Cross-fibre Friction

  1. The benefit of the cross-fibre frictions
    1. Break down the adhesion within muscle fibres and between structures such as ligaments and tendons
    2. The depth of pressure used is sufficient to cause minor tissue damage and inflammation -> release of histamine and bradykinin -> Vasodilation -> increase blood supply -> accelate tissue repair
    3. Promote the fiber realigned
  2. Indication of the cross-fibre frictions
    1. Subacute and chronic stages of healing to break down adhesions which prevent normal motion.
  3. Assessment
    1. Client feel pain when do active resistence motion,
  4. How to work
    1. Warm up
      1. Heat for 5-10min
      2. Effleurage and petrissage
        1. 3 times kneading
        2. 3 times stripping
        3. 3 times kneading
    2. Assess the adhesion area (tendon) : By active resistance. Find the most tender spot on the tendon
    3. Ask extra consent because it is the painful technique
    4. Remove the oil from client’s skin and therapist’s hands
    5. Reassess the adhesion tendon by active resistance again
    6. Cross fiber friction for 2 min within the client’s pain tolerance level
    7. Flush the area for 30 sec to remove the toxic : super light stroking. Unidirection towards the heart
    8. Repeat the fiber friction and flush 3 times
    9. Passive stretch for 30 sec : no bouncing movement
    10. Ice on the area for 1-2 min to reduce the pain and inflammation
  5. Contraindication
    • not used over peripheral nerves
    • acute injury
    • rhematoid arthritis
    • infective arthritis
    • clients who use of anti inflammatories, anticoagulats, high-dose long term steroid medication
    • peripheral vascular disease
    • fragility of the skin or soft tissue
  6. Common area for the friction technique

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