Petrissage manipulation

Kinnel Parmar
Introduction
Deep compression
Constant touch
Muscular tissue
Mechanical movement between fibres
Petrissage manipulation
Kneading manipulation
Picking up manipulation
Wringing manipulation
Rolling manipulation
Shaking manipulation
Kneading manipulation
Pressed down
Circular way – long axis of bone
Technique
Relaxed and firmly hand on skin
Several small concentric circles overlapping each other
Pressure gradually increased in half circle
1. Phase of compression
2. phase of relaxation – pressure reaches minimum
 Body weight applied
 Standing stance
 Centripetal pressure – distal part more pressure
 Distal proximal
Types
1. Palmar kneading
With palm/ heel of hand
Large body areas
2. Digital kneading
3. Reinforced kneading
One hand other hand
Digital kneading
Finger Kneading
Whole Finger Kneading

Finger Pad Kneading

Finger Tip Kneading

Types
4. Elbow kneading
For more depth
For back
5. Whole hand kneading
Picking up manipulation
Lifting of tissue up at right angle
One hand use
Technique
Web space – between thumb and index finger
Lift, squeeze, release
‘C’ shape or ‘V’ shape
Wringing manipulation
Lifting tissue
Thumb and finger of both hands used
Push 2 hands in opposite direction
When area treatment finish release tissue
Rolling manipulation
Lifting and stretching of skin
Between thumb and finger of both hands
Technique
Tip of thumb and index finger
Roll skin forward direction
Stretch cutaneous and subcutaneous tissue
Single hand
Muscle rolling
Shaking manipulation
Bellies shaking
Thumb and fingers
Lift belly
Palm not touched
Shake belly in transverse direction
Release