Any stroke that glides over the skin without attempting to move
the muscle beneath. Apply firm even pressure. Effleurage strokes
are usually directed toward the heart.
- Is used more than any other stroke
- Usually begins and ends each treatment
- Used as a bridge between many strokes
- Accustoms the patient to the touch of the operator
- Allows the operator to search for areas of spasms and
soreness
- Allows the operator to become familiar with the condition of
the patient's muscles
- Increases circulation to the skin and more superficial
muscles

Bilateral Effleurage
Start at the lower back with one hand on each side of the spine.
Go towards the upper back, all the way to the shoulders. While
returning to the lower back go along the sides of the back. To
give a deeper massage lean your body weight into the massage.

Alternating Hand Effleurage (Shingles)
Start with one of your hands to the side of the spine at the lower
back. Move that hand forward 6-8 inches and then follow it with
the other hand. Remove the hand that is in the front and place it
behind the other hand. Do this several times to slowly work your
way up the back (to get to the top of the back should take atleast
12-14 cycles).

Raking
Start with your fingers besides the spine at the bottom of the rib
cage. Have one finger inbetween each rib with your lower finger
between your last rib. With your fingers inbetween the ribs
follow the ribs all the way down to the side of the back and then
return back to the spine. Repeat this all the way to the top of the
rib cage. Move up one rib at a time

Nerve Strokes
Lightly run your fingertips all over the back