Transcript LWW PPT Slide Template Master

Chapter 13
Swedish Massage Techniques
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–4: Vibration
• Vibration: pulsating, tremor-like or oscillating stroke that
stimulates or relaxes body area or whole body depending
on how it is applied.
– Short bursts to particular area.
– Can be tiring for therapist.
– Shoulders, elbows, wrists must remain relaxed while
hands vibrate rapidly.
– May be fine, coarse, rocking.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–4: Vibration
• Effects of Vibration
– Depends on how stroke applied.
– Initially, vibration stimulating; startles body and
briefly activates sympathetic nervous system.
– As stroke progresses, body relaxes.
– Sustained vibration to particular area has numbing,
analgesic effect, reducing pain.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–4: Vibration
• Effects of Vibration
– Fine vibration applied with fingertips on abdomen to
stimulate peristalsis.
• Used on other delicate areas of body (face, to
relax muscles).
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–4: Vibration
• Effects of Vibration
– Shaking: coarse vibration in which muscle group is
lifted and shaken to confuse proprioceptors so that
muscles relax.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–4: Vibration
• Effects of Vibration
– Jostling: coarse vibration used to prevent muscle
guarding of limb; encourage general relaxation.
– Shaking and jostling encourages synovial fluid
production in join; aids joint fluidity and health.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–4: Vibration
• Effects of Vibration
– Rocking: pushing and releasing area so that it sways
back and forth.
• Soothes nervous system and relaxes muscle.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–4: Vibration
• Effects of Vibration
– Very rapid vibration: stimulates muscle spindles to
cause muscle contractions that tone muscle, warm
tissue, increase circulation.
– Vibration should not be used over open skin legions,
skin diseases, bruises, acute injuries, inflammation,
varicose veins.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–4: Vibration
• Application of Vibration
– Pay careful attention to your body mechanics when
performing this stroke.
– Easy to tense your shoulders, elbows, wrists during
fine vibration.
– Focus on relaxing shoulders and arms.
– Apply stroke omly for short periods of time to avoid
fatigue.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–4: Vibration
• Application of Vibration
– Watch, feel, listen, think about what you see, touch,
and hear.
– Increased awareness will help you build palpation
and assessment skills.
– See Technique 21: Vibration.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins