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PASSIVE MOVEMENTS.
Through the passive movements we act more or less directly
on the part or organ which is to be subjected to treatment.
Acting more particularly on the venous and lymphatic circulation,
they must all be made in the direction of those currents. They
all have a common physiological effect, viz. of causing resorption.
Some of the passive exercises which are executed with a part
of the patient’s body, approach in their character the active
movements,—as, for instance, the rolling of a limb, such as the
arm, when we quickly rotate it at the shoulder joint.
EPPLBURAGB.
Effleurage is a stroking movement in the direction of the
heart, the object being to act mopre particularly on the venous
and lymphatic circulation in superficial parts, such as the skin,
subcutaneous tissues, etc.
The effleurage may be very superficial or deep,—in other
words, the pressure may vary from the lightest touch to one of
considerable force ; but this force must be gradually increasing as
it passes towards freer and healthier parts, and should not be
applied with vigour from the outset.
The superficial form of effleurage is intended to soothe pain
by its action on the endings of the sensory nerves in the skin,
while the deeper has for its purpose the onward passage of fluids.
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