Massage Therapy Prescription for Stroke
Stroke is categorized into ischemic and hemorrhagic types. Ischemic stroke includes cerebral thrombosis, cerebral embolism, and cerebral vascular spasm; hemorrhagic stroke includes cerebral hemorrhage and subarachnoid hemorrhage. Stroke commonly affects middle-aged and elderly individuals. Prior to onset, patients often experience dizziness, fatigue, numbness in limbs, or have a history of cervical spondylosis or hypertension.
Ischemic stroke patients typically exhibit sudden collapse, foaming at the mouth, facial deviation, limb convulsions or flaccid paralysis, followed by hemiplegia (one-sided paralysis) within a day or several days after onset.
Massage therapy for stroke has bidirectional regulatory effects (including thrombolysis and hemostasis), can relieve cerebral and cervical vascular spasm, and reduce intracranial pressure. Many people only focus on massaging the limbs when treating stroke patients, resulting in poor outcomes. Below is a recommended massage method for stroke:
Massage Procedure: Begin with the shoulders, neck, and head/face, then proceed to the back and waist, followed by the upper and lower limbs and chest/abdomen. Start with light pressure and gradually increase intensity.
Frequency: Perform once daily, each session lasting about 1 hour.
Technique: During the first week post-onset, position the patient supine with the head and upper body slightly elevated relative to the lower limbs; later, positions may include supine, lateral, or sitting.
Head and Neck Massage: 1. Use fingers to pinch and knead the trapezius muscle and related Du Meridian, Bladder Channel, Large Intestine Channel, and Triple Burner Channel in the shoulder-neck region; 2. Use fingers to massage muscles and acupoints such as Tianzhu, Yameng, Fengchi, Jianjing, and Lianquan in the shoulder-neck area; 3. Use fingers to massage muscles and acupoints such as Baihui, Xuanhui, Yintang, Taiyang, and Renzhong on the head and face.
Back and Waist Massage: Use fingers or the heel of the hand to rub the erector spinae, quadratus lumborum, spine, and related Du Meridian and Bladder Channel.
Upper Limb Massage: Use fingers to pinch and rub the muscles of the affected upper limb and acupoints such as Tiance, Quze, Shousanli, Wai Guan, Nei Guan, and Hegu.
Lower Limb Massage: Use fingers to pinch and rub the muscles of the affected lower limb and acupoints such as Xuehai, Zusanli, Weizhong, and Yongquan.
Chest and Abdominal Massage: Rub the muscles of the chest and abdomen and acupoints such as Huagai, Yutang, Shanzhong, Zhongwan, TianShu, and Qihai.