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Ileocecal valve massage question

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Hi everybody,

I am trying to do the ileocecal valve massage but I don't understand the last

part of the massage:

" ...Using a closed fist, briskly stimulate reflex ares (right upper arm) for

ten seconds "

Does it mean I have to pressure in the area 10 seconds or in the right upper

arm? Can somebody explain it to me? Thank you.

Paz

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