What stroke pattern is typical for a back rub?

• A. Short, quick, circular motions across the shoulders
• B. Alternating pulling and lifting on the spine
• C. Irregular, pounding strokes along the back
• D. Long, smooth strokes from the lower back up to the shoulders

Answer: (D)

Back rubs use long, smooth, gliding strokes that travel from the lower back up toward the shoulders. This continuous, gentle technique—often called effleurage—helps relax muscles, improve circulation, and promote comfort without pressing or jarring the spine. Short, quick circular motions are not typical for a back rub because they’re more stimulating and can irritate the skin. Alternating pulling and lifting on the spine is unsafe and not part of proper back rubbing technique, and irregular pounding strokes are harsh and uncomfortable. The preferred pattern, therefore, is the long, smooth stroke moving upward from the lower back to the shoulders, covering large areas with consistent contact.