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SHAKING.
The part of the hand which, during the manipulation of shak-
ing, conies in contact with the patient’s body, is the distal
phalanx of one or more fingers, and it or they should be applied
softly and not pointedly.
The movement starts from the elbow-joint of the manipulator,
where there is slight flexion and extension. Between it and the
ultimate phalanges of the fingers, the bones of the forearm,
wrist, and hands, with their intermediate joints, act, so to speak,
as links in a chain, through which a wavelike motion is sent and
propagated to the part worked upon.
The movement of the hand is very quick. The joints must
not be kept stiff, but just so far extended that elasticity is per-
mitted and not hindered. If this is not attended to, the manipu-
lation becomes hard and pushing. The patient strains his
muscles because of the pain and discomfort caused him, and the
movement is either productive of bad consequences or has no
effect at all.
This manipulation promotes and quickens resorption ; it
stimulates and strengthens ; it diminishes pain by its power to
reduce congestion and inflammation ; and it increases the secre-
tion of the glands.
It is given for a period varying in length from a few to
several minutes, depending upon tlie disorder and the effect
produced.
The illustrations which are appended to the various move-
ments will make it easier to understand how the fingers are
applied, and how they work at different portions of tlie body.
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