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TAPOTEMENT. 29
For the Limbs.—The hands are either held in the same way
as for the back, or the radial sides of the two hands are worked
with simultaneously. The fingers are not to be kept extended,
but loosely flexed, as in fig. 17.
Fig. 17.
Whenever tapotement is given, stroke must follow upon stroke
in quick succession, in order to increase the intensity of the
manipulation.
The tapotement sets the muscular fibres into vibration, and
stimulates them to contract, the activity in superficial vessels
and nerves is increased, and, as said before, when applied to the
back and thorax, the vibration is propagated on to internal
parts. The duration of the manipulation is of necessity every-
where very short.
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