Appropriate techniques are applied, categorized as direct, indirect, inductive, or combined.
The procedure begins with an evaluation of the stomach’s mobility and position.
Mobility is prioritized because the stomach must first regain free movement in all physiological planes before it can be restored to its proper position.
Factors That Can Displace the Stomach
Lifting heavy objects or bending (gym, physically demanding work)
Frequent or forceful coughing
Strong sneezing
Pregnancy and childbirth
Vomiting
Straining due to constipation
Obesity (additional abdominal pressure)
Abdominal trauma
Eating while lying down or reclining
Large single meals
Excessive smoking or coffee on an empty stomach
Stress
Weak connective tissue or diaphragm muscles
Poor posture