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TAPOTBMENT.
Tapotcment means hacking or beating. The muscles princi-
pally in action are sometimes the flexors and extensors of the
hand (palmar and dorsal) ; sometimes the radial and ulnar
flexors. There is movement at the elbow. The joints of the
wrist and hands are to be kept loose, no matter what kind of
tapotement is given. This renders the manipulation less hard
and more elastic ; the hand is heavier, and thus the effect of the
stroke goes deeper.
The position of the hand, and the part of it which comes in
contact with, the body, must vary with the regions operated on.
The positions in which the patients are placed for the more
advantageous application of this manipulation are generally :
For the Back.—The patient may lie face downwards (as in
Fig. 10.
fig. 10), when frictions over the sensory nerves precede the
manipulation, or he stands up slightly bending forwards, with his
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