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I found this explanation in my book:
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Trapunto or corded quilting is a type of quilting in which linear designs are raised from the background with a cord or yarn filler. This kind of quilting is often combined with padded quilting to accentuate both the lines and shapes of the design.
There are two ways to achieve the raised look. The first and most common method is to stitch the quilt design, in parallel lines, through two layers of fabric. The resulting tunnels are then threaded with yarn or other rope-like filer. Preshrink the filler to avoid puckering after laundering. The top fabric should be tightly woven, the back fabric a loose weave. Use cotton or synthetic quilting thread or, for a richer look, stitch with silk twist. The piece must be lined to protect and conceal the filler insertions.
The second method involves only one layer of fabric. The cord is laid under the fabric and stitched in place at the same time. Since only one layer of fabric is used, this method is suitable for projects where a backing or lining is undesirable.
For either method, use a soft cotton cable cord or yarn to fill the channels. Select the thickness according to the width between the parallel lines; the cord should fill the space so the channel is raised but not so tightly that it distorts the fabric.
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I also did a search on the web using the AltaVista search engine and came up with quite a lot of links (over 600, though some were for digital communications, not needlework).
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From: Karla Trapunto is a quilting technique. In it's simplest version, there is extra batting worked in between the front and backing (in addition to the regular batting). Many applique and quilting patterns are appropriate to trapunto, but I can't see how counted thread patterns would be usable. If you want more detail about trapunto, there are lots of books and weblinks I could direct you to.
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