Transcript Massage of the back

Swedish Technique Class
Demo Of The Back

Please get out the written routine for
Sports/DT for the back
Massage of the Back

Establish contact at the sacrum and occiput,
and relax.

Effleurage the whole back to apply oil, warm,
and soften (3-6 times).
Massage of the Back

While effleuraging down the back, transition to the
side, and begin to pull and wring up the opposite
side, up to and including the shoulder girdle.

NEW STROKE – Pulling across upper
trapezius/levator, uphill hand accentuates the
pressure on the upstroke, as the downhill hand
simulataneously presses the shoulder girdle to the
table and laterally.

Return to the head of the table and effleurage the
whole back.

Repeat starting from the opposite side of the table.
Massage of the Back

Move to side, face up table and support
client’s shoulder girdle with your outside
hand. Apply circular effleurage up medial
to the scapula, out over the top, and down
posterior axilla – also effleurage out the
scapula (medial to lateral) – NEW – after
warming the muscles on the scapula with
effleurage, move arm off the table and use
the fist of your inside hand (as you face up
the table) to effleurage more deeply out
teres minor and infraspinatus, then
emphasize the knuckles to strip.
Superficial Muscles of the
Body, cont'd (p. 489)
Copyright © 2012, 2007, 2003,
1999 by Saunders, an imprint of
Elsevier Inc. All rights reserved.
6
Massage of the Back

Apply lubricant to the arms. Facing down the table,
knead back of neck and upper trapezius. Facing
up the table, knead deltoids and triceps - NEW –
while kneading, use the thumbs to friction across
the tendons of teres minor and infraspinatus which
are deep to the posterior deltoid.
Massage of the Back

NEW – Apply brisk compressive effleurage to
triceps. Downhill hand grasps gently under bicep
to stabilize the shoulder while other hand performs
the effleurage.

Return arm to table and full down the arm and
squeeze the hand.
Massage of the Back

Standing at the head facing down the table, NEW
– use inside forearm to stroke up across upper
trapezius with firm pressure and up tempo, doing
enough repetitions to warm the muscle, then compress your thumb tips into upper trapezius –
move the skin and superficial fascia towards the
ceiling, then towards the table, with moderate
pressure into the deeper layers. Work your way
from base of neck to acromion process – NEW –
searching for knots/trigger points/adhesions, and
pausing to melt in where called for.
Massage of the Back

Using –NEW – fist/knuckles of inside
hand, strip out upper trapezius .
Massage of the Back

Using –NEW – fist/knuckles of inside
hand, strip out upper trapezius .

NEW – using thumb or reinforced
fingertips, apply cross fiber friction to the
levator scapula insertion, then melt into
the insertion.
Massage of the Back

With your lateral hand on the skin,
covered by your medial hand, apply
circular effleurage down the middle,
around the bottom, up the side, and
across the top of the scapula.
Massage of the Back

NEW – Use the fingertips of one hand,
backed up by the other, to rake up and
down across the rhomboid fibers mixing
superficial and deep friction as seems
appropriate.
Massage of the Back
Strip out the rhomboids, pausing slightly
to melt into the insertions at the end of
each stroke.
 With your lateral hand on the skin,
covered by your medial hand, apply
circular effleurage again, down the
middle, around the bottom, up the side,
and across the top of the scapula.

Massage of the Back
– Facing down the table,
outside hand slides under the head of
the humerus to control (retract) the
shoulder girdle, while the inside
forearm (proximal ulna/elbow)
effleurages slowly and deeply along
the rhomboid insertions, in the groove
between the medial border and the
ribs.
 NEW
Massage of the Back
NEW Use brisk superficial friction and
wringing to warm mid and low back on
this side.
Muscles of the Trunk and Vertebral
Column (p. 561)
Copyright © 2012, 2007, 2003,
1999 by Saunders, an imprint of
Elsevier Inc. All rights reserved.
17
Paraspinals (p. 565)
Copyright © 2012, 2007, 2003,
1999 by Saunders, an imprint of
Elsevier Inc. All rights reserved.
18
Massage of the Back

NEW - Then, standing at the head,
facing down the table, use inside
forearm (proximal ulna) to effleurage
slowly and deeply down the back in two
passes.
Massage of the Back

NEW First pass is the more medial, with
pressure applied to the erector spinae
just lateral to the spinous processes.
Forearm stays mostly parallel to the
spine on this stroke. It continues down
between the PSIS and the sacral spines,
as far as the draping will permit.
Massage of the Back
NEW - Second pass is more lateral,
running just medial to the scapula.
Forearm becomes more at a right angle
to the spine once it clears the upper
trap. This stroke continues down to
cover the lateral edge of the lower
erectors, and on down across the iliac
crest (use the fleshy mass of your
flexors to cushion the bones) as far as
the draping permits.
Quadratus Lumborum (p.
564)

O: Posterior iliac crest

I: Rib 12, transverse
processes of L1-L4
Copyright © 2012, 2007, 2003,
1999 by Saunders, an imprint of
Elsevier Inc. All rights reserved.
22
Massage of the Back
NEW - Facing the table from the side, use
the forearm of your upper arm to lean
some pressure into and effleurage down
(towards the table) across the lateral
aspect of the erectors/quadratus
lumborum/mutifidus (between the 12th
rib and the iliac crest).
Massage of the Back
Moving to the side, apply figure 8 stroke
over the lumbar area, sacrum and upper
gluteals
Full effleurage of the whole back.
 Repeat from the beginning on the other
side of the back.
 End with tapotement and nerve strokes