Changes in the portal flow after Heiling`s pumping technique of liver to individuals with hemorrhoid syndrome

Two groups: patients with hemorrhoidal syndrome is submitted to the pumping technique of the liver (Group 1) and patients with syndrome hemorrhoidal those who perform a maneuver placeblo (Group 2): Group 1: Subject position: supine (Tredelemburg) with knees bent Position of Therapist: Standing at the patient's left, at the height of the abdomen. Hand position: The left hand goes below the costal margin to lift the chest wall The right hand rests on the lower right side of the chest to compress the liver through the chest wall. Running technique The bottom hand up the ribs while the top has a compression The manipulation is done by following the movement breathing. In this study technique asking the patient to breathe deeply, during expiration to compress costal with our hands and let our contacts deep breath. Be repeated for 10 respiratory cycles, the technique will last for 2 minutes.