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Topic 13-5: Tapotement - Wolters Kluwer Health

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Topic 13-5: Tapotement - Wolters Kluwer Health
Chapter 13
Swedish Massage Techniques
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–5: Tapotement
• Effects of Tapotement
– Rapid, rhythmic percussion stroke using hands in
various formations to drum on client.
– Varies depending on speed, force, length of
application.
– Short bursts of forceful tapotement stimulating to
both local area and body as whole.
– Longer applications relax body area and body as
whole.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–5: Tapotement
• Effects of Tapotement
– Very light tapotement with fingertips causes
vasoconstriction of superficial capillaries.
– Moderate drumming applied with medial sides of
hand causes vasodilation and increased circulation.
– Brief applications of light percussion help tone
atrophied muscles.
– Long applications of moderate percussion help
soothe areas of hypersensitivity.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–5: Tapotement
• Effects of Tapotement
– Should not be used directly after athletic activity;
may cause muscles to cramp.
– Tapotement over kidneys and floating ribs
contraindicated; may be damaged by stroke.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–5: Tapotement
• Effects of Tapotement
– Avoided on boney areas (especially spine) and over
bruises and varicose veins.
– Check with client regularly to ensure strokes are
comfortable.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–5: Tapotement
• Application of Tapotement
– Hold hands in different formations for different types
of tapotement.
– Hacking uses ulnar side of hand.
– Cupping uses hands shaped like cup.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–5: Tapotement
• Application of Tapotement
– Hands held open in slapping.
– In pincement fingertips used to pick up small bits of
superficial tissue.
• See Technique 22: Tapotement.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–5: Tapotement
• Application of Tapotement
– Applied to dry or oiled skin; even over drape.
– Often called percussive stroke; similar to drumming.
– Rhythm very important in delivery.
– Irregular strokes that suddenly speed up or slow
down can feel irritating to client’s nervous system.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–5: Tapotement
• Application of Tapotement
– Move up and down and across body area fluidly.
– Avoid overtreating one area.
– Keep moving stroke.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Topic 13–5: Tapotement
• Application of Tapotement
– Keep your wrists and fingers loose.
– Stiff wrists or fingers may hurt client or yourself.
– Practice on soft surface like pillow, with music, to
improve your rhythm and regularity.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
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