Department of Education

SCHOOLS DIVISION OF CITY OF MEYCAUAYAN

Pag-asa St., Malhacan, City of Meycauayan, Bulacan

Learning
Activity Sheet 10
in 00
TLE (Wellness Massage)
Third Quarter-Week 4
Apply Wellness Massage Techniques
TLE_HEWM10WT-IIId-3
 Basic Manipulations of Massage (Petrissage)

LO 2. Apply wellness massage techniques

Objectives:

1. define petrissage;
2. be familiar with the different strokes of petrissage; and
3. demonstrate basic manipulations, body works techniques and strokes
of petrissage.

Code: TLE-HEWM10WT-IIId-3

After having been familiar with and mastered effleurage and its strokes
you are now ready for the next manipulation called petrissage.

What is Petrissage?

 It comes from the French word, pétrir, which means 'to knead'.

 Is generally used to have a deeper effect on soft tissue than effleurage

 Includes kneading, squeezing, picking up, shaking (and other

techniques described as wringing and rolling, which achieve much the
same results).

 It lifts tissues away from structures to relieve tension and stretches and
loosens muscles fibres.

 It also stimulates the skin including vascular and lymphatic responses.

 The muscle should be lifted and stretched gently from the bone, and by
alternate squeezing and relaxation, the veins of the lymphatic vessels
are emptied and filled.

 Commonly use the bottom V of the palm when doing the manipulation.

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Therapeutic effects of petrissage
1. Increases the blood supply
2. It eases swelling.
3. It relieves intestinal congestions.
4. Removes toxins, elimination of fatigue products. Reduces the feeling of
stiffness after exertion.
5. Helps weak muscles contract.
6. It hastens elimination.
7. It increases cellular respiration.
8. It stimulates nerve endings.
9. It increases nutrition, size and strength of muscles.
10. Improves elasticity and tone of muscles
11. Muscle shaking helps identify scar tissue
12. Stimulates the nerve endings
13. Finger and thumb rolling improve the elasticity and tone in the dermis.

Contraindications
1. Not on areas that are hairy
2. Abdomen when distended
3. Client weak or feeble

TECHNIQUES

Picking-up
 The muscle is grasped firmly with either one or both hands of the
practitioner.
 The hands are placed in a position to allow the muscle to be lifted
between the fingers and the thumbs of each hand, the hand being
placed firmly on the muscle, and the lift being applied by contraction of
the therapist's fingers and thumbs.
 Note that the fingers should not slide over the patient's skin towards
the thumb as there is a danger of nipping or pinching the patient's
flesh.
 The muscle must be lifted and stretched as far as possible from the
bone. While maintaining the contact of the hands-on the point, the
pressure is released allowing the muscles to fall back into a normal
position, thus alternately, lifting and relaxing the muscle. The thumb
must be well outstretched and the palm of the hand plays an important
part in the lifting.
 Lifting (picking-up) alone is used mainly on the limbs.

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 Squeezing
 Once the lifting has succeeded in loosening the muscles, then a gentle
squeezing of the muscles is carried out, the pressure being applied in the
direction of the venous return. Squeezing helps relieve muscle in spasm.

Wringing
 The muscle having been "picked-up" is then "wrung out" using a figure-of-
eight movement. The hands move quickly and efficiently, one hand
picking up the muscles between palm and thumb, and the fingers of the
other hand acting on the muscle at the same time.

Rolling
 The muscle is rolled transversely in both directions by a rolling first of the
thumbs towards the fingers, then with the fingers, rolling the tissue
towards the thumbs. The thumbs and the fingers should not merely slide
over the skin towards each other, but the tissue should be lifted and
rolled.

Kneading
 is a circular manipulation, performed so that the skin and subcutaneous
tissues are moved in a circular manner on the underlying structures. It is
a compressio0n type movement. The manipulations may be performed
with the palm only, with all the fingers, with the pads (or tips) of the
thumb or the fingers. Whatever the area used, a circle is described by the
part of your hand in contact, with pressure on the upper part of the circle,
but only for a small segment. The actual range (or number of degrees) for
which pressure is exerted varies with the part treated. Pressure emphasis
is in the direction of the venous blood return to the heart.

Muscle-Shaking
 This manipulation is used mainly on the thigh muscles. The hands on
either side of the muscle belly, it is rapidly shaken from side to side as
you traverse the length of the muscles, avoiding contact with the
underlying bone.

STROKES OF PETRISSAGE

All the strokes in this group apply pressure to the tissues, but each
stroke differs in technique. The true kneading stroke applies pressure to the
tissue and moves them over underlying bone in a circular movement. However,
other strokes have evolved where the tissues are lifted away from the bone,

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squeezed and then released. Some of the strokes in this group are quite
difficult to perform and much practice is needed to perfect them.

1. ONE HANDED

 a stroke that uses the entire hand or palm to lift the tissue and roll it
away from the bone, then back towards the bone using a squeezing,
compressive action.

 Well suited for small muscular areas such as arms, top of trapezius.

 It may also be used to address the larger muscular areas such as the
back.

https://bit.ly/34LqptJ

2. TWO-HANDED PRAYING HANDS

 a stroke that uses the heels of both hands, while the fingers are
interlaced, to squeeze and release the tissues.

 this is usually applied on the length of the upper and lower extremities
or on the back.

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 https://bit.ly/34LqptJ

3. TWO-HANDED OCEAN WAVE

 a stroke done using both hands to compress and lift the tissues while
simultaneously moving in opposite directions.

 One hand pulls the tissues up and squeezes them as they roll out of
one’s hand; while the other hand prepares to repeat the process.

 It is typically applied across a larger muscular area like on the back.

 It is performed perpendicular to the spine.

https://bit.ly/34LqptJ

4.FULLING
 a stroke done by using both hands along a muscle to compress and
spread out the tissue laterally away from the therapist's body and lift the
muscle as they return.

 It is effective for broadening muscles and stimulating muscle

contraction.

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 https://bit.ly/34LqptJ

5. SKIN ROLLING

a stroke that uses the fingers and thumbs to grasp, lift and compress the
skin and superficial fascia, and involves the rolling of the skin as the
fingers and thumbs move across the treatment area.

maybe done in several directions such as diagonally or transversely.

 It is one of the few massage techniques that may be applied over bony
areas.

Roll the skin as though you are rolling a dough using your fingertips to
scoop up the skin as you move across the area.

https://bit.ly/34LqptJ

6. ALTERNATE HAND
 Lift the skin and underlying muscle with one hand and compress,
lighten the grip to muscle tissue to be released while remaining in
contact with the skin.
 It is done to stimulate the nervous system and improve cellular
nutrition.

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 https://bit.ly/34LqptJ

Watch this video for the full demonstration on the manipulations of petrissage.
https://youtu.be/1opO1-5Xqko

ACTIVITY 1: PICTURE DEFINITION

Directions: Identify the strokes of petrissage being shown and briefly define it
in your own understanding. Write your answers on a separate sheet of paper.

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 ACTIVITY 2: CROSS WORD PUZZLE

Directions: Complete the crossword puzzle using the clues below. Write the
answers on a separate sheet of paper.

1 H D

2 E G

4 A I

Across:
1. a stroke that uses the entire hand or palm to lift the tissue and roll it
away from the bone, then back towards the bone using a squeezing,
compressive action
2. it comes from the French word, pétrir, which means 'to knead
4. a stroke that uses the heels of both hands, while the fingers are
interlaced, to squeeze and release the tissues

Down:

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 1. a stroke done using both hands to compress and lift the tissues while
simultaneously moving in opposite directions
3. it is done like your rolling a dough using your fingertips to scoop up the
ACTIVITY
skin as you move across 3:theCOMPLETE
area ME UP!

Directions: Fill in the missing word to complete the idea. Write your answers
on a separate sheet of paper.

___________comes from the French word, pétrir, which means 'to _________.

It includes kneading, _____________, picking up, shaking and other techniques.

One of the therapeutic effects are ______________ the blood supply
_____________ elasticity and tone of muscles

ACTIVITY 4: LET’S PRACTICE!

Directions: Perform manipulations of petrissage to any adult member of the

family. Do it on the back body of your client.

Criteria Total Score Score

Mastery 10

Duration 5

Pressure 5

Comments/Suggestions of the client: ______________________________________

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Client’s signature over printed name

References

Movements in Massage . Aroma Therapy and Sports Massage Therapy

Education. December 29, 2020, from
http://www.aromatherapyandsportsmassagetherapyeducation.com/uplo
ads/8/4/1/0/8410261/movements_in_massage.pdf

Performing Swedish Massage LESSON 5: Basic Manipulations and Strokes

Retrieved December 29, 2020 TESDA Online Program . December 30,
2020 Retrieved https://www.e-tesda.gov.ph/mod/hvp/view.php?
id=1195

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 All Rights Reserved
2020

ACKNOWLEDGEMENT

CAROLINA S. VIOLETA, EdD

Schools Division Superintendent

JERRY D. CRUZ, PhD, CESE

Asst. Schools Division Superintendent

DOMINADOR M. CABRERA, EdD

Chief, Curriculum Implementation Division

EDWARD C. JIMENEZ, PhD

Education Program Supervisor- LR Manager

RAMILO C. CRUZ, PhD

Education Program Supervisor, EPP/TLE/TVL

LOUIE P. DEL ROSARIO

KLEAVHEL C. FAMISAN
KATTIE ALISON L. MACATUGGAL
Content/Language/Layout Editor

AMILOU S. MORANTE
Developer/Writer

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