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in this video were going to discuss and demonstrate a visceral technique aimed at the gastroesophageal junction specifically the gastroesophageal traction technique were going to be utilizing direct myofascial release principles and were also going to be using respiratory assist as an enhancing maneuver were going to start with our patient in a right lateral recumbent position so go ahead and turn onto your right side and with our patient in this position were going to encourage them to rest their head on their hand were going to ensure sufficient knee flexion and hip flexion so that our patient does not roll forward and their left arm is going to be placed on their hips so we have access to the abdomen so were going to make contact with one hand and contact the xiphoid process and then move inferior to the epigastric area now well bring our other hand down to meet it and well press posteriorly until we meet sufficient tension directed at the gastroesophageal junction once we