Page 81 - วารสารปีที่16ฉบับที่2
P. 81

253



              the effects of applying pressure to the same  The BLs

              lines and points of the abdominal and back      The first direction of CTTM was usually
              regions. The presence of organs, muscles,   from caudal to rostral of the body. Except

              arteries, nerves and bones were recorded    nap practice massage was from rostral to
              photographically.                           caudal.
                                                              After dissection, RWL and RNL were
                              Results
                                                          shown in three similar layers (superficial to
                   The averages of the force pressure value  deep structures). In the first layer, these lines

              (kg) of one researcher during massage along  ran along the ileum, transverse colon and the
              the points and lines in the volunteers are re-  body part of stomach. In the second layer,
              ported in Table 2 (Figure 1). The averages of  the lines corresponded to the superior me-

              a force pressure value were used to estimate  senteric vein (SMV) draining into the hepatic
              the depth structures in relation to BLs, MPs  portal vein. In the third layer, both lines ran
              and SPs in this study.                      parallel to the inferior vena cava (IVC) and

                   In the participants, tympanic percussion  the anterior surface of vertebral bodies L3 to
              and auscultation at BLs, MPs, and SPs found  T10 level from caudal to rostral (Figure 8 and
              a bowel sound in the abdominal region and a  Table 3).

              dull tone in the back region. The anatomical    In cadavers, LWL and LNL were similar
              structures in the cadavers did not differ be-  in the three layers (superficial to deep struc-

              tween male and female.                      tures). In the first layer, these lines paralleled
                                                          the jejunum, transverse colon and the body
                                                          part of stomach. In the second layer, the lines

                                                          corresponded and paralleled the superior
              Table 2 Showing averages amount of pressure mas-
                     sage (kg) and S.D. in the volunteers (n = 6)  mesenteric artery (SMA) that supplied blood

                                                          into the small intestine. In the third layer,
               Points and lines              mean (kg)
                                                          both lines paralleled the abdominal aorta
               1) WL and NL                  4.8 ±0.38
                                                          (AbA) and the anterior surface of vertebral
               2) LB                        10.6 ±0.68
                                                          bodies L3 to T10 level from caudal to rostral
               3) LS                         8.5 ±0.36
               4) MPs                        4.8 ±0.38    (Figure 9 and Table 3). These were confirmed
               5) ASP 1-4                    6.5 ±0.40
                                                          by pressing on these lines in volunteers, which
               6) ASP5 (Poed Pratu Lom point)  4.6 ±0.25
                                                          caused decreased dorsalis pedis arterial pulse.
               7) BSP 1-5                  12.5 ±0.37
                                                              There were different structures between
   76   77   78   79   80   81   82   83   84   85   86