Human Body
Study Section:

Human Body Index
Health Glossary

More about Therapies :

Effleurage involves stroking centripetally in the direction of circulation (i.e. towards the heart). This technique may be carried out using a wide range od styles depending, in part, on the part of the body being treated. Effleurage may aid the flow of blood and lymph.

Circular Frictions - Using the tips of fingers or thumbs to apply pressure and some circular stationary manipulation, circular frictions often involve the pressure being gradually increased over a short series of 3-4 circles before pressure is released and the movement repeated.

Transverse Frictions - The tips one or two fingers are moved backwards and forwards across the structure being worked such that there is no movement between the therapist's fingers and the client's skin - but rather movement between the structures being worked and the overlying tissues/skin.

Lifting - Tissues are compressed against their underlying structure/s, then lifted, squeezed, and released.

Kneading - Skin and its underlying structures are moved in a circular rotating motion on the underlying structures. Tissue is lifted and rolled away from the bone, and then back towards the bone with a squeezing compressive action.

Skin Rolling - Skin is lifted and rolled between the fingers and thumbs of both hands. This technique is often used on the abdomen, thighs, and back.

Muscle Rolling - This advanced technique involves applying pressure to compress muscles laterally - such as to stretch muscles and/or stimulate circulation in the muscles being treated.

Wringing - Soft tissues are compressed against their underlying structures before they are lifted. The lifted tissue is then pulled gently away from the underlying structures using the fingers of one hand, while the thumb of the other hand gently pushes the tissue back towards the underlying structures.

Tapping - Much lighter than the other tapotement movements (below), tapping may vary from gentle to a firmer action, also performed at a range of frequencies as appropriate to the tissues being worked on.

Cupping - The palmer side of each hand is shaped into a "cup" by slightly flexing the fingers and closing the hand by adducting the thumb to meet the index finger. Loosely held in this form, the hands softly strike the tissue in a loose rythmic action from the wrist.

Plucking - Using outstretched fingers, tissue is picked-up between the thumb and fingers using a motion in which the thumb closes onto the fingers firmly enough to lift tissue but gently enough to leave no marks on the skin. Both hands are used quickly yet briefly - in alternate, rapid, succession.

Hacking - With hands held outstretched, fingers and thumb outstretched from the arm and in loose contact with each other, the hacking action comes from the therapist's wrists and involves both hands being used to strike the tissues alternately and rythmically - the two hands remaining only a short distance apart so working the same area of tissue.

Pounding - With hands are loosely clenched into fists, thumbs upper-most and flat against the clenched index fingers, the pounding action comes from the therapist's wrists and involves both hands being used to strike the tissues alternately and rythmically (approx. 6-10 contacts per second) - the two hands remaining only a short distance apart.

Pummelling - Similar to "pounding" in that the hands are loosely clenched into fists with thumbs resting flat against the index finger, but with the hands rotated so that the thumbs face are opposite each other on the inside of the pair of hands rather than upper-most. The motion involves a more "rolling" technique in which the hands make a circular motion briefly lifting up the tissue with each contact - rather than compressing it from above (as for "pounding").

Shaking - The part of the body being worked-on is grasped or surrounded and shaken from side to side or from the surface toward the deeper parts.

Vibrations - Tissues are pressed and released in an "up and down" movement that may take the form of a fine trembling movement applied some of the finger tips.