Full resolution (JPEG) - On this page / på denna sida - Passive Movements - Pétrissage
<< prev. page << föreg. sida << >> nästa sida >> next page >>
Below is the raw OCR text
from the above scanned image.
Do you see an error? Proofread the page now!
Här nedan syns maskintolkade texten från faksimilbilden ovan.
Ser du något fel? Korrekturläs sidan nu!
This page has never been proofread. / Denna sida har aldrig korrekturlästs.
PETRISSAGE. 15
lightly in contact with the skin, and do not exert any pressure.
If’they did, we should have a constant pressure, less stretching
of the muscle, and the stream of the fluids in the muscle would be
interrupted ;
while, in addition, the skin would be strained in a
way that would be very uncomfortable for the patient. Care
must be taken that the very tips of the fingers are not used, but
at least the last phalanx as a whole and the anterior part of the
second one as well. The use of the tips of the fingers and the
thumb has been one of the commonest faults I have met with.
One cannot work with the tips without strongly bending the
fingers, which has. the effect of stiffening them and the wrist.
The softness in the movement becomes lost, the patient strains
and contracts the muscle from the pain produced {e.g. in rheu-
matism, and even if there is no acute disorder), and the work
becomes only superficial.
In giving petrissage of a muscle, we ought always to begin at
its proximal end, and gradually pass downwards. Here, as in
effleurage, we must take care, that each kneading has a direction
upwards. This is easily produced by a slight twisting of the
hand.
When effusions arising from sprains, dislocations, or fractures
Fig. 3.
<< prev. page << föreg. sida << >> nästa sida >> next page >>
