Four-handed massage, also known as tandem massage originated in Tibet and requires dexterity and talent of two professional masseurs. Four hands massage is much more relaxing and easier relaxation is obtained. The secret of this success lies in harmony massage therapists coordinate our gestures to create perfectly synchronized movements. During a session of massage 4 hands, brains try to keep touch with reality, trying to follow the movements made by masseurs. If four hands massage, the brain can not follow the movement of the 4 hands and abandon the race, this explains the total relaxation that gives this particular type of massage. 4 hands massage acts in two ways: in the physical world it improves blood circulation and relaxes muscles. The effect of relaxing muscle tension leads to elimination especially in the back and shoulders.