Massage Therapy Journal Winter 2024

48 • Massage Therapy Journal

AMTA Continuing Education

applying the technique again. These strokes should overlap. The scoop technique is often described as the giving technique because there is a continuous movement of the hand without a distinct break of the pressure and relaxation phase. This technique is only applied at the extremities. The wrist starts with a palmar flexion while the thumb and index finger have contact with the lateral surface of the extremity. The wrist then rotates, creating a corkscrew movement of the wrist and hand so that the palm and fingers are parallel with the longitudinal axis of the extremity. This skin stretch is pulling on the anchoring filaments of the lymph capillaries. At the end of this movement, a final skin stretch is applied to encourage the emptying of the lymph vessels. The rotary technique is mainly applied to flat surfaces of the body, such as the anterior and posterior trunk. Initially, the hand is raised with finger pads and thumb pad placed onto the skin facing the direction of desired drainage in a tent like shape. The hand is then lowered so that the entire surface of the palm is in contact with the skin. At this point, the thumb is abducted and

as the pressure is applied to drain the skin in the desired direction, the thumb adducts to meet with the hand. The relaxation phase starts with the lifting of the hand while keeping contact with the thumb pad. To start the movement again, pivot the fingers forward and apply the technique again. Benefits and Contraindications of MLD MLD is a gentle massage technique specifically focused on supporting the functions of the lymphatic system and at the same time has a powerful effect on the nervous system. The technique can be used as a whole-body treatment or localized to a particular area. When considering if MLD is appropriate for your clients, consider the following possible benefits: Encourages absorption of lymph fluid. The gentle stretching of the skin acts on the anchoring filaments of the lymphatic capillaries located in the interstitium, increasing the rate of movement of interstitial fluid into the lymphatic system. Enhances movement of fluid in the lymph collectors. As a result of increased absorption, the lymphatic load increases and creates an

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