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Anatomical Locations in the Upper Limbs that Correlate with the

Basic Massage Lines and Signaling Points of Nuad Thai

*
Narongsak Chantawang , Kritsana Homwutthiwong, Nootchanat Mairuae,
Surashate Khongsri, Weerachai Raomad, Natthapol Lapyuneyong
Faculty of Medicine, Mahasarakham University, Nakhon Sawan Road, Maha Sarakham 44000, Thailand
*Corresponding author: narongsakchantawang@gmail.com

Abstract
This study aimed to identify anatomical structures and locations, from superficial to deep layers, that
correlate to basic massage lines (BLs) and signaling points (SPs) in the upper limbs (arms and shoulders)
based on the court-type Nuad Thai. This was achieved through bimanual palpation of two healthy volunteers
and the dissection of ten upper limbs of cadavers. The study was performed in the Anatomy Laboratory at
Mahasarakham University Faculty of Medicine. The results showed that Poed Pratu Lom (‡ªî¥ª√–μŸ≈¡)
points in the upper limbs correspond to brachial arteries that run between and along the upper arm muscles
and nerves brachial plexus running through the lower arms. The BLs correspond to the longitudinal muscles
from the muscular origins to the muscular insertion, as well as the arteries and nerves between the muscles.
The basic points for shoulder massage correspond to the vessels and nerves entering the underneath in-
fraspinatus muscle. SPs run in the same direction as the blood vessels, where the artery and nerves disappear
into the hands through the wrists. The location of the SPs correspond to the muscular origins, where the
arteries and nerves penetrate into the muscles, and where the nerves travels between the muscles and
associates with the elbows and shoulder joints. In conclusion, upper limb BLs and SPs used in court-type
Nuad Thai (Thai traditional massage) are associated with or closely related to important muscle anatomical
structures, especially blood vessels, nerves, muscles, and joints.

Keywords: Nuad Thai, basic massage lines, signaling points, Poed Pratu Lom (‡ªî¥ª√–μŸ≈¡) points

Received date 30/08/16 Accepted date 30/05/17

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