Las - 13-16
Las - 13-16
This comes from the French verb pétrir meaning ‗to knead. Petrissage is an effective massage technique in which deep
pressure is applied to tissue and underlying muscle. Petrissage is used to free up movement of tissues and muscle by treating
muscle knots or spasms. The petrissage massage technique uses a squeezing technique in which can alleviate muscle
spasm.There are five manipulations in this group, but some can be further subdivided:
1. kneading
2. wringing
3. picking up
4. skin and muscle rolling
5. frictions.
All the manipulations in this group apply pressure to the tissues, but each manipulation differs in technique. The
true kneading manipulations apply pressure to the tissue and move them over underlying bone in a circular
movement. However, other manipulations have evolved where the tissues are lifted away from the bone, squeezed
and then released. Some of the manipulations in this group are quite difficult to perform and much practice is
needed to perfect them.
2.1 Kneading - There are many forms of kneading. The terminology used for each one will tell you what should be
done, so study them carefully.
2.1.a Palmar kneading: this is kneading with the palmar surface of the hand. There are different forms of palmar
kneading.
2.1.b Digital kneading: this is kneading with the digits (i.e. the fingers) index, middle and ring fingers are usually
used.
2.1.c Thumb kneading: this is kneading with the thumbs.
2.1.dUlnar border kneading: this is kneading with the ulnar border of the hand (ulnar bone or little finger side).
2.2 Wringing - Wringing is a manipulation where the tissues are lifted away from the bone, and pushed and wrung
from side to side as the hands move up and down. It must not be used on over-stretched muscles or those with poor
tone.
Technique
2.4 Skin Rolling - This manipulation presses and rolls the skin and subcutaneous tissues against underlying bone.
Technique
1. The stance is stride standing.
2. Place the hands flat over the area with the
3. Thumbs abducted.
4. Lift and push the flesh with the fingers towards the thumbs.
5. Roll this flesh, using the thumbs moving across towards the fingers. 6. Move smoothly onto a lower area and then
work back.
2.5 Muscle Rolling- This manipulation lifts the muscle away from the bone and moves it from side to side in a
rocking manner.
Technique
1. The stance is stride standing.
2. Place the thumbs nail to nail in a straight line on one side of the muscle and place the fingers over the other side.
3. Grasp and lift the muscle away from the bone.
4. Push the muscle with the thumbs towards the fingers, which give slightly as the muscle moves.
5. Push the muscle back towards the thumbs, using the fingers in the same way.
6. Push the muscle backwards and forwards, applying pressure into the muscle and using a rocking action.
7. Move along the muscle by sliding the hands.
2.6. Frictions
These are much localized manipulations performed with the fingers or thumb. They may be applied transversely
across muscle fibres or in a circular movement. They are deep movements performed with much pressure. The
pressure may be selected at the commencement and kept constant throughout, as is usual with transverse frictions,
or the pressure may get progressively deeper, as with circular frictions. The pressure must, however, be completely
released before moving on to a new area. Frictions are performed on dry skin, free of oil or talcum powder, so that
the fingers move the skin and do not slip over it. Remember these are specialised movements, used when localized
depth and pressure is required. They should not be confused with digital or thumb kneading, which applies constant
upward pressure using a circular movement. Fast stroking is also sometimes referred to as brisk friction because the
hands do apply friction to the area, but this covers a large area and is not localised.
2.6.a Circular Frictions - These are small circular movements performed by the fingers or thumb.
Technique
ACTIVITY 1:
ACTIVITY 2:
Directions: Take a video of yourself performing petrissage massage and send your video to your teacher’s messenger
(Matet Errapa)
There are four manipulations in this group, named according to the position of the hands and the way in which they
strike the part:
1. Hacking
2. Cupping
3. Beating
4. Pounding
1. Hacking
-This manipulation uses the ulnar border of the hand and the little finger, ring and middle fingers to strike
the tissues in a light, springy, brisk manner. The forearm must alternately pronate and supinate to allow the
fingers to strike the part. The hands strike alternately.
Technique
1. The stance should be stride standing, with the feet a good distance apart and the knees relaxed or bent, keeping
the back straight.
2. Place the hands together with the fingers straight as in prayer, thumbs against chest.
3. Take the elbows away from the sides, i.e. abduct the shoulder joint. The wrists will now be extended at an 80–90°
angle.
4. Place the arms parallel and just above the part to be worked on.
5. Supinate and pronate the forearm so that the little fingers strike the part lightly and then lift away.
6. Practice this action until the arms roll easily.
7. Now practice the whole procedure. Part the hands and strike the part alternately(remember to keep the elbows
out and wrists extended).
8. Relax or slightly flex the fingers and, keeping the same action, strike the part alternately with the ulnar border of
the little, ring and middle fingers.
9. Strike lightly, briskly and rhythmically with alternate hands.
10.Work up and down or across an area – cover thoroughly.
11.The hands may also diverge – the heels of the hand stay close but the fingers diverge forming a ‗\/‘ shape. This is
useful over the upper fibres of the trapezius, below the nape of the neck.
2. Cupping
- Cupping (also known as clapping) is performed using the cupped hands to strike the part alternately. The
movements are light and brisk, producing a hollow sound.
Technique
1. The stance is stride standing, as for hacking.
2. Make a hollow shape with the hand by flexing themetacarpophalangeal joints (knuckle joints). Keepthe thumb in
contact with the index finger.
3. Straighten the elbows – they may flex and extend slightlywith the movement.
4. Place the hands on the part.
5. Flex and extend the wrist as the hands lift up and downalternately; keep the wrists loose and flexible.
6. Strike the part lightly and briskly with the fingers, part of the palm and heel of the hand.
7. The hands should clap the area, making a hollow sound. Avoid a slapping noise, whichwill occur if the hands are
too flat. This will sting and be uncomfortable for the client.
8. Work up and down or across the area. Cover it thoroughly four to six times until anerythema is produced.
3. Beating
- This is a heavier percussion movement that is useful on very large heavy areas of adipose tissue,
particularly over the buttocks and thighs. The manipulation is performed by striking the area with a
loosely clenched fist. The back of the fingers and heel of the hands strike the part as the hands
alternately drop heavily onto the area.
Technique
1. The stance is stride standing.
2. Loosely clench the fingers; keep the thumb against the hand.
3. Straighten the elbows.
4. Place the loosely clenched hands on the part so that the back of the fingers and heel of the hand lie in contact
with the part.
5. Extend and flex the wrist and lift the arms slightly so that the hands fall alternately and heavily on the part.
6. Work up and down or across the area and ensure that you cover it thoroughly four to six times.
7. The movement should be brisk and rhythmical. The pressure can vary from light to heavy, depending on the
required outcome and the type of tissue being worked on. Well-toned bulky muscles or a depth of adipose tissue
(fat) will be suitable for heavier pressure.
8. It is usual to work with both hands striking the part alternately, but it is possible over small or awkward areas to
use one hand only, supporting the tissues with the other.
4. Pounding
- This, again, is a heavy percussion movement, performed by the ulnar border (little finger side) of the
loosely clenched fist. The side of the hands strikes the part alternately.
Technique
1. The stance is stride standing.
2. Loosely clench the fingers.
3. Place the ulnar border of the hands on the part, with one hand slightly in front of the other.
4. Lift the front hand and strike behind the back hand as the back hand lifts off the part.
5. Continue to circle the hands over each other, striking the part alternately with each hand.
6. The movement should be brisk and rhythmical. The pressure can vary from light to heavy, depending on the
desired effect and density of tissue.
7. Cover the area thoroughly four to six times, or until the desired erythema reaction is achieved.
ACTIVITY 1:
1. Write what you have understood about tapotement massage. (10 points)
ACTIVITY 2:
Directions: Take a video of yourself performing tapotement massage and send your video to your teacher’s
messenger (Matet Errapa)
Vibrations
- There are two manipulations in this group: shaking and vibration. Both produce vibrations or tremors
within the tissues. Shaking is a much bigger, coarser movement and produces shaking of the muscle,
while vibrations are fine movements that merely produce a tremor.
1. Vibration
- This manipulation is usually performed with one hand. However, on large areas both hands can be used.
The hand is placed over the area and vibrated either up and down or from side to side. The action
produces vibrations in the underlying tissue.
Technique
ACTIVITY 1:
1. Write what you have understood about vibration massage. (10 points)
ACTIVITY 2:
Directions: Take a video of yourself performing vibration massage and send your video to your teacher’s messenger
(Matet Errapa)
After treatment you will usually feel relaxed and enjoy the benefits of the treatment. Occasionally, you may
experience a reaction from the treatment, however these are mainly due to the toxins being released from the body,
as the body is rebalancing and cleansing itself. More common reactions can include: aching/soreness of muscles,
tiredness and heightened emotional state. Less common reactions can include : headache, dizziness or nausea.
excessive urination, increase in bowel movement, Irritation, skin changes, fatigue, hyperactivity and change of
appetite.
ACTIVITY:
Directions: Fill in the blanks. Supply the missing word to make the statement complete.