Which massage stroke is most appropriate to begin treatment for an anxious patient learning about soft tissue massage?

Effleurage is considered the most appropriate massage stroke to begin treatment for an anxious patient learning about soft tissue massage due to its gentle and soothing nature. This technique involves long, gliding strokes that can help establish a sense of comfort and relaxation, which is particularly beneficial for someone who may be feeling anxious about the massage experience.

Beginning with effleurage allows the therapist to introduce touch in a non-threatening manner, helping to acclimate the patient to the massage environment. The rhythmic nature of effleurage can also promote relaxation and reduce tension, which is essential for an anxious individual who may struggle to unwind.

In contrast, the other techniques such as vibration, petrissage, and tapotement are generally more vigorous or stimulating. Vibration may cause an increase in muscle tension before relaxation can be achieved, petrissage involves kneading that may feel intense, and tapotement consists of percussive movements that could easily be overwhelming for someone who is already anxious. Therefore, starting with effleurage sets a calming tone for the session and encourages a positive experience in the context of learning about soft tissue massage.