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Apply deep effleurage with the thumbs between the iliac crest and the last three ribs. Keep the ...

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Apply deep effleurage with the thumbs between the iliac crest and the last three ribs. Keep the thumbs in proper alignment. Repeat this technique in two or three strips, moving out laterally from the spine. Alternative (not shown): Warming friction using the knuckles may be substituted as easier on the hands. Less lubricant is used so that friction can be created.
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