Development segmental massage is connected with the name of one of the founders of physiotherapy AE Shcherbak (1863-1934).The physiological rationale for this type of massage is the unity of the human body, all the component parts of which are connected to each other;therefore, every disease is not just a local process, and disease of the whole organism.Therefore, local pathological focus causes reflex changes in functionally related organs and tissues (skin, connective tissue, muscles, periosteum, etc.), Mainly innervated by the same spinal cord segments - areas Zakharyin-Ged (Fig.).
Fig.Zone Zakharyin-Ged on the body and their relationship to the spinal cord segments and viscerosensory reflexes in diseases of the internal organs.
C - cervical segments;T - breast; L - lumbar; S - sacral;1 - light;2 - liver (capsule);3 - stomach (pancreas);4 - liver;5 - kidney;6 - small intestine;7 - bladder;8 - ureters;9 - the heart;10 - lung, bronchus;11 - intestines;12 - genitourinary or
Depending on the nature and location of the pathological process, and reflex changes of various tissues have been many subspecies massage.Currently widely accepted received segmental and acupressure.
In clinical practice, segmental massage technique has been carefully designed and O. Glaser AV Daliho (1965, 1972) and is a generalization of these kinds of reflex massage is a deep friction Tsiriaksu (1944), on the tactile Rumansu (1933), periostealby Vogler and Kraus (1953), gelotripsy Lang (1931), connective tissue on Leybe and Dick (1948), neuro-spot by Cornelius (1933), and so on. n.
In segmental massage main goal is to find and then affectreflex changes in the surface tissues of the human body located.To detect these zones Zakharyin-Ged - one of the essential tasks of segmental massage.A study produced in layers starting with the skin and moving to deeper tissues.In the area of the corresponding segment of skin sensitivity is often so elevated that even a gentle touch is felt as a sharp and painful.Identifying these areas palpation, the so-called diagnostic massage , is a valuable clinical sign indicating the increase of reflex excitability - when the skin gripping pleated felt a thickening of the skin is limited mobility.Palpation may be defined as pain and increased tension in muscles and connective tissue.When you try in this case to stretch the connective tissue there are pains.Remedy by massage such changes in the skin, connective tissue, muscles, and periosteum helps eliminate the primary pathological focus.
When segmental massage lasting an average of 20 to 25 minutes, provided mainly impact on Zakharyin-Ged zone.Apply techniques adopted in the classical massage - stroking, rubbing, kneading, migration, as well as special - drilling, moving, receiving the saw, stretching, roll forming, concussion.Special attention is given to stretching the painful areas of the skin and tissues.Use your fingers to try to break into a busy section of the connective tissue and produce a long and slow stretching it in the longitudinal, transverse and zigzag lines.At the same time massaging the finger should feel progressively weakening the fabric tension.Kneading and vibration is applied to eliminate reflex changes in muscle tone.It is advisable to start with a massage segmental roots from the place of their exit from the spine, then massage techniques are performed in the direction of the spine (Fig.).
Fig.The sequence (according to the figures) of the segmental massage on areas of the back (on D. Glaser and A. Yes, famously, 1965).
With the elimination of reflex changes in the skin, muscles and connective tissues are rapidly improving condition affected organs, so the main task of the segmental massage is stress relief found in the tissues of the affected areas.Precise knowledge of the respective segments is mandatory for the masseur.