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ASMT- Russian #1

Russian Stroke Chart

StrokeDescriptionSpeedPressureRhythm/Effect on CNSPostureHandsOther GuidelinesCommon Mistakes
Effleurage without making folds in the skin 24-26 mpm light even/sedative shoulder relaxed w/no elevation of scap, brachium perpendicular to table, elbow slightly above wrist, straight line from elbow to wrist, no mvmt in upper extremities hands relaxed, maximal contact b/w palm and client, fingers together (except rake), alternate hands when using two-handed strokes can add to other strokes, with edema use "pump" method n/a
Wringing SLOWLY from the distal to proximal ends of segment 20-24 mpm med-deep even/stimulating all body weight, stay light during practice and learn proper position for body weight first use supported strokes as often as possible always perform strokes slowly, level of pressure depends on client, must not be painful, to increase effect mix with petrissage not using body weight, moving too fast, spreading fingers, applying too much effort, pushing down instead of pushing forward
Pulling Petrissage pull, press, move, and compress 48-60 mpm light-med variable/stimulating n/a always perform smoothly w/o over-bending the muscle, perform toward pinky no more than three different strokes on the same muscle group, allow new clients to get accustomed to this stroke sliding, pain, too much tension in forearms, insufficient movement, not completing circle, not alternating hands
Pressing Petrissage pull, press, move, and compress 48-60 mpm med-deep variable/stimulating n/a always perform smoothly w/o over-bending the muscle, perform toward pinky no more than three different strokes on the same muscle group, allow new clients to get accustomed to this stroke allow new clients to get accustomed to this stroke
Friction multidirectional 120-180 mpm light-med even/sedative n/a n/a n/a don't use lubricant when working on thick and old scars, must not be painful, no more than 10 seconds in one area, not breathing, applying too much pressure, sliding too much, hyper-extending fingers (fingers are to be slightly cupped)
Vibration fine or coarse rhythmic movements 200-300 mpm light-med even/sedative n/a n/a n/a switching to percussion when performing stroke, alternating your hands when you use two handed strokes, applying too much effort, shaking the joint in the direction of it's planes of movement, more than two hours a day could cause injury to therapist
Percussion repeated strikes or taps 200-300 mpm light-med variable/stimulating n/a n/a n/a keeping wrists too tight, not alternating hands, applying too much effort, performing over kidneys, heart, and medial aspects of thigh
Created by: Lizziewiz
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