How To Perform a Forearm, Wrist, Hand Massage - Class 5

Question 1

what positions can massage be performed in

Answer 1

supine or sitting positions

w/ the UE above the heart

Question 2

when should we have the UE above the heart

Answer 2

if edematous

Question 3

what should we do before starting this massage

Answer 3

take a radial pulse

to determine patency of blood distally

Question 4

how do we open the massage

Answer 4

open the proximal segment first

Question 5

what strokes should we use to open the proximal segment

Answer 5

clearing stroke (effleurage)

kneading strokes (petrissage)

Question 6

how do we work the proximal segment

Answer 6

most proximal segments and work distally until the entire limb is “opened”

Question 7

what does the clearing strokes ensure

Answer 7

any fluid or waste buildup proximally will be eliminated

Question 8

why would we want to remove build-up/fluid

Answer 8

increase ability of the distal fluids/waste to smoothly be “pushed” into the circulatory system

Question 9

what do we do after we have “cleared” the proximal joints

Answer 9

open up the massage with a 2 part opening

Question 10

how do we do a 2 part opening

Answer 10

w/ 1 or 2 long strokes

from fingers to elbow

from elbow to shoulder

Question 11

after the 2 part opening…

Answer 11

start massage at forearm and move distally to hand and wrist

Question 12

how do we begin the forearm

Answer 12

using effleurage strokes in a distal to proximal direction

Question 13

effleurage strokes

Answer 13

clearing

shingling

bilateral tree

horizontal strokes

Question 14

after clearing strokes of the forearm

Answer 14

MFR skin glides

fingers slides along wrist flexor and extensor mm

Question 15

after MFR of the forearm

Answer 15

mobilize radius and ulna

progress to deeper NM strokes

Question 16

deeper NM strokes (1)

Answer 16

stripping

kneading

skin rolling

broad and specific contact compressions along anterior/posterior forearm

Question 17

deeper NM stroke (2)

Answer 17

circular frictions along wrist flexor and extensor mm or radioulnar space

Question 18

how do we work in the forearm region

Answer 18

distally towards the carpal bones

Question 19

wrist massage

Answer 19

circular frictions along the carpal bones

dorsal and palmar sides

Question 20

how do we perform a hand massage

Answer 20

moving from

-distal to proximal
-palmar and dorsal surfaces

Question 21

hand massage includes

Answer 21

stripping

circular frictions

stretching web spaces

ROM to each finger

Question 22

stripping –> hand

Answer 22

along digits distal to proximal

Question 23

circular frictions –> hand

Answer 23

along flexor and extensor tendons of each finer

over and b/w each metacarpal

b/w each web space and along thenar and hypothenar eminences

palmar aponeurosis

Question 24

after the massage…

Answer 24

stretch the arches of the hand

Question 25

stretching the arches of the hand

Answer 25

two transverse arches one longitudinal arch

Question 26

what must we do after stretching

Answer 26

must close the arches back into fxnal position after stretching

Question 27

how do we close the massage

Answer 27

one part 2 part

Question 28

one part closure

Answer 28

long effleurage from fingertips to shoulder

Question 29

2 part closure

Answer 29

fingertips to elbow below elbow to shoulder

Question 30

how do we always start

Answer 30

taking a pulse for distal patency

Question 31

what should we always do first

Answer 31

clear proximal joints in the extremity w/ a clearing stroke and kneading then clearing again

Question 32

what should we do intermittently

Answer 32

perform long effleurage strokes to "push" the distal fluid back into circulation

Question 33

how should we always perform the strokes

Answer 33

distally proximally A and P *cover the extremity*

Question 34

how do we close the massage

Answer 34

effleurage strokes deeper to more superficial moving in a distal to proximal direction