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• Transitioning
• Spreading oil
• Evaluating tissue

•  Relaxes muscles (parasympathetic nervous system)
• Relieves pain (Gate control theory, endorphins)
•  Increases arterial and capillary circulation
•  Increases vasodilation (slowing heart rate and blood pressure)

•  Hyperesthesia
•  Marked or pitted edema
•  Gross swelling
• Open wounds
• distal to inflammation or infection

•  Increases venous and lymphatic flow removing wastes, reducing edema
•  Improves nutritional status of tissues
•  Increases arterial and capillary circulation, bringing nutrients
•  Warms superficial tissue
•  Desquamation of dead skin

•  Deeper muscle relaxation
•  Capillary dilation longer lasting

 

•  Same as light effleurage
•  Very hairy skin
•  New scar tissue
•  Venous stasis

• Used after effleurage
•  Relieves congestion
•  Reduces swelling
•  Digestive disorders 
•  Muscle shortening 
•  Spastic paralysis
•  Fatigue

 

•  Stretches muscle fibers and stimulates muscle tone, broadens fibers
•  Breaks up adhesions
•  Increased circulation and waste elimination
•  Moves interstitial fluid

•  Slow-relaxes nervous system
•  Fast-stimulates NS
•  Increases glandular activity of skin
•  Increases peristalsis  when done over abdomen
•  Affects proprioception

•  Atrophied muscles
•  Flaccid paralysis
•  Acute inflammation

• Use after tissues have been warmed up
•  Hypertonic muscles
•  Treatment massage
•  Deep tissue work

•  Compresses and spreads tissue
•  Temporary ischemia
•  Mobilizes muscle/tendon junction

•  Reduces pain and spasm
•  Hyperemia
•  Increases peristalsis when done over abdomen

 

•  Acute inflammations
•  Neuritis
•  Recent injuries
•  Osteo and rheumatoid arthritis-especially acute stages
•  Muscles lacking innervation(paralysis)
•  Debilitating neuromuscular dysfunction such as MS, ALS, MD.

•  Myofascial releasing-separating adhered fascial planes
•  Broadens and stretches muscle fibers
•  Increases muscle 

•  Decreases tension through stimulating Golgi tendon reflex
• Increases circulation
• Creates hyperemia

•  Use only after a thorough warming of involved tissue
• Apply at right angles to scar/fibrotic tissue
•  Superficial tissue must      move over underlying structure
•  Apply frequently enough to have an impact

•  Breaks up adhesions
•  Assists in realigning scar tissue

 

•  Relaxes muscles by stimulating Golgi tendon reflex

•  Heats skin
•  Warms tissue

•  Vasodilatation
•  Relaxes muscles

•  Stimulation of tired muscles
•  Relaxation of hypertonic muscles

•  Stimulates nervous system, muscles, vessels
•  Enhances muscle tone via contract-relax response
•  Increases circulation
•  Stimulates organs through low back
•  Increases gaseous exchange
•  Stimulates skin and glandular activity

•  Muscles is spasm or cramping
•  Spastic paralysis
•  Atrophied muscles
•  Flaccid paralysis
•  Insomnia, neurasthenia or complete exhaustion
•  Neuritis or painful conditions
•  Over bony area
•  No heavy tapotement over the kidneys
•  No heavy tapotement over low back in pregnancy or menstruation

•  sedates nervous system
•  reduces pain(gate theory)
•  relaxes muscle 

•  Increases synovial activity
•  Increases circulation

•  Stimulates organs
•  Reduces muscle guarding
•  Rejuvenating  tired muscles

• Stretches muscles and ligaments
•  Increases circulation and nutrition
•  Increases waste elimination
•  Loosens adhesions
•  Increases ROM and flexibility

•  Stimulates NS
•  Increases blood pressure and temperature

•  Torn ligament, tendon or muscle
•  Unhealed fracture
•  Post surgery
•  Heart conditions 
( active and resistive)
•  Acute injuries