This area may be massaged before the abdomen, or if the routine changes to include the face and/or head, then the décolleté area can be included before the face massage as suggested later. The therapist's position will then change from the side of the couch to the head of the couch and the movements are adapted.
stroking over area (right hand first, then left hand) effleurage around shoulders and back digital kneading to pectoralis major digital kneading to upper fibres of trapezius on back of shoulders reinforced stroking (figure of eight)
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