The Knee.—1. Effleurage.

2.   Friction with thumb round patella, beginning below ; many small circles are made overlapping each other till the corresponding point above the patella is reached. This is done at each side.

3.  The same track is gone over with both thumbs working alternately in a pushing upward movement ; advancing slowly, one thumb goes up the inside, the other outside, and meet above the patella. The two thumbs are then drawn round the patella, beginning and ending at same place as last movement.

4.   These three movements are repeated, a larger circle being made.

5.  The hand is cupped and placed above patella, and tissues moved about by a circular movement.

6.   Effleurage with both hands going over knee alternately in a circular fashion.

7.   Friction with fingers in popliteal space, also kneading with base of hand in space and round joint, the ball of the thumb being worked into every part.

8.   Effleurage on all aspects.

9.   Passive movements.

Flexion : The ankle is grasped with one hand, and the thigh above the knee with the other ; the thigh is raised and the leg is taken back towards the buttock. If the leg is helpless, or the foot drops, the heel is taken in the hollow of the hand, and the sole rests on the operator's forearm. To extend, the leg is drawn out and the foot at the same time flexed. In resistive movements the limb is held in the same way ; the fingers of the hand on the ankle resist at the back in flexion, and the palm on the front of the ankle in extension.