www.baranduda-beauty.com.au/massage_aftercare.ph

Magazines/Newsletters/Journals
Body Shop Business, March 2007, Newsletter
Telephone Etiquette and Customer Service

Illustrations/ Pictures:

http://bumpyboo.com/best-lotions-for-acne-prone-skin/

http://www.holistic-guide.com/massage-oils/
http://reikimasterthailand.com/images/12-meridians.jpg

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For inquiries or feedback, please write or call:

Department of Education – Schools Division of Negros Oriental

Kagawasan, Avenue, Daro, Dumaguete City, Negros Oriental

Tel #: (035) 225 2376 / 541 1117

Email Address: negros.oriental@deped.gov.ph
Website: lrmds.depednodis.net