The effect of massage on the respiratory system. Massage for diseases of the respiratory organs under various diseases

  • Date: 01.07.2020

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Manual impact Massage muscles involved in the process of breathing

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Full breath - This is natural breathing in the process that the bulk volume is maximally used. Also, a person learns to coordinate the work of the muscles involved in the respiratory process (the diaphragm, the muscles of the back, abdomen and chest). When performing equipment, it is necessary to achieve naturalness, evenness, smoothness of inhalation and exhalation.
Mastering technology.
In order to master full breathing, time and regularity is needed. It can be said conditionally that complete breathing technique is mastered if a person is able to breathe with a frequency of one respiratory cycle per minute, not less than 10 minutes.
The first three or four months should be engaged every day (preferably in the morning and evening), paying a lesson for 15-20 minutes. For beginners, the most optimal position for practice is lying on the back, with a completely pressed back to the floor.
Execution technique.
Quietly put in a flat, horizontal surface. Mildly rolling the spine on the rug.
I stretch from the sacrum to the nape, - stretch the spine "In String". Stops put on the width of the pelvis, the heels are under the knees. Hands put along the body, palms down. The back is gently dive in the floor.
With inhale, straight hands raise and lower the head, while evenly expand the belly forward and sides. Pause after inhale 4-6 seconds.


With exhalation, straight hands raise and lower along the body, while the stomach evenly pull themselves, the pelvis is slightly deployed towards the head. Pause after exhalation 4-6 seconds.

We observe the feeling of the body, completely relax the face.
We gradually extend the respiratory cycle (phase of inhalation, delay after the inhalation, the phase of the exhalation, the delay after the exhalation). The optimal is the respiratory cycle equal to one minute.
We make 10-12 cycles of breathing, gradually put on the body (one palm on the chest, the other - on the stomach). With a breath evenly fill the stomach, continuing to inhale the chest. With exhale, we lower the chest, omit the stomach. We make another 10-12 cycles of breathing.

Basic Practice Effects:
- reduction of the load on the cardiovascular system;
- Improved venous return;
- removal of excessive voltage from the muscles of the back;
- decompression impact on the segments of the spinal column;
- correction of posture disorders;
- training of an external breathing apparatus;
- restoration of the balance of the nervous system;
- reduction of mental stress and chronic fatigue syndrome;
- restoration of vitality;
- Formation of a smooth emotional background.

Contraindications:
- aggravation of inflammatory processes,
- bleeding.

In the teachings of yoga, it is said that, if you regulate your breath, then you can learn to control your consciousness.

Pranayama - This is an art to manage your breath.

The word "pranayama" came to us from Sanskrit and literally denotes "energy management by means of managing his breathing." This word consists of several parts: "Prana" is aware of "vital energy" and "pit" - "control, management"

Pranayama also means "stop". In some traditions, pranayama respiratory technique is the goal of all Asan, Bundh and Wise.

Breathing control is the path to control over consciousness.

How do respiratory techniques affect the human body?

In yoga there are two main breathing techniques:

Hyperventive techniques in which breathing compared to the usual is carried out in the lung hyperventilation mode (by increasing the frequency or depth of breathing); These include Capalabhati and Bhastrik;

Breathing in hypoventilation mode with a deceleration of rhythm or breathing delays; Such breathing includes Uddeii, Sitali and breathing with a delay in the breath or exhale.

The main mechanisms of pranayama, affecting the human body:

Changes in blood oxygen concentration and blood carbon dioxide is achieved mainly due to breathing delays and changes in its rhythm and depth;

Connection to the process of respiration of additional muscle groups, usually not receiving participation in the respiratory process;

Massage of abdominal organs, changing pressure in body cavities;

Impact on the sympathetic and parasympathetic nervous system by reflexing receptor stimulation.

Long practice of breathing exercises, in particular technician with respiratory delays, increases the possibilities of adapting the human body to environmental factors.

Pranayama respiratory technique also has a beneficial effect on consciousness, it becomes sustainable and even possible in the changed state of consciousness.

Before starting pranayama, you need to prepare the body through cleansing procedures and asanas.

A full breathing cycle includes a breath (Purak), an exhale (river) and breathing delay (Cumbhaka). Respiratory delay can be carried out on the breath and exhale. In the alternation of these four phases, their rhythm, depth, as well as duration and is the meaning of pranayama.

Respiratory exercises are usually performed in stable seating poses, the main of which is Padmashana (lotus posture), Ardha Padmashana (semi-windows posture) and Sukhasana (lightweight, convenient posture, pleasure pose).

It is also possible to start learning to some respiratory techniques in the situation lying, in particular, in Shavasan, it is easy to control the respiratory muscles in Shavasan, so it is easier to focus on the technique of pranayama.

Most respiratory exercises can be started at any age. It is better to develop the practice of pranayama under the guidance of an experienced instructor.

Prana's techniques are inseparable from meditation.

Conditions for all respiratory practices

It is also necessary to observe several conditions required for all respiratory exercises.

FirstlyIn addition to specially agreed practices, breathing should certainly be through the nose.

SecondlyThe spine during the fulfillment of all techniques should be straightened, as the main energy channels go through the main energy channels - Ida, Pingala and Sushumna. The non-physiological bends of the spine will create obstacles to the passage of energy (Prana) and, accordingly, distort the principle of pranayama.

ThirdlyAll breathing exercises must be carried out necessarily on an empty stomach, not less than 3-4 hours after meals.

Fourth, It is impossible to start training the technique of various respiratory exercises in a state of fatigue.

FifthIf possible, respiratory practices should be engaged at the same time using one selected posture. The probability of external interference should be excluded.

The main condition for pranayama - During her practice, physical and mental relaxation must be observed, the mind must be calm.

Pranayama contraindications:

  • If you have heart disease, which proceed with organic heart lesions and the development of blood circulation deficiency;
  • If you have diseases of the central nervous system, which are accompanied by increased intracranial pressure, convulsive readiness, muscle hypertonus (sclerosis, Parkinsonism, neuroinfection);
  • In the presence of the consequences of the cranial and brain injury, diseases of the central nervous system of inflammatory nature (encephalitis and others), which cause a persistent increase in intracranial pressure;
  • In the presence of an asthenonevrotic state, acute neuroses, neurocirculatory dystonia by hypertonic type;
  • If your body is characterized by a persistent increase in blood pressure;
  • If you have acute infectious diseases;
  • If you have malignant neoplasms in any stage, any localization;
  • In the presence of blood disease, which is accompanied by a violation of its coagulation system (hemophilia, thrombophlebitis, thromboembolism), leukemia and others;
  • In pathology of the organs of vision, especially with an increased intraocular pressure (glaucoma, retinal detachment, and so on);
  • If you have inflammatory diseases of the respiratory system (sharp bronchitis, pneumonia), inflammatory diseases of the middle ear;
  • If you have thyroid disease with signs of its hyperfunction, the development of thyrotoxicosis;
  • In the presence of any kinds of intoxication, including alcohol, smoking and any medication therapy;
  • If you are pregnant;
  • If your age is under 14 years old;
  • When deforming the musculoskeletal system with a sharp violation of the body scheme.

Extremely gently practicing breathing exercises should be people with chronic diseases and pregnant women.

Full breath of yogov

This is one of the main practices. Complete breath of yogis includes three components:

  • abdominal breathing (first of all due to the diaphragm),
  • breast breathing (due to the expansion of the chest and the movement of the ribs)
  • and crooking breathing.

Most people leading a sedentary lifestyle use mainly breast type of breathing due to an excursion of the chest, not including in the respiratory process of the diaphragm.

At the same time, the ventilation of the lower lung departments is suffering, and the body uses a large amount of energy for the respiratory process, since more effort is spent on the expansion of the bone muscular corset of the chest than on the diaphragm movement.

In addition, due to the reduced volume of the lungs, the gas exchange in them deteriorates only with breast breathing. It should be borne in mind that the diaphragm with deep breathing is capable of shifting to 10-12 cm, significantly increases the breathing volume of the lungs, and at the same time there is a massage of the abdominal organs.

To master the principle abdominal breathing It is necessary at a convenient sustainable position with a straightened spine. The abdominal muscles must be relaxed.

After a complete deep exhalation, make a slow breath through the nose, tracking to filled at the bottom of the lower lung departments. At the same time, the diaphragm is compacted, squeezing the abdominal organs forward. If you first learn only the abdominal type of breathing, you can track the movements of the anterior abdominal wall, which goes forward on the breath, and in exhale it is slightly drawn.

To control, one hand plays on the stomach, the second is on the chest, which helps track the correctness of the diaphragm movement.

The next step is connected breast (rib) breathing. Fill the lower part of the lungs, concentrate your attention on the expansion of the chest, while the ribs rise up and forward.

The expansion of the chest only on the parties is the wrong breast breathing method. It should be borne in mind that with a full-fledged rib breathing, a pronounced therapeutic effect is observed not only by increasing the pulmonary volume and improving blood saturation with oxygen, but also due to the strengthening of the heart muscle, the normalization of the vascular tone, which has a beneficial effect on heart rhythm and blood pressure.

Filling out the middle part of the lungs, try to fill their upper part, push the top ribs.

At the last stage Lightly draw the bottom of the abdomen, which will make it possible to fill the tops of the tops of the lungs (while the movements and shoulders and shoulders are slightly lifted).

Full breathing of yogis is performed by a single movement, and it is necessary to follow the sequence of filling the lungs.

If there is a difficulty in the control of all three phases of the breath, then it is better to master separately - first the abdominal, then the chest and clavical types of breathing, and then try to reduce these phases together.

With the difficulty of mastering the abdominal breathing type, this process can be started in the lying position - it's easier to relax the diaphragm and the abdominal muscles, then easily master the diaphragmal breathing and in other positions, for example, in a sitting position, standing and when walking.

Error of novice practitioners when mastering full yogh technology

A typical error of beginners when mastering the technique of complete yogan respiration is the desire for maximalism.

The performance of each phase of the respiratory process occurs in the greatest mode, to the "stop", it makes it difficult to incorporate additional inspiratory muscles.

Thus, the limit lowering of the diaphragm and the protrusion of the abdomen worsens the expansion of the chest due to the lower edges, respectively, the next phase of inhalation (breast breathing) is incomplete. We must try to fill the lungs not to the end, keeping the feeling of comfort.

Exhalation with full yogisk breathing It is performed in the same sequence as inhale.

Start empty the belly, keeping the chest in the straightened state, then remove the air from the middle parts of the lungs and, in conclusion, squeeze the muscles of the abdominal press and the chest for completely removal of air from the lungs.

We must not forget that the breath should be a comfortable process, any violence is unacceptable, including excessive efforts to inhale and exhale.

It should still be remembered that the physiologically phase of the exhalation is longer than the phase of the breath of 1-1.5 times, at this moment you will concentrate your attention when mastering the technique of rhythmic breathing.

Phases like inhale and exhalation are made by one wave-like movement. The full exhalation is provided by a diaphragm, intercostal muscles, and, moreover, the abdominal press muscles are additionally connected.

It is necessary to give daily training for several minutes, and soon you will notice how much your well-being changed when using the full breathing of yogis.

Rhythmic breath

The following respiratory equipment that needs to be regularly practiced is rhythmic (Periodic) Breath.

It includes three phases:

  • puraku (inhale)
  • river (exhale),
  • the pause between the breath and exhalation either between exhale and exhale.

Breath Delay (Cumbhaka) can be like an altitude of inhale, with filled with light (Purna-Cumbhaka) and after a complete exhalation (Shunya-Kumbha ka).

Before starting practice using periodic respiration, it is recommended to master and regularly practicing full breathing of yogis.

Concentrate your attention in the field of the heart, trying to feel his rhythm. If there is not enough ability to concentrate on the heart rhythm, the pulse is better on the left hand can be used as an initial option.

At the beginning of training, you should remember the basic rules for all respiratory exercises:

  • slide in a seating sustainable pose;
  • the body is relaxed
  • the spine must be straightened,
  • nose breathing.

First, spend the technique of rhythmic breathing without delays, trying to observe the duration of the exhalation 2 times longer than the breath, then attach PURNA-Cumbhaku (delay at the height of inhalation).

The breathing delay after inhale significantly increases the load on the heart muscle, so it is necessary to increase the respiratory delay time very carefully, not overwhelming your body.

Ideally, you need to reach Rhythm 1: 4: 2 (inhale - delay after inhale - exhale), but you can restrict ourselves to Rhythm 1: 2: 2.

Rhythmic breathing is performed in the same poses as other respiratory techniques.

Rhythmic respiratory technique has a powerful stimulating effect on the cardiovascular system and, in addition, makes the process of respiration conscious. And the ability to control your breathing leads to control over consciousness.

There is such a kind of rhythmic breathing as samavriti Prananama - "Pranayma Square", characterized in that all phases of the respiratory cycle (inhale - Cumbhaka with filled with light and exhalation - Cumbhaka after exhalation) are performed with the same duration.

This widely used practice is a classic rhythmic breathing option.

For its execution, a sitting pose is used with a straightened spine. During the inhalation, which occurs on the principle of complete yogan breathing, you need to try to hold the mula-gang (compressing the muscles of the crotches), then the same period of time is held by Cumbhaka, Moula Bandha is preserved at the same time.

During the exhalation and the delay of breathing after the exhalation of the muscles of the crotch relax.

Kumbhaki

There are two types of breathing delays: with filled with light (Purna-Kumbhak) and after the exhalation (Sunya-Kumb Khaka).

Cumbhaki is also divided depending on the time to stop the breath.

Cumbhaka with filled light is divided into several stages.

Cumbhaka lasting from 3 to 20 s.

This option is available to almost everyone. Upon delay in the breath of such a duration, oxygen is better absorbed. In conventional breathing, it is absorbed by approximately 5-6%, when the breathing is delayed to 20 s - 8-10%, the removal of carbon dioxide is accelerated. This Kumbhaki Stage serves preparate for more complex options.

Cumbhaka from 20 to 90 p.

Performed at the initial stages only under the guidance of an experienced leader. In no case cannot be a volitional effort to move to the practice of long-term Cumbhaki, the state must be comfortable when performing short breathing delays, the increasing delay time is performed very slowly.

Long-term Cumbhaka is performed necessarily in Padmasan (Lotus Pose) or in Vajanisan (Diamond Pose) to reduce the blood flow in the lower limbs and, accordingly, increase it in vital organs (CNS, heart, liver and kidneys).

Long-term Cumbhaka should be supplemented by Jalandhara Bandha.

During this practice, there is an acceleration of metabolism using blood glucose reserves, improving cellular (tissue) respiration.

Of great importance is the stimulation of the wandering nerve - the 10th pair of cranopy brain nerves. It innervates the air pathways, light, heart, aorta, gastrointestinal tract (with the exception of a large intestine), liver, kidney and spleen.

Nervus vagus - Antagonist of the sympathetic nervous system, has an inhibitory effect on the cardiovascular system (the heart rate is reduced, blood pressure is reduced), stimulates the work of the gastrointestinal tract, has a positive effect on the nervous system, reducing its excitability.

The following option is Cumbhaki - more than 90 s.

This technique is not quite safe, can cause a precomptive state and therefore it is performed only by experienced practitioners.

Considering that breathing technique from various kinds of delays causes pronounced changes from the cardiovascular system, metabolism and affects the excitability of the nervous system, it is necessary to make some warnings.

Incorrect implementation of asana is usually accompanied by unpleasant sensations, up to pain, which allows you to immediately notice and correct errors. At the same time, errors in performing breathing exercises, especially with breathing delay, may not be selected and subsequently lead to pronounced disorders by vital organs and the central nervous system. Therefore, it is necessary to start this practitioner very carefully, in perfect having mastered and performs every day fulfilling a full yogistic breathing.

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For such a massage usually use the following techniques:
1. Singing.
2. Pointing.
3. Shake (transverse and longitudinal).
Complete the abdominal massage session is recommended by breathing exercises.
A complete course of massage in the treatment of intestinal diseases is 10-15 sessions held every other day. The duration of one session, as a rule, is no more than 15 minutes 2-3 hours after meals.

Massage at constipation

In the complex treatment of constipation of different etiology often include massage.
In chronic constipation, massage is prescribed only if it has evisted after chronic non-infective enterocolitis, as well as as a result of a sedentary or low-alignment lifestyle, incorrect power, deterioration of the rectal peristals.
In chronic constipation, affect the chest segments, as well as the area of \u200b\u200bthe pelvis, direct and oblique muscles of the abdomen and the rectum. The rectal massage is produced clockwise.
In the treatment of spastic constipation by the method of segmental and reflex exposure, the following techniques use:
1. Easy stroking.
2. Rubbing.
3. Vibration.
4. Shocked.
In atonic constipation, massage is carried out using the receptions listed below:
1. Intensive rubbing.
2. Reminder.
3. Flawing.
4. Strong vibration.
You can get rid of chronic constipation using a special massage conducted in combination with the following exercise. To do this, the patient should take the position lying on the back, the left foot bent in the knee and pressed to the stomach, right - straight. According to a massage therapist or independently, the patient must change the position of the legs: the right bend in the knee and press to the stomach, left straightened.
A full course of massage consists of 15 sessions that can be carried out daily or every other day. The duration of one session should not exceed 15 minutes.

Muscle stretching exercises

After conducting operations, during the recovery period, as well as after the forced long rest muscle, they usually lose their elasticity and weakening. Therefore, during the recovery period, it is recommended to carry out not only massage, but also exercises aimed at stretching the muscles. For exercises aimed at restoring muscle plasticity, there are the following contraindications:
- osteoporosis;
- severe muscle injuries and bones;
- hemophilia;
- meniscite;
- bone tissue tuberculosis;
- capillaryotoxicosis;
- dislocations;
- spondylolistra;
- Paratoionitis Achilles tendon;
- Coxarthrosis.
The complex of active exercises for stretching muscles patient performs independently, without the help of a physiotherapist. It usually consists of exercises to training the muscles of the body, as well as the lower and upper limbs that can be repeated during the day several times.
The complex of passive exercises should be carried out under the control of the doctor or massage therapist. Exercises are performed with a small force, gradually increasing the amplitude and increasing the plasticity of the muscles.
A special set of exercises aimed at increasing muscle flexibility is divided into two parts: the first includes exercises for hands and shoulder belts, the second - for the legs and torso.

Complex exercises for upper limbs and shoulder belts

This complex consists of seven exercises, the sequence of which is described below.
Exercise 1. I. p. - Sitting or standing. The masseur puts one hand on the neck to the patient's palm surface down, then the patient's hand bends with the other hand and, holding it for the brush, pulls towards the shoulder, raising the elbow with sharp unlock movements. Exercise should be performed for 3-10 seconds 3-5 times.
After performing the exercise, the patient is recommended to shake the hand to relax the muscles.
Exercise 2. I.p. - Sitting or lying. Hands bent in the elbows, headed. Masseur slowly with force takes the patient's elbows back, as if trying to join the blades. Exercise repeat 2-3 times. Between the exercises it is recommended to make an interval of 5-10 seconds.
Exercise 3.. I. p. - Sitting on the floor, hands bent in the elbows and are headed. Masseur raises patient elbows up. The exercise is repeated 3-5 times. After completing each exercise, it is recommended to take a break in 5-10 seconds.
Exercise 4.. I. p. - Sitting on the floor, the hands are detachable in the castle above the head. Masseur, holding the patient's hands for the forearm, smoothly assigns them back. Exercise must be repeated 3-5 times.
Exercise 5.. I. p. - Sitting on the floor, the hands are detachable in the castle above the head. The masseur holds the patient's hands for his wrists and smoothly, but with force takes them back and up. The exercise is repeated 3-5 times. After completing each exercise, a small pause is 5-10 seconds, and it is recommended to shake the patient with the patient.
Exercise 6.. I. p. - Sitting on the floor, hands are folded on the knees of palms down. Masseur smooth motion tips the patient's head alternately in one, then in the other direction. The exercise is repeated 3-5 times.
After completing each exercise, it is recommended to do a little break.
Exercise 7.. I. p. - Sitting on the floor, the hands are detachable in the castle above the head. Masseur slow strong movement brings closer to the patient's elbows, bring them in front of the face. The exercise is repeated 3-5 times. Each exercise should be completed by muscle relaxation.

Set of exercises for lower extremities and torso

The proposed complex includes six exercises aimed at stretching the muscles of the upper limbs and the body.
Exercise 1. I. p. - lying on the back. Masseur with energetic movements bends and extensions the fingers of the patient's feet. Exercise is performed 3-5 times. After each exercise, it is recommended to pause in 3-5 seconds.
Exercise 2. I. p. - lying on the back. Masseur with energetic movements extension and flexes at the same time the fingers of both feet of the patient. Exercise is performed 3-5 times. After its completion, an ankle joint mass is massaged, using the intake of stroking, and then make a concussion of the thigh muscles.
Exercise 3.. I. p. - lying on the back. The massage therapist raises the patient's straightened foot as high as possible. The exercise is repeated 3-5 times. After each exercise, it is recommended to take a break in 5-10 seconds.
Exercise 4.. I.p. - lying on the back, hands - to the sides, legs together, bent in the knees. Masseur with one hand fixes the shoulder of the massaged, and the other takes the knees to one, then in the other side. The exercise is repeated 3-5 times. After completing each exercise, a small pause should be made.
Exercise 5.. I. p. - Sitting on the floor, bent slightly, legs straightened. The massage therapist presses the patient's shoulders, which tries to reach the feet. The exercise is repeated 3-5 times. After completing each exercise, it is recommended to pause in 5-10 seconds.
Exercise 6.. I. p. - lying on the stomach. The massage therapist bends and extensions the patient's foot and simultaneously rotates a foot, after which the ionic muscles massages. The exercise is repeated 3-5 times. After completing each exercise, take a break in 5-10 seconds.

Intense massage asymmetric zones

Before making a massage, first of all it is necessary to determine the exposure zones. When performing an intensive massage of asymmetric zones, four: two are isolated on the chest and two on the back. The massage of the back and sternum make alternately in two receptions.
The massage of asymmetric zones starts from the lower sections. First massage areas of the projection of the lower lobes, using such techniques, as kneading, rubbing and intermittent vibration. After that, go to the massage of the left half of the chest, the loin, back and the field of the left blade.
As a rule, it is also possible to carry out such a massage, acting first to the area of \u200b\u200bprojection of the lower share of the left lung and then to the top share of the right.
The full course of massage asymmetric zones consists of 3-5 sessions, each of which should not exceed 30-40 minutes. Between individual sessions it is recommended to make intervals of 3-5 days. Patients suffering from pulmonary heart failure of gravity, hypertension II-III stages, as well as an acute form of lungs and heart disease, the massage of asymmetric zones is not recommended.

Massage aimed at respiratory activation

Massage, activating breathing, normalizes the structure of the respiratory cycle, improves biochemical indicators of blood, etc. In the pathologies of the gastrointestinal tract it must be applied strictly on the prescription of the doctor. It is usually prescribed during the recovery period after the operation, during the development of stagnant phenomena in the lungs (postoperative pneumonia).
This type of massage is aimed at restoring the respiratory function of the person who has undergone operation to the organs of the chest and abdominal cavities. The massage helps to coordinate the work of all the muscles involved in the respiratory process, as well as to improve the quality of the respiratory cycle, to normalize its depth and rhythm, which will result in an improvement in the ventilation of the lungs.
Massage aimed at activating breathing starts with such techniques, as stroking and easy kneading surface of the patient's back. After that, they massage the paravertebral areas, chest, intercostal sections, aperture, breast-curable-bed-like muscles. In conclusion, squeezing the chest in exhalation.
Next, carry a percussion massage in certain light zones. The lower and upper limbs during a massage activating their breathing are kneading, directing movement from proximal departments, after which the biologically active points massage, thereby causing the relaxation of large muscles.
The duration of one massage session aimed at restoring the respiratory process should not exceed 10-15 minutes. A full course of massage consists of 8-15 procedures.

Percussian massage

In the respiratory tract there is a large number of receptors that carry out feedback between the respiratory center and the ventilation apparatus. The main role in the process of respiration is assigned to propriceceptors located in the intercostal muscles. Massage of such muscles leads to the activation of the contractile possibilities of intercostal muscles. This, in turn, leads to the transmission along the spinal cord of pulses, heading from the receptors of the muscular and articular apparatus of the chest to the respiratory center.
The tasks of the percussion massage are the relaxation of the body, the removal of fatigue, the improvement of pulmonary ventilation and blood circulation, the activation of the process of wetting the wet and optimization of breathing in general.
With a percussion massage, the patient usually occupies a sitting or lying position. The masseur puts his hand on the chest or the back of the patient and then inflicts the rhythmic and strong blows of the fist. First massage the chest, and then - plots on the back.
On the chest exposure to the subclavian region and on the site of the lower rib arc, on the back - in the appropriate, inter-tube and subband zones. In this case, massaged areas should be placed symmetrically relative to each other.
Before carrying out percussion massage and after it, it is necessary to confuse the chest and the back of the patient. After that, 2-3 receptions are performed, after which the sternum is compressed with force.
To compress it, the massage therapist must put hands on the lower unit, close to the dia-fragm. In the patient's breath, the massage therapist produces a sliding movement along the intercostal muscles towards the spine, in exhalation - towards the sternum. The reception is completed with the squeezing of the chest. Compressing is repeated for 2-3 minutes.
It is best to carry out this technique, giving the team inhale and "exhale" to the patient. Reception is aimed at squeezing the chest and further irritation of alveoli receptors, light roots and pleura, which causes the activation of the respiratory process.
In order to achieve the maximum result after the percussion massage, you can pre-make a classic healing massage of the back, chest, intercostal muscles, aperture, sternum-clavical muscles using the reception.
The full course of percussion massage is 10-15 sessions, each of which lasts no more than 5-10 minutes. The first sessions are recommended to perform with a frequency of 2-3 times a day. In the future, massage spend once a day.

Periosaal massage

The basis of periosage massage is a breakdown between damaged internal organs and tissues with segments and bones. His developers were Paul Fogler and Herbert Krauss. It was they who noticed that the development of certain diseases of the internal organs determine the changes occurring in bone tissue. Prevent this, in their opinion, can a special massage aimed at the impact on the periosteum, which will improve its trophy and beneficially affect the damaged organ.
During the development of a number of diseases on the suspension, reflex changes are often noticeable: seals, thickening, dystrophy, roughness, resulting on ribs, bertovoy, sacrum and clavicle. Therefore, before you start massaging, one or another area, it is necessary to conduct its visual research and palpation.
Noting the place of defeat, point massage begin to conduct. At the same time use the first or third fingers. A massage session should not exceed 1-5 minutes. During the first procedures, it is recommended to influence 4-5 points, in the future, increasing their number to 14-18.
The intensity of the impact on one or another point depends on the patient's well-being. In the event that it is experiencing a strong pain during the massaging of a certain area on the body, the point of exposure is transferred by 1-2 mm from the pain. However, a proper massage usually leads to a decrease in pain.
If all the techniques were carried out correctly, after completion of the periosage massage on the distilled site, it is possible to observe redness, sealing and swelling. Thus, the body responds to exposure from the outside. Such phenomena should disappear over time.
Periosteal massage is carried out strictly by appointment of a doctor. It can be carried out, combining with other types of massage (classic, point, segmental-reflex). However, there are a number of cases when the periosage massage is contraindicated. These are angina, vegetative dystonia, heart rate disorders and other heart disease.

Pair Massage

The pair massage is that the procedure is carried out at the same time two massage therapist. It is usually used in order to save time, as well as in the treatment of obesity. At the same time, a special vacuum apparatus is most often used.
As mentioned above, the pair massage simultaneously perform two masseuse. At the same time, one of them massifs the patient's body (in the patient's position lying on the back - the chest, the upper limbs and the stomach, in the position lying on the belly - the back and hands), and the other - the legs (in the patient's position lying on the back - the top surface of the lower extremities , in the position lying on the stomach - reverse).
The pair massage is not recommended for the development of the following diseases: paralysis, severe limb injuries and spine, radiculitis, as well as the acute stage of diseases of the lungs and gastrointestinal tract.
One session of the paired massage should not last more than 5-8 minutes.

Hardware massage

The hardware massage is that the impact on damaged organs and tissues is carried out using special devices. Currently, there is a large number of different in appearance, the nature and degree of impact of massage devices.
The main advantage of hardware massage is the saving time and the possibility of conducting the procedure yourself, without a massage therapist. However, on the other hand, during the hardware massage, it is impossible to control the massaged part of the body as it is carried out with a manual massage.
The time of the first apparatus for conducting a vibration massage is correlated with the date of development of mechanotherapy - a special system of physical exercises performed using the devices. The founder of this method of physiotherapy is the Swedish doctor of the city of Zander. However, at the same time, the method of performing physical exercises using special devices also used hertz scientists, Krokenberg, Tilo and Karo, who were the developers of a number of devices for gymnastics and massage.
The basis of the work of each such device is vibration, that is, mechanical oscillations, during which the physical body deviates from the stable position to one, then in the other direction. Vibration is capable of providing a certain impact on organs and systems of the human body, which is widely used in medicine, in particular for massage.
Most often, hardware massage is prescribed in the following cases:
1. Gynecological diseases.
2. Diseases and injuries of various severity of the peripheral department of the nervous system.
3. Chronic nonspecific polyarthritis.
4. Bronchial asthma.
5. Chronic pneumonia (stage of remission).
6. Chronic gastritis with secretory failure.
7. Chronic forms of biliary tract diseases.
8. Intestine dyskinesia.
9. Diseases of the organs of vision.
It is not recommended to carry out a hardware massage under the following diseases:
1. Tuberculosis.
2. Acute infections.
3. Malignant education.
4. Hypertension II and subsequent stages.
5. Cardiovascular insufficiency of II-III degree.
6. Angina.
7. Neurosis.
8. Dysfunctions of the endocrine system.
9. Thrombophlebitis.
The deficiencies of the hardware massage are considered as follows:
1. The area of \u200b\u200bthe massaged section is determined and limited to the incinerated to the massagered area of \u200b\u200bthe nozzle surface.
2. After the hardware massage is completed due to the effects of relatively large impact strength, negative reactions of the body are often noted on the massagered surface.
3. Incorrect location and weak fixation of the nozzle often causes uneven transmission of oscillatory waves with tissues, which adversely affects the body.
4. The massage therapist controlling the massage process must constantly keep his hand on the vibrating apparatus, which leads to a decrease in its attention, the rapid fatigue and fatigue of the body, as well as the appearance of convulsion in the hand.
When conducting a hardware massage to avoid injuries, it is necessary to strictly follow the instructions attached to the device, and the recommendations specified below.
1. As you know, today there are a large number of most different devices intended for vibromassage. The selection of a vibrator of one or another species depends on the area and character of the massagable surface.
To effect on the plots of a relatively large area, flat vibro-massagers are most often used, for massage of the head - massagers with special nozzles equipped with rubber processes, concave vibrators for massage, for massaging of in-depth regions - ball or curved devices.
2. The selection of a vibrator massager of one or another type is largely determined by the intended intensity of the procedure. So, for lightweight massage, it is recommended to use devices with rubber and foam nozzles, and for a stronger impact on the affected areas - with plastic.
3. Hydromassage with vibrating masspers produce in the sitting or lying position. For example, the massation of the lower back is carried out in the sitting position, the legs are bent in the knees, and the impact on the sequins, the stomach, gallbladder and the intestines are made in the lying position on the back.
4. Before inclusion, it is necessary to check how well the nozzle is fixed in a special jack of vibrator massager.
5. The choice of the area of \u200b\u200bthe massing and the effects of the device is determined, as a rule, the localization site and the nature of the damage. With direct impact on the pathology area, massage is carried out:
- in the direction of nervous trunks and vessels;
- in pain points;
- Around the joints.
6. Currently developed two techniques of vibration massage: stable and labile. Both in the first and in the second case, the massage of the damaged area can be carried out using intermittent and continuum vibration techniques.
When conducting a hardware massage on a stable technique, the device or nozzle is fixed in a certain place of exposure and in the future the device does not move. With a massage along the labile method, the nozzles are slowly moving on a certain section of the body with circular or longitudinal movements, performing stroking and rubbing.
7. The time of hardware massage is determined by the nature and localization of damage, as well as the general well-being of the patient to the time of massage and the response of the patient's body to exposure.
8. The duration of the first sessions of the hardware massage should not exceed 8-10 minutes. In the future, the exposure time is increased to 15 minutes.
9. The first hardware massage sessions are recommended to carry out an interval per day. In the future, massage using mass makers can be made up to 2-3 times in a row followed by interval per day. This should necessarily take into account the condition of the patient. As a rule, the number of hardware massage sessions depends on the individual characteristics of each patient and can be 10-15 procedures.
The following types are distinguished in the hardware massage: vibration, pneumatic and hydromassage.

Vibrating massage

Vibration devices are most often used for massage in which vibration receptions are used. As you know, the vibratory reception of the same strength and intensity for a long time is extremely difficult. In this case, special devices can come to the aid of the massage (Fig. 53, 54).
Fig. 53. Vibrating apparatus N. N. Vasilyeva

The vibromassage is based on the transmission by the massaged area on the surface of the skin, and from it - into damaged organs and the tissues of oscillatory waves. The degree of impact of the apparatus on the body is determined by the frequency and amplitude of oscillatory waves, as well as the duration of their impact.
Vibromassage apparatuses are able to have a beneficial effect on nervous cells. It is known that weak oscillatory waves activate the activity of the nervous system, and the strong, on the contrary, suppress.
Fig. 54. Using the electric vibration device

With the help of vibromassage, you can also normalize the function of the vascular system. It is clinically established that vibromassage improves blood circulation and eliminates the dysfunction of the cardiovascular system. As a rule, the impact of weak oscillatory waves contributes to a decrease in blood pressure, and strong - increase its level and increase the number of heart abbreviations.
The beneficial effect of vibromassage also has a respiratory organs, thereby activating the exchange processes in the body. It is noted that after vibromassage, the operation of the neuromuscular apparatus is improved. Thus, massagers have the ability to normalize the work of tired muscles. This is due to their beneficial effect on nervous cells, as well as to the work of vessels and redox processes occurring in muscle tissues.
Vibromassage has a tonic, anesthetic and anti-inflammatory effect. In order to achieve the maximum result, the device should be connected to biologically active points or placed in areas of segmental and reflex zones.
An indication of the hardware massage is the presence of the following diseases:
1. Injuries and diseases of the musculoskeletal system.
2. Diseases of the respiratory system.
3. Diseases of the gastrointestinal tract.
4. Diseases of the nervous system.
5. Osteochondrosis.
6. Radiculitis.
It is not recommended to carry out a hardware massage in the following cases:
1. Heavy spinal injuries.
2. Osteoporosis.
3. ENDARTERIT.
4. Atherosclerosis of the lower extremities.
5. thrombophlebitis.
6. Trophic ulcers.
7. Reino disease.
8. Acute infections.
9. The acute stages of diseases of the internal organs.
As mentioned above, a large number of vibro mass members of different types were developed to date. There are two types of vibration apparatus for massage: local and general vibration.