Movements in massage
physiological effects. Movement beneficial effect on the musculoskeletal system, affecting not only the 3 on the muscles, ligaments and joints, but also on the reactivity of the organism as a whole.
physiological effect is due to receive four effects: tonic, elaboration of compensation, and the normalization of the trophic functions.
During the reception of the amplified impulses, proprioceptors and other nerve endings involved in the movements.Raised motor cortex, and this reflex (motor-visceral reflex on MR Mogendovichu) causes an increase in function and improves trophic vegetative organs.It improves the function of the cardiovascular system, increased lung function, increased metabolism, intensity
digestive processes, barrier properties and resistance in general.
If you violate any of the system features enhanced work undamaged parts or other systems, that is, the formation of movements accelerate compensation.
Movement improves circulation and secretion of synovial fluid as well as blood and
Movement gives a good effect in the treatment of joint stiffness, while wrinkling and shortening of ligaments, muscle contractures, adhesions and deposits of salts, which are formed around the joint and restrict its movement.Under the influence of movements quickly resolve the inflammatory exudates and hemorrhage, improving contractility of muscle fibers and the elasticity of muscles and ligaments.
All this is of great importance not only for the macro, but when microtrauma occurring sometimes almost imperceptible or causing a sense of "unease" in the joints.
Species reception: 1) passive movement;2) active movement;3) movement with resistance.
performance technique.Passive movements are performed massage therapist often at the end of a massage at the position massaged while lying on his back.Massaged should be as relaxed and not to take part in the implementation of the reception.Movement joints are made from natural axes of each joint slowly, gently, gradually adjusting to the maximum amplitude to the 4-5 th once their execution, and the maximum should not cause pain.
Passive movement brush joints are performed in the position massaged lying on his back, with the arm bent at 90 ° at the elbow and rests them on the couch.When driving in the various joints of the fingers (flexion-extension, abduction-adduction, circular - for I the fingers) with your fingers massage therapist fixes the phalanx so that there is no motion in other joints.When flexion and extension in the metacarpophalangeal joints it should fix the fingers with one hand, and the other - the wrist joint (Fig. 41).
The wrist joint performed flexion and extension, circular movements, and bringing the abduction.To this end, the masseur one hand fixes the upper arm close to the wrist joint, and the other, clasping fingers massaged, produces these movements (Fig. 42)
Fig.42. Bending of the brush in the wrist joint.
Fig.41. Passive motion of metacarpophalangeal joints: a - flexion;b - unbending fingers.
Fig.43. The flexion-extension of the elbow.
The shoulder joint is held flexion and extension, rotation, abduction-adduction and rotation.Masseur bent at the elbow arm fixes the shoulder and forearm, keeping the elbow, producing a circular motion, involving them in the blade.In this position it causes the shoulder to the auricle (Fig. 44).To increase the amplitude of the flexion-extension movements kneaded must lie at the edge of the couch so (Fig. 45) to the shoulder joint and arm hung (without support).When the rotational movement of the entire upper extremity masseur massaged takes the brush as in a handshake, and performs movement at the maximum amplitude in both directions.
In elbow joint performed flexion and extension, pronation and supination.For flexion-extension masseur grasps shoulder with one hand as close to the elbow joint and forearm - near the other hand to the wrist and produces movement.For pronation-supination masseur takes his hand massaged like a handshake: the left hand - left, right - right.The other hand holds the masseur massaged bent limb of the elbow joint (Fig. 43).
If passive movements are performed in a sitting position, the therapist becomes the back massaged and puts one hand on the shoulder girdle in the acromion and the other fixes bent forearm massaged at the elbow joint (Fig. 46).In this position, rotation produced, diversion-bringing, flexion-extension.For rotation shoulder massaged arm bent at the elbow joint: the therapist, standing in front, shoulder locks in the lower third in both hands so that the forearm massaged lying on his forearm, and produces the rotation.
Fig.44. Reduction of the shoulder to the ear.
Fig.45. flexor-extensor movement in the shoulder joint.
Fig.46. Lead-activation of the shoulder joint in the position of sitting massaged.
Fig.47. The flexion-extension in the ankle joint.
Methodical requirements for the implementation of movement in foot joints are similar to those applied to the hand joints.
In carrying out passive movements in ankle masseur one hand takes up the area of the calcaneal tendon and the other - for the arch of the foot.This joint is performed flexion and extension, pronation and supination, a well as the circular movement of the foot in both directions (Fig. 47).
Passive motion in the knee and hip often made joints as follows: massage therapist with one hand grabs the ankle, the other hand lays on top of the thigh just above the knee and the heel leads to the gluteal region (Fig. 48);then one of the masseur's hand captures Achilles tendon, the other - the quadriceps tendon, and it produces a very slow extension of the knee, with
Fig.48. Bending the lower limb at the knee and bring the heel to the buttock muscles.
Fig.49. Extension of the knee.
limit flexion amplitude of the hip joint is determined by the moment of the beginning of the flexion of the knee the other leg lying on the couch (fig. 50);when performing rotational movements leg, bent at the knee and hip joints, is then rectified again bends and flexes is given, etc. (Figure 51)...;when the rotation of one hand the therapist relies on the iliac crest, the other captures the tibia above the ankle and the foot turns inward, then outward (Fig. 52).
shin goes up (Fig. 49), after which the therapist again flexes the leg at the knee joint, and the hand on the hip, knee and puts a foot down on the table;Further masseur causes the heel to the buttock, then his hand resting on his thigh, lower leg moves on and begins to slowly bring the knee to the chest.
Fig.50. Bringing the knee to the chest.
Fig.51. Lead hip and circular motion in the hip joint.
Fig.52. The rotation of the hip joint.
Fig.53. The flexion-extension ankle position when lying on his back massaged.
Passive movements of the lower limbs in the joints can be performed in the position massaged while lying on his stomach.During the movement in the ankle joint masseur one hand fixes the foot, and the other - the lower third of tibia, and the leg must be bent by 90 ° (Fig. 53).When bending the knee with one hand masseur covers the area of the ankle, the other lay on top of the lower back (Fig. 54).Extension, abduction and adduction of the hip performed as follows: one hand masseur brought under the tibia on the inside, the other captures the waist, while the larger the amplitude of the running movements, the more pressed the lumbar spine to massage couch (fig. 55).
Passive movement cervical intervertebral joints massaged performed in a sitting position.Masseur, standing behind, puts his hands on the head above the ears massaged on both sides and make the slopes of the head from side to side (Fig. 56), and circular movements in both directions.Place one hand on his forehead, the other on the back of the head, the therapist tilts his head back and forth.
Fig.54. Bending the knee and bring the heel to the buttock muscles at the position massaged while lying on his stomach.
Fig.55. Lead in the hip joint position when massaged while lying on his stomach.
Fig.56. The slopes of the head from side to side.
Passive movement intervertebral joints
body performed in two positions.
massaged sitting.The masseur is back, puts his hand on his shoulder joints and bend the body forward, then unbend back.After that, moving the hands in the deltoid region, he turns the body massaged the right and the left (Fig. 57).
massaged lying on his stomach.Masseur brings one hand massaged at the neck and performs extension of the body (Fig. 58).At the same time the other hand captures the interscapular region, and after each movement gradually shifted to the area of the sacrum.Then, the therapist brings under one arm farthest from the shoulder joint itself massaged by passing it between the limbs and trunk, the other hand fixes the proximal blade for yourself or the lumbar region and performs the twisting of the spine (Fig. 59).
Fig.57. Turns torso from side to side.
Fig.59. Twisting of the spine at the position massaged while lying on his stomach.
Fig.58. Extension of the trunk.
addition to the above types of reception, there are a number of others, which actually belong to the east (Uzbek) massage and stretching and twisting are called the upper and lower extremities.
movements with resistance. This method has the following varieties: 1) the therapist performs a movement and resists kneaded;2) performs kneaded movement and massage therapist resists.
Methodical requirements for the technique of the reception are the same as for passive movements.
Movement resistance allow selectively affect any muscle group or joint and ligaments, which is important in the practice of massage therapy, especially for the maintenance of the muscular system tone and strengthen muscles, increase their elasticity, stimulate processes of healing of soft and bone tissues, etc.. d. Instead of movements with resistance in recent years have become widely used various training devices, mass-produced, and enables us to provide on the muscular system and ligaments inferior overcoming static exposure.
active movement. is performed only on the instructions of the masseur massaged in order to check the impact of massage techniques performed on the tone and elasticity of certain muscle groups.Classification of active movements described in detail in any section of medical physical culture.
most common errors when performing movements:
1) a sharp increase in range of motion to the maximum without adequate preparation;
2) gross (jerk) execution of movements;
3) the implementation of the reception is not the natural axes specific to the joint.