• Effleurage


  • Slow rhythmical gliding strokes in the direction of blood flow maintaining continuous contact.

Clinical Application

  • Introduction of touch
  • Spreads oil or lotion
  • Finishing stroke
  • Ensure hands are relaxed , flexible
  • Heavier pressure on upstroke and lighter on the down stroke


  • Begin and end treatment
  • Palpation assessment
  • Sluggish circulation
  • Edema
  • Muscle tension
  • Pain control
  • Prevents adhesions and fibrosis


  • High blood pressure
  • DVT/varicose veins
  • Unhealed wound
  • All local and general CI’s

Physiological Effect

  • Increase superficial blood flow
  • Increases blood pressure initially then decreases
  • Increases permeability
  • Increases lymphatic flow/ decreases edema
  • Stimulates large mechanoreceptors which modulates pain