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Holding the head with one hand, apply effleurage to upper trapezius on one side using the fist. When ...

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Holding the head with one hand, apply effleurage to upper trapezius on one side using the fist. When moving laterally, apply slightly more pressure near the shoulder. When moving superiorly, apply slightly more pressure to the posterior neck to cause elongation of the muscles at the points of attachment.
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