Which type of massage is heat producing, stretches underlying tissue, and increases circulation?

• A. Petrissage
• B. Friction
• C. Tapotement
• D. Vibration

Answer: (B)

Friction massage is the technique that produces heat, helps separate and stretch the tissue layers, and boosts local circulation. It involves deep, small-area rubbing along the muscle fibers (often across them), which generates heat through tissue friction. That heat, along with the repetitive rubbing, helps break down adhesions between fibers and fascia, allowing the underlying tissues to slide more freely. As the tissue is worked deeply, it also stretches the connections between layers, promoting greater pliability and range of motion. The heat and mechanical action together drive increased blood flow to the area, further enhancing circulation.

Petrissage focuses on kneading and lifting tissue to improve circulation and muscle tone, but it isn’t primarily about heating or breaking down deep adhesions. Tapotement is percussion or rhythmic tapping to stimulate nerves and circulation, not about heating or stretching underlying tissue. Vibration uses rapid oscillations to relax muscles and increase circulation but does not emphasize the heating and deep tissue separation that friction provides.