3438
THE NEW ZEALAND GAZETTE.
[No. 86
GENERAL SCOPE OF EXAMINATION.
(a.) Written examination in (1) Anatomy and physiology ; (2)
theory of massage and medical gymnastics : (3) treatment.
(b.) Viva voce examination in anatomy and physiology.
(c.) Practical examination in (1) General massage and care of
patient ; (2) massage and medical gymnastics ; (3) injuries—
bandaging and splinting.
The practical examination will include massage, fundamental and
derived positions, passive and active movements, and the carrying-
out of remedial exercises for special cases.
(d.) Written, oral, and practical examination in medical electricity.
DETAILED SYLLABUS.
History, Theory, Aims, and Therapeutic Value of Massage and
Movement, and Contra-indications.

1. EFFLEURAGE (centripetal stroking) : (a) superficial; (b) deep.
   N.B.—Stroking may be done other than centripetally, and is
   not then classified as effleurage (see later).
2. PETRISSAGE : This includes picking up, kneading, and all
   squeezing manipulations--e.g., arm and leg kneading, back
   kneading, with flat hand and wringing manipulations.
3. FRICTIONS : Small circular manipulations with pressure, with the
   object of breaking down adhesions or infiltrations. These must
   be distinguished from muscle-kneadings over small areas.
4. TAPOTEMENT OR PERCUSSION : Hacking, clapping, pounding,
   beating.
5. SHAKINGS as distinct from vibrations.
6. VIBRATIONS : Soothing and stimulating.
7. STROKING : In any direction, as distinct from effleurage.
8. NERVE MASSAGE : Striking ; vibrations (running and static) ;
   frictions (light and deep) ; pressures, tapotement ; nerve
   stretching.
9. PASSIVE MOVEMENTS of joints, and their effects.
10. ACTIVE MOVEMENTS : Assisted, free, resisted ; concentric, eccentric,
    and static muscle-work ; paths of movement ; axes and planes
    as applied to the human body ; types of lever ; general and
    special effects of exercises ; fundamental and derived positions ;
    the grouping and progression of exercises.
    General Care of Patient.
    Taking of temperature, pulse, respiration ; splinting, bandaging ;
    fomentations ; compresses ; application of sterile dressings ; removal
    of strapping ; prevention of pressure sores ; use of cradles ; lubricants ;
    general care of skin ; etiquette.
    Anatomy (Old or New Terminology accepted).
    BONES.-General structure, surfaces, borders ; important liga-
    mentous attachments, muscle attachments, growth of bone, epi-
    physial cartilages or long bones of extremities, but not the actual
    years of ossification ; small bones of hand and foot to be learnt arti-
    culated only; os calcis and astragalus to be taken in detail.
    SKULL.-Names and positions of bones only ; occipital bone and
    mandible disarticulated ; foramina of all cranial nerves and main
    vessels.
    Joints.-General classification ; gross structure of each joint ;
    movements in the joint and their limitation ; axes ; articulations of
    vertebral column, ribs, pelvis, and jaw in detail ; hand and foot
    articulated only ; chief relations.
    Muscles.-General arrangement of deep and superficial fascia ;
    Position, origin, insertion, action, and nerve-supply of skeletal
    muscles, their general shape and direction of fibres. Not required in
    detail : Muscles deep to second layer of back muscles ; muscles of
    pelvic floor, except levator ani ; prevertebral muscles ; lateral
    muscles of neck (excepting sterno-cleido-mastoid and scalenti). Exact
    attachments of small muscles of hand and foot not required, but general
    position, action, and nerve-supply must be known.
    MUSCLES OF FACE.-General position only of the following :
    Masseter, buccinator, occipito-frontalis, temporal, and sphincters of
    mouth and eyes.