Slide 1 Slide 2 Extremely Tiring to Produce Powerful Stroke if done long enough & at a sufficient intensity Can break up monotony of massage Stimulates nerve activity Slide 3 VIBRATION: Latin A shaker Specific Definition: A rhythmic shaking, trembling or jostling of tissue or body part. Major Benefit: Vibration basically wakes up the nerves and thus produces reflexive effects which can have a sedating effect or a stimulating effect. Vibration so to speak confuses the nervous system propagating the relaxation response. Vibration also stimulates increased circulation & health deep into the joint.
Slide 4 Vibration: pulsating, tremor-like or oscillating stroke that stimulates or relaxes body area or whole body depending on how it is applied. Short bursts to particular area. Can be tiring for therapist. Shoulders, elbows, wrists must remain relaxed while hands vibrate rapidly. May be fine, coarse, rocking. Slide 5 Depends on how stroke applied. Initially, vibration stimulating; startles body and briefly activates sympathetic nervous system. As stroke progresses, body relaxes. Sustained vibration to particular area has numbing, analgesic effect, reducing pain. Slide 6 Fine vibration applied with fingertips on abdomen to stimulate peristalsis. Used on other delicate areas of body (face, to relax muscles).
Slide 7 Shaking: coarse vibration in which muscle group is lifted and shaken to confuse proprioceptors so that muscles relax. Slide 8 Jostling: coarse vibration used to prevent muscle guarding of limb; encourage general relaxation. Shaking and jostling encourages synovial fluid production in join; aids joint fluidity and health. Slide 9 Rocking: pushing and releasing area so that it sways back and forth. Soothes nervous system and relaxes muscle.
Slide 10 Very rapid vibration: stimulates muscle spindles to cause muscle contractions that tone muscle, warm tissue, increase circulation. Vibration should not be used over open skin legions, skin diseases, bruises, acute injuries, inflammation, varicose veins. Slide 11 Application of Vibration Pay careful attention to your body mechanics when performing this stroke. Easy to tense your shoulders, elbows, wrists during fine vibration. Focus on relaxing shoulders and arms. Apply stroke omly for short periods of time to avoid fatigue. Slide 12 Application of Vibration Watch, feel, listen, think about what you see, touch, and hear. Increased awareness will help you build palpation and assessment skills. See Technique 21: Vibration.
Slide 13 Applied with: (a) full hand (b) finger tips (c) mechanical devise Hands do not break contact with skin Stay over local site or glide around. This technique requires coordination and practice. Slide 14 1. Begin with compression 2. Hands need to tremble 3. Vibration is transmitted to surrounding tissues 4. Elbows relaxed 5. Tense / Relax action of forearms 6. Course to Fine Vibration 7. Use sparingly & for short periods Slide 15 1. Fine Vibrations: Finger tips move up & down or side to side. Effective over abdomen to increase peristalsis. 2. Coarse Vibrations: (jostling) Grasp limb & shake rhythmically with a small degree of traction. This is effective on ball and socket joints.
Slide 16 3. Rocking Vibration: Use a Pitch & Catch movement. Gently push & retrieve. ie: Trager 4. Mechanical Vibration: When using a mechanical devise such as a vibrator it is important to place a towel between the patients skin & the machine. There are 3 types of vibration provided by electronic devises: 1. orbital 2. oscillating 3. percussion Slide 17 It enhances general relaxation It increases circulation Vibration stimulates muscle spindles, thus creating minute muscle contractions. It relieves pain, perhaps due to the gate theory. It relieves upper respiratory tract congestion, including sinus congestion. Slide 18 Abdominal vibration stimulates peristalsis of the large intestine. Abdominal vibration diminishes gas in the lower gastrointestinal tract. It stimulates synovial fluid production in joints when applied with traction. It accesses deeper structures such as hip rotators. Vibration relaxes myofascial tissue. It desensitizes trigger points.
Slide 19 Jostling: Can be used on muscle belly or a limb. When applying, grasp mm belly or bellies and shake vigorously, but rhythmically, back and forth. If applied to a limb, use one or both hands to grasp limb securely. Add a small degree of traction by leaning back & shaking the limb. Slide 20 2. Rocking Vibration: Use the Pitch & Catch motion mentioned previously. Let the persons body find their own natural rhythm. Not unlike pushing someone in a swing, timing of this stroke is everything. Some bodies have quicker rattle whereas others have a slow, full rock. Slide 21 3. Running Vibration: This refers to vibration while moving along the body, most of the time along the spine. 4. Specialized Vibration: This catagorie includes: Liver vibration, Spleen vibration, Sacral vibration & most frequently used, abdominal vibration