a pivot or a point of support around which movement or pressure is applied during manual techniques or manipulations. It serves as a focal point to control or redirect the force exerted on tissues.

When adjusting fulcrum points to increase or lessen tension applied to impacted distal tissue, practitioners strategically position their hands, fingers, or tools to modify the distribution and intensity of pressure. By changing the placement of the fulcrum, practitioners can effectively alter the leverage and direction of force, thereby adjusting how tension is transmitted to the affected distal tissue areas. This technique allows for precise control over the application of pressure or manipulation, aiming to optimize therapeutic effects while minimizing discomfort or undue stress on the targeted tissues.

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