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TAPOTEMENT. 25
hands steadied, say against a wall. In both positions it is neces-
sary to see that the chest is not compressed by a too near
approximation of the arms to each other. They are never to be
nearer than the transverse diameter of the thorax.
For the Liver.—The patient either has the hands folded
behind his neck, as in fig. 11, or with the right arm stretched
up, as in fig. 28.
Fig. 11.
For the Lumbar Region.—The positions are the same as for
the back. We may also give the tapotement while the patient,
with extended arms (upwards), bends forwards or sideways.
For the Sacral, Gluteal, and Perineal Regions.—The patient
takes up the position shown in fig. 1 2 ; or the beating is given
in connection with the active movement shown in fig. 56.
At the different parts of the body the tapotement is given as
follows :
—
On the Head.—Tapotement is made with the ulnar side of the
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