Massage and the Original Swedish Movements
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Massage and the Original Swedish Movements - Kurre W. Ostrom
physician.
EXERCISE IN THERAPEUTICS
In walking or riding, or even in some of the ordinary occupations of life, it is true that a person takes a certain amount of exercise, but there is no method in such movements.
It is easy to determine how much is to be done and how long it may be continued, but it will be a very difficult matter to estimate the amount of vital force necessary to carry these exercises into execution.
For instance, in walking, the strength of the motion depends not only upon the time and speed used, but also upon the weight of the body, supported by the lower extremities. In many cases the strength and tone of the muscles of the leg are not in proportion to the weight of the body.
This condition is exemplified in most of the calisthenic exercises.
When a person is practising calisthenics, the strength of the exercise depends upon the constitution and upon the weight and the natural activity of the body, which are not necessarily in proportion to the individual’s strength.
For instance in jumping; to a person weighing one hundred pounds the exercise may be only light and agreeable, whereas to another, weighing two hundred pounds, the weight of whose body is out of proportion to the muscular strength, the same exercise might prove positively injurious.
Not being able to estimate the vital force used in the common exercises practised under the head of calisthenics, or in the different sports or games, they should not be classified under the name of Medical or Remedial Gymnastics. In the latter case it is necessary to be able to estimate the amount of force required in every movement, and apply it according to the strength of each individual.
The difference between the Movement Treatment and the common exercise does not consist only in the quantitative estimate of the movements.
In the exhilarating exercise of riding the motion is general, acting upon the entire body, no part being excepted. On the other hand, in walking or dancing the muscles of the legs are used almost exclusively, those of the arms not being brought into action at all. The dancing-master has well-developed muscles in his legs, whereas, unless he resorts to some special exercise for his arms, their muscles will not be in proportion to those of the legs.
Persons of sedentary habits, especially dressmakers and clerks, who have but little exercise of any kind, are sure to have an ill-developed muscular system. Unless such persons take exercise systematically, they are liable to injure themselves severely. Persons who try to excel in any one kind of athletics run great risks of exceeding their strength.
Thus we see it is impossible to estimate the benefit of calisthenics, which can easily be done with the Swedish movements.
Finally, in the movement treatment, all movements are arranged in such a way and in such a form as to be comfortable and adapted to all parts of the body.
Based upon a knowledge of the anatomy and physiology of the parts, and of their proper physiologic limits, this treatment is much superior to any other, as well as more agreeable.
All joints have a natural motion within certain fixed limits. When such joints are gently exercised, an agreeable sensation is produced; but if the exercise be too violent,—flexing, extending, or rotating to excess,—severe pains will probably result. The same may be said of the muscular system. Each muscle having a distinct and certain function to perform, proper exercise of these muscles, if confined to physiologic limits, will be invigorating and agreeable to the patient.
In giving the Swedish movements special attention is directed to the natural functions of joints and muscles. This is not the case with any other kind of exercise, consequently the sensation and value of promiscuous movements can never be the same.
When movements are necessary over painful parts of the body, the patient must sometimes judge how much he can bear.
An operator who is not able to explain the physiologic action of every manipulation or movement he uses is liable to do more harm than good to the patients.
The Swedish movement treatment can better adapt itself to all conditions than any other treatment.
Finally, the aim of the Swedish treatment is, by a careful manipulation of muscles and joints, to restore to good health such as are in any way diseased. The force of such manipulations can be estimated and the extent of their duration fixed.
MASSAGE
The word Massage is a derivation from the Greek massein, or the French masser, which both mean: to knead. A male operator is called a masseur, a female operator, a masseuse.
Massage is a scientific treatment, by certain passive systematic manipulations, upon the nude skin of the human body.
Dr. Mezger, of Amsterdam (now practising in Wiesbaden, Germany), and his two pupils, the Swedish physicians Berghman and Helleday, were among the first to apply the massage treatment scientifically. Their method is now used throughout Europe. According to Mezger, massage is a scientific treatment—i.e., based upon the anatomy and the physiology of the human body; his manipulations are certain—that is, given or fixed, so that an un-instructed person can not pick up the treatment—it is an art that can not be self-acquired; all manipulations are passive—i.e., applied to the patient without his assistance or resistance; the manipulations are also systematic—i.e., they are arranged so as to act systematically upon the different tissues of the human body.
Dr. Mezger divides the massage treatment into four principal manipulations:
1. EFFLEURAGE.
2. FRICTIONS.
3. PÉTRISSAGE.
4. TAPOTEMENT.
FIG. 1.—Stroking with One Hand.
1. EFFLEURAGE (STROKING)
This manipulation consists of centripetal (toward the body or heart) Strokings.
It is performed in four different ways:
(a) Stroking with the palm of one hand.
(a) Stroking with the palms of both hands.
(c) Stroking with the thumb.
(d) Stroking with the tips of the fingers.
STROKING WITH THE ONE HAND (see Fig. 1) is used upon the extremities, the back of the head, and in single massage of the neck (Gerst’s method).
STROKING WITH BOTH HANDS is used upon the lower extremities of adults, upon the chest (see Fig. 2) and back, also in double massage of the neck.
FIG. 2.—Stroking with Both Hands.
STROKING WITH THE THUMB (see Fig. 3) is used between two muscles, or between a muscle and a tendon; also frequently to reach the interossei in the hands and the feet.
STROKING WITH THE TIPS OF THE FINGERS (see Fig. 4), or the last two phalanges, is principally used around the joints (in cases of sprains, etc.), the fingers conforming themselves to the shape of the part to be worked upon.
FIG. 3.—Stroking with the Thumb.
FIG. 4.—Stroking with the Tips of the Fingers.
The strength of the manipulation, stroking, varies from the slightest touch to the strongest pressure; even with one hand on top of the other, if necessary.
FIG. 5.—Friction with the Thumb.
FIG. 6.—Friction with the Tips of the Fingers.
The aim of all STROKINGS is to increase the circulation in the venous blood-vessels and the lymphatics, thereby causing absorption.
FIG. 7.—Kneading with the two Thumbs.
2. FRICTIONS (FRICTION)
Are firm, circular manipulations, always followed by centripetal strokings. As a rule, they are performed over one group of muscles at a time.
Friction is given in three different ways:
(a) Friction with the thumb.
(b) Friction with the tips of the fingers.
(c) Friction with the one hand.
FRICTION WITH THE THUMB (see Fig. 5) is used upon the extremities, but also upon smaller surfaces; as, for instance, around the knee-joints and upon the facial muscles (see Fig. 113).
FIG. 8.—Kneading on the Hand, for Contracted Tendons and Muscles.
FRICTION WITH THE TIPS OF THE FINGERS is used around the joints, the thumb often supporting the hand (see Fig. 6). The circles are sometimes made a great deal smaller than demonstrated in Fig. 6.
FRICTION WITH THE ONE HAND is used upon the larger surfaces and fleshier parts, like the thigh, arm proper, and lumbar region of back.
All FRICTIONS should be centripetal, and should always be followed by centripetal strokings, as the aim of this manipulation is to transform pathologically changed parts into a condition that will permit them to be incorporated into the healthy tissues, and thence be absorbed by the veins and lymphatics.
FIG. 9.—Kneading (pétrissage) of Biceps.
3. PÉTRISSAGE (KNEADING)
This manipulation is performed in such a manner as to cause a double centripetal pressure on a tissue (muscle or tendon), at the same time raising it up from