There are no official guidelines to assist in answering this question. I will search for relevant research papers instead.
From the Research
Osteopathic Manipulative Medicine (OMM) Lymphatic Techniques
The order of OMM lymphatic techniques is not explicitly stated in the provided studies. However, the studies mention various techniques used to manipulate the lymphatic system, including:
- Thoracic pump technique 1
- Abdominal pump technique 1 These techniques are used to increase lymphatic flow and are often employed in the treatment of patients with infections, such as pneumonia and otitis media 1.
Application of OMM Lymphatic Techniques
The application of OMM lymphatic techniques is based on osteopathic principles and philosophy, which suggest that the use of osteopathic manipulative treatment (OMT) can restore, augment, or facilitate lymphatic fluid flow to maintain body fluid balance and stimulate immune system responses 2. The techniques are also used to alleviate somatic dysfunctions that inhibit the optimum function of the lymphatic system 2.
Research on OMM Lymphatic Techniques
Research has demonstrated the effectiveness of lymphatic OMT techniques in affecting fluid management and immune function 3. Studies have also shown that physical activity and manipulative intervention using thoracic pump and abdominal pump techniques can produce net increases in lymphatic flow 1. However, more prospective research is needed to fully understand the effects of OMM lymphatic techniques on the lymphatic system and overall health 2, 3.