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Most sensitive to temperature changes.

Always palpate bilaterally to establish what is "normal" for that specific patient. 2. Essential Hand Techniques Download Palpation techniques pdf

Distinguish between hypertonic (tight) and hypotonic (loose) muscles. Most sensitive to temperature changes

Ideal for detecting vibrations (vocal fremitus). Advanced Palpation Methods Bone vs. Soft Tissue steady pressure rather than poking

Useful for assessing larger areas of muscle tone.

When identifying landmarks, use "searching" motions. To find a bone under thick muscle, apply firm, steady pressure rather than poking, which can cause the muscle to guard or spasm. Assessing Tissue State Practitioners look for the "Four Ts":

Try identifying objects or structures with your eyes closed to heighten your tactile sensitivity.