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26 PASSIVE MOVEMENTS:
fingers, or with their tips ; but this procedure is entirely unneces-
sary, and nerve vibrations and frictions should be used instead.
On the Chest.—The palm of the hand is used (fig. 13).
Fig- 12. Fig. 13.
We see that the right hand, which is about to make the
stroke, is not kept straight. It is only straightened out at the
last moment, partly by a slight action of the extensor muscles,
partly by the swing of the stroke. The difference between the
stroke of a hand with fingers straight and the wrist stiff, and one
held as I have just described, is indeed great. In the former
case, the weight of the hand falling on the chest is lessened, and
the effect is more external than internal, where it is expected to
set the air into vibration, and stimulate the lungs.
The operator stands in front of the patient, and passes the
arms round his chest until the hands have come well up between
the shoulder-blades of the patient. He now begins the beating,
passing up and down between the shoulder-blades, then over the
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