The thigh is the segment of the lower limb between the knee joint and the coxofemural joint.
The thigh has the shape of a cone trunk with the bottom up.
On the front side, the following muscles are available: tensor fasciae latae, sartorius, femoral quadriceps, iliopsoas, gracilis, pectineus and the adductors (from the side to medial).
In the super-medial part under the inguinal envelope, the masseur must carefully handle the Scarpa triangle, an anatomical formation delimited by: sartorius, middle adductor and aponeurosis of the abdominal oblique muscle.
In this triangle, the femoral artery and the femoral vein, the deep femoral artery, as well as many lymph nodes and lymphatic vessels, pass through.
The sartorius muscle, the longest muscle of the body, diagonally passes the anterior face of the thigh and sits on the medial face of the upper extremity of the tibia.
The femoral quadriceps muscle has four heads of origin: rectus femoris, vastus intermedius, mastus medialis, and vastus lateralis, that join together and end on a strong tendon called the rotulian tendon.
Pectineus muscle – is a deep muscle, superior to adductors.
On the back, the skin is also very mobile except for the outside. The muscles of this region are: semitendinosus, the long section of the femoral biceps, semimembranous and short section of the femoral biceps. Between the long head of the femoral biceps and semitendinal and semimembranous muscles (located medial) is the sciatic nerve.
Position of the subject – dorsal or ventral decubitus, as we will perform the anterior or posterior thigh massage.
Position of the masseur – standing right or left sideways, depending on the maneuvers used and the position of the thigh.
- Introductory smoothing – is performed with the palm faces of the hands, from the knee to the bottom of the lower limb, in the following sequence:
– simultaneously long;
– long alternative;
– medium alternative;
– short alternative.
In children or, in exceptional cases, in adults – in case of low thigh size, short alternative maneuvers can be performed once over the entire circumference of this segment.
The large thigh dimensions, as well as the sensitivity of some subjects at this level, give us the possibility to perform “traditional” maneuvers of smoothing with fists.
- Friction – thigh dimensions require friction with the following technical features:
– the cubital edge – simultaneously with both hands;
– the root of the hand;
– the palm face of the hand;
– the bones of the fist.
Once these simple forms of friction have been performed, it is also necessary to combine them.
We will insist with friction at the level of the joint capsule at the two mentioned points, respectively at the origin of the sartorius muscle on the internal part, as well as between the big trochanter and the sciatic tuberosity.
Also, concentric or eccentric circular friction with the fingertips of two to three fingers at the projection line of this nerve will be performed.
- Kneading – will apply both in its “traditional” and “special” form:
– traditional or cut-thrusting requires the thighs to be approached in three areas: lateral, medial, and median;
– kneading with fists – if the thighs are large;
– special shape kneading is executed in circular and winding form – we recall that the meaning of these two special forms of kneeling is always centripetal.
Secondary maneuvers – cracks and calmps can be executed. The difference lies in the type of grip which it is being executed. If the type of grip is small in case of pinching, the clamp requires the use of the big grip. The noise attesting to the correctness of the maneuvers consists of a “flick”.
- Vibrations – will be applied in simple or associated with mild pressures, the forearm being perpendicular to the mass surface. It will insist on the sciatic nerve surface.
- Tapping – applying tapping should be done in accordance with the methodical rules of observing the length of muscle fibers and interfering with smoothing maneuvers to intercalate the exciting effects of tapping. Also avoid the Scarpa area as well as the popliteal floor.
The applicable maneuvers are:
Secondary maneuvers – rolling and sieving.
- Ending Smoothing (final effleurage) – consists in resuming the introductory smoothing maneuvers in their “traditional” form, in reverse order: short, medium, long, simultaneous long alternatives.
The rhythm and intensity of maneuvers will gradually decrease.
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