Massage Therapy: Rolling Techniques

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Questions and Answers

What is the direction of the action in muscle rolling?

Pull with fingers and push with thumbs

Roll with fingers and then pull with thumbs

Pull with thumbs and then push with fingers

Push with fingers and pull back with thumbs (correct)

Which type of rolling has a more marked roll action?

Skin rolling (correct)

Grade 1 rolling

Grade 2 rolling

Muscle rolling

What is the effect of shaking manipulation on tissue mobility?

Has no effect on tissue mobility

Decreases tissue mobility

Only affects superficial tissue

Increases tissue mobility (correct)

What is the purpose of whole limb shaking in massage therapy?

To invigorate and stimulate the entire limb Signup and view all the answers

What is the importance of relaxation in hacking manipulation?

It helps to reduce tension in the shoulder and hand Signup and view all the answers

What is the movement involved in hacking manipulation?

Pronation and supination of the radio-ulnar joints Signup and view all the answers

What is the effect of rolling manipulation on scar tissue?

It mobilizes scar tissue Signup and view all the answers

What is the purpose of practicing the rhythm of percussion strokes?

To improve the consistency of the stroke Signup and view all the answers

What is the effect of hacking on local circulation?

It stimulates local circulation Signup and view all the answers

What is the main difference between grade 1 and grade 2 clapping?

Grade 1 is superficial and fast, while grade 2 is deeper and slower Signup and view all the answers

What is the effect of beating on muscle tone?

It stimulates muscle tone Signup and view all the answers

What is the main difference between hacking and clapping?

Hacking uses the palmar aspect of the hands, while clapping uses the fingers Signup and view all the answers

What is the effect of pounding on the evacuation of the lungs?

It aids the evacuation of the lungs Signup and view all the answers

What is the main difference between grade 1 and grade 3 beating?

Grade 1 is superficial and fast, while grade 3 is deeper and slower Signup and view all the answers

What is the effect of vibrations on muscle reflexes?

It provokes muscle reflexes Signup and view all the answers

What is the main difference between pounding and clapping?

Pounding uses the ulnar border, while clapping uses the palmar aspect of the hands Signup and view all the answers

What is the effect of kneading on connective tissues?

Increases length and strength Signup and view all the answers

What is the purpose of picking up after effleurage and kneading?

To mobilize soft tissues Signup and view all the answers

What is the difference between C-shape and V-shape in picking up?

C-shape forms a letter C, V-shape forms a letter V Signup and view all the answers

What is the grade 3 manipulation used for in picking up?

Used only over very muscular areas Signup and view all the answers

What is the purpose of wringing in massage therapy?

To separate superficial and deep adherent tissue Signup and view all the answers

How many grades are there for wringing?

2 Signup and view all the answers

What is the effect of rolling on superficial and deep tissue?

Separates superficial and deep tissue Signup and view all the answers

What is the position of the thumbs in rolling?

Away from the fingers Signup and view all the answers

Study Notes

Types of Rolling

There are two types of rolling: skin rolling and muscle rolling
Skin rolling is grade 1 and muscle rolling is grade 2
No grade 3 due to pain tolerance

Effects of Rolling

Mobilizes scar tissue
Has a stretch effect on tissues when performed slowly

Shaking

Muscle or superficial tissue is shaken from side to side
Uses thumb and finger tips for small areas, full length of thumb and fingers for larger areas, and whole flat hand for very large areas
Grade 1: thumb and fingertip shaking, Grade 2: full thumb and fingers, Grade 3: whole limb shaking

Effects of Shaking

Produces a feeling of invigoration and stimulation
Increases tissue mobility
Assists in breaking down tissue adhesions
Stimulates lymphatic and venous flow
Helps prepare soft tissues for stretch and exercise

Hacking

Performed by hitting the area with the medial border of hands and/or fingers
Uses pronation and supination of radio-ulnar joints
Grade 1: uses medial borders of fingers, Grade 2: uses medial borders of hands and fingers, Grade 3: uses medial borders of hands and fingers more deeply and slowly

Effects of Hacking

Stimulates local circulation
Stimulates muscle tone
Gives a generalized feeling of stimulation
Provokes muscle and tendon reflexes
Light strokes affect superficial tissue, deeper strokes aid in lung evacuation

Clapping

Performed by striking the area with the palmar aspect of the hands and fingers
Uses alternately flexing and extending wrist joints
Grade 1: very superficial, fast pace, minimal contact, Grade 2: deeper, slower, and firmer, Grade 3: very firm, may involve elbow action

Effects of Clapping

Same as hacking, except for provoking tendon or muscle reflex

Beating

Uses lightly clenched fists to hit the area
Action involves wrist flexion and extension
Grade 1: fast rate, light contact, Grade 2: slower, firmer contact, Grade 3: deeper, varying rates

Effects of Beating

Same as clapping

Pounding

Performed by hitting the area with the ulnar border of the hand
Uses pronation and supination of radio-ulnar joints
Grade 1: fast rate, light contact, Grade 2: slower rate, firmer contact, Grade 3: deeper, varying rates

Effects of Pounding

Same as clapping

Kneading

Stimulates venous and lymphatic flow
Increases mobility of fibrous tissues
Helps interchange of tissue fluids
Helps prepare soft tissue for exercise
Helps removal of waste products
Increases length and strength of connective tissues
Provokes somato-visceral reflex effects
Restores mobility between tissue interfaces

Picking Up

Compresses tissues against underlying structures, then lifts, squeezes, and releases
Can be single-handed C-shape, double-handed alternate C-shape, single-handed V-shape, or double-handed V-shape
Grading is the same as kneading, with Grade 3 only used in double-handed manipulation over very muscular areas

Effects of Picking Up

Same as kneading, particularly good for mobilizing soft tissues

Wringing

Compresses tissues against underlying structures, then one hand pulls towards the physiotherapist and the other hand pushes away
Can use fingers and thumb or full hands
Grade 1: usually applied to finger strokes, Grade 2: uses whole hand

Effects of Wringing

Same as kneading, particularly good for separating superficial and deep adherent tissue

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Description

Learn about the different types of rolling techniques in massage therapy, including skin rolling and muscle rolling, and their effects.