. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. 39.—Effleurage of abdomen. same time till they meet in the middle line of the abdomen(Fig. 39). This movement is repeated several times andusually followed by a few gentle stroking manipulations overthe flanks and the middle abdomen. Then kneading is donein a systematic manner over the whole of the abdomen,beginning at the right lower quadrant. This is done for thelateral parts by the left hand pushing and lifting the flankingmuscles and viscera up and forward, while the right hand,especi
. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. 39.—Effleurage of abdomen. same time till they meet in the middle line of the abdomen(Fig. 39). This movement is repeated several times andusually followed by a few gentle stroking manipulations overthe flanks and the middle abdomen. Then kneading is donein a systematic manner over the whole of the abdomen,beginning at the right lower quadrant. This is done for thelateral parts by the left hand pushing and lifting the flankingmuscles and viscera up and forward, while the right hand,especially the heel of the palm, describes kneading, rolling,and grinding movements. These manipulations are at firstsuperficial, but become gradually deeper, until one hand can ABDOMEN 107 distinctly feel the other through the abdominal wall when thepatient is not too fat (Figs. 40 and 41). In spite of the. Fig. 40.—Kneading of abdomen.
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