Pulling

I. Leg. - The patient standing on a chair, with hands against the wall for support (see Fig. 91). The operator, grasping the foot around the instep, carries the leg backward. Eight to fifteen times. The movement is abducent, as it causes a great tension in the front part of the abdomen. (Passive.)
II. Leg. - Another form of pulling of the leg in sitting position is demonstrated in Fig. 92. The patient draws the limb upward with the operator's resistance; the operator pulls the limb down to the original position.

III. Body (backward). - The patient kneeling on the sofa, with knees separated ; hands on hips. The operator stands behind, with one knee supporting the lumbar region, his hands grasping the armpits from behind, and carries the patient slowly backward (see Fig. 93) ; the latter making slight resistance. Six to twelve times, according to strength. (Duplicated Active.) The movement has a strong effect upon the abdomen, and is used principally for case of dysmenorrhea.
IV. Body. - The position of operator and patient is shown in Fig. 94. The operator pulls the body backward, being careful to see that the bent position of the body is kept all through the movement.