Back rub technique: which statement describes proper method?

• A. Rake the skin with fingertips
• B. Apply general pressure using both hands from buttocks to back of neck with long firm strokes
• C. Massage in circular clockwise only
• D. Use rapid light taps on shoulders

Answer: (B)

Back rubs rely on long, smooth gliding strokes that cover large back muscles and distribute pressure evenly. The best method uses both hands to apply general pressure with long, firm strokes from the lower back up toward the back of the neck. This creates a continuous, soothing motion that relaxes muscles and promotes circulation, without concentrating force on a small area or using abrupt or tapping motions. Raking with fingertips is too localized and rough, circular motions alone don’t provide the sustained glide that a proper back rub requires, and rapid light taps are percussion movements rather than a back rub. For best results, keep hands warm, maintain even pressure, and move steadily from the lower back up to the neck, adjusting to the resident’s comfort.