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Benefit of the technique of friction applied on soft tissues. •Summary; One of the techniques and crafts that make up the massage is the manuality of Friction, which aims to mobilize, displace the adhesions that are lodged in the connective tissue such as; microcalcifications, myogelosis. that would be in fascias, muscles in general. That is why we must keep in mind its form of application, precautions or indications both in form and intensity, pressure, rhythm. Description of the friction technique. This massage technique can be applied on the surface of the skin, with variable, medium or deep intensities, always bearing in mind the indications and contraindications of the technique. Direction of the technique of Friction. This technique of friction can be applied on the surface of the skin in various directions; Circulars, Transversal to muscle fibers, or following muscle tissue, these will be the most used by therapists. This manual must be applied with an intensity that goes from the superficial to the deep, to the extent that the injury requires it, avoiding any reaction related to the defense of muscle contraction, in addition to circulatory injuries caused by malpractice. The craft must be executed with a rhythm that can be accompanied by gestures. General benefits of the friction technique. The application of friction unleashes a series of physiological responses such as the mobilization of substances such as calcification that are adhered between the muscle fibers and in the cases of the joints around them, for example; (rheumatisms) The changes observed in these cases the adhesions in articulation is significant, the manuality of the pressure in the friction must be exerted in a smooth way. in order to avoid unwanted reactions. Release of adhesions. The release of adhesions that we can find in the soft tissue in a superficial way by means of the application of friction, must be executed with the middle or ring finger, it rests on the adhered tissue and makes movements and turns with the hand in different directions, in the case that we are treating myogelosis. • The frictions applied to the muscular fascias, edematous states, adhesions between muscular fascias and tendon or between fascia and periosteum. • The application of the technique of friction on the states of adhesion should be used with preparatory or support for the manual techniques of kneading or petrissage. • Soft tissues compromised with adhesions such as gelosis or myogelosis, will not only be located in muscle areas, but can also be found in fascias. For a good application of friction we must handle a refined technique the inclination of the hand must be in a range of 25 to 30 degrees in order to apply the pressure, adequate rhythm, with the purpose of separating the adhesions, greater inclination between 45 to 60 degrees will cause possible tissue or circulatory damage with bruising. • The stroke made in connective tissue massage is very different, where the inclination is 45 degrees, only the pressure and the subdermal drag that occurs with the technique where the middle or ring finger pulls the connective tissue causing an increase in hyperemia or red, this reaction causes the tissue texture information to be modified by means of the autonomic nervous system, reducing the intensity of the contraction that was had in the first instance, which is why it must be performed from a lower intensity to a higher one (always respecting the pain of the person), with the respective precautions. Direction of the movement. The application of the friction technique on myogelosis. The palpation of these adhesions or hardening that can be located on the lateral edges of the muscles, for example; lateral edge of the quadriceps, extension of the iliotibial tract, edges of the deltoid, biceps, triceps, edges of extensors, pronators and supinators of the forearm and leg. Effects of the friction technique on the nervous system. In the case of performing the strokes of the friction near the spine, it will respond to the autonomic nervous system (Sympathetic - Parasympathetic) in a reflex manner. In the case of a mechanical dysfunction as a compromise of the sciatic nerve, the person with lateral ulna will be located in the fetal position, on the non-radiated pain side, if the stroke is applied from the base of the root involved in this case near L3 and thus continue the whole route the application of friction anger separating the compression of the nerve also releasing biochemical substances that will allow a relief of compression. We must also keep in mind some premises in the application of friction techniques. • We will not apply friction in high pain states • We will not perform the friction technique in a neurological lesion. • The intensity of the frictions should always be gradual from the softest and its pressure with the utmost care, taking into consideration the quality of the skin at an older age, it is modified (more stiff, little elasticity, lack of water). • If the manuality of the friction is painful and with muscular contraction, the application should cease immediately. Types of friction. • Transverse Friction; These will be done with the hand and fingers separated or somewhat separated, the fingertips, these perform small circular movements of this form are moving on the connective tissue and deep structures, the pressure that is exerted must be continuous throughout the movement of friction. • Friction with the Thumb; This craft can be applied on the surface of areas that are often more difficult to work for other fingers and requires one with more power, we can use in the back muscles as for vertebral, tendons (patellar, supraspinatus, infra thorny on shoulder). • In epicondylitis, the creator of this deep transverse massage technique was the English Orthopedic physician Sir James Cyriax, a great promoter of this technique that provides so many benefits in the active recovery of people. Conclusion. The benefit of the friction technique in the release of adhesions, mobilization and thus allowing the recovery of soft tissue structures, compromised in the joint and muscular limitation caused by accidents or traumas. Then the good praxis of the therapist and its application in the well being of the person will depend. Author; Jaime Valenzuela C. Quiromasajista and Osteopata. Physiotherapy clinic in Tambaram Are you Looking for Physiotherapy Treatment in Tambaram, Sunshine Super Speciality Physiotherapy Clinic, We Provide Electrotherapy, Exercise and Manual Therapy, Orthopedic, Neuro, Cardio, Pediatric, Sports and Geriatric Rehabilitation, Post Operative Physiotherapy Treatment, Fracture Rehabilitation, pain free movement. SUNSHINE ® SUPER SPECIALITY PHYSIOTHERAPY CLINIC - #DrParthiban #Sunshinephysioclinic.in #Physiotherapyclinicintambaram #Physiotherapyclinicnearme DR.M.P. PARTHIBAN.M.P.T (Ortho), Chief Orthopedic Physiotherapist, Call for Appointments: - 9345122177 East Tambaram, CHENNAI