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PETRISSAGE. 17
muscles are then more or less passively extended, and prevent
the proper application of the treatment.
In cases of incomplete fracture, or when the exudation is too
great, gentle petrissage with the first phalanx of the thumb
enables one to come down to the seat of the injury, and thus
aids to form a correct diagnosis.
When I treat effusion by petrissage, I either pass over the
whole of it two or three times, afterwards making some strokes
of deep effleurage, or I make one single stroke each time before
moving the hand lower down.
The length of time to give petrissage must of course vary with
the case we are treating, it being necessary to apply it for some
time in effusions and more serious complaints, while for simple
stimulation of the muscles only a few minutes are necessary.
General Petrissage of the Abdomen.
The positioji in which general or partial petrissage of the
abdomen is to be administered to the patient, is the recumbent
one shown in fig. 6. It has for its object the relaxation of the
abdominal muscles. The hands are folded behind the neck, in
B
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