ABSTRACT
Although it has 100 years since the massage techniques developed by John Harvey Kellogg, an American, were introduced to Japan, not much of them are known today. This paper clarifies the characteristics of his theory and techniques as a method of physical therapy so they can be applied to clinical practices.<br>Our study mainly consists of the review of J. H. Kellogg's “The Art of Massage” (4<sup>th</sup>ed. 1923). These massage techniques, a combination of massage techniques developed in Europe and osteopathy, an original idea developed in the United States, were systematized through his clinical experience at sanitariums over a period of 50 years or more.<br>Always based on strict physiological principles, Kellogg cited three types of comprehensive effects: direct “Mechanical”, indirect “Reflex”, and general “Metabolic” effects. He advocates that external manipulations are effective for building strength in the whole body and activating living power because they not only influence deep tissues of the body by improving general circulation and reactions of the nervous system but also on the metabolic renewal processes of the various parts of the body. He emphasizes these phenomena as the sources of large therapeutic effects.<br>Kellogg's massage techniques consist of seven types of basic manipulations (touch, stroking, friction, kneading, vibration, percussion, and joint movements), each of which is divided into several sub-types of manipulations, which are unique to Kellogg, according to his theory.<br>To improve the usefulness of current medical massage therapy, it is essential to review these unique techniques and apply them to clinical practices.
ABSTRACT
The effect of non-noxious and noxious stimulation of various skin areas on peristaltic movements of the ureter was examined in anesthetized rats. Experiments were performed on 17 rats anesthetized with urethane-chloralose under artificial respiration. Peristaltic movements of the ureter were continuously recorded by means of an electromyogram recording technique on a polygraph, and either pinching or brushing mechanical stimulation for one minute was delivered to a skin area such as neck, chest, abdomen, perineum or hindpaw.<br>Under the resting condition without cutaneous stimulation, regular peristaltic movements of the ureter at a frequency of 18+1/min (mean+S. E.) were observed. The frequency of these peristaltic movements was often increased significantly by noxious cutaneous stimulation to hindpaw, perineum or chest, while it was sometimes excited by the noxious stimulation to the other area, such as neck and abdomen. The non-noxious stimulation of various skin areas, however, did not influence these movements.<br>The increased frequency of the ureteral movements by pinching of hindpaw, perineum or chest after bilaterally sectioning vagal, hypogastric or pelvic nerves persisted, but were totally abolished after bilaterally sectioning splanchnic nerves.<br>It is suggested that splanchnic nerves play a substantially important role as a efferent arc in production of the reflex response of peristaltic movements of the ureter following the cutaneous noxious stimulation.