Technic and Practice of ChiropracticLoban, Joy Maxwell
Science
Technic and Practice of Chiropractic
Loban, Joy Maxwell
Chiropractic
Having described the preparation of the patient and the different
positions in which he may be palpated, noted that all records should
be made in position A, mentioned that general observation which should
immediately precede actual palpation, and interpolated a description of
the record to be made during the palpation, with its use afterward,
we are now ready to consider the technic of the palpation itself. This
should begin with a count of the vertebrae and continue with Atlas
palpation, general examination of a group of vertebrae, and special
examination of individual subluxations in the group. Each of these
tasks will be considered in turn.
Position of Palpater
This depends upon the position of the patient. The letters which follow
correspond to the letters describing the position of the patient. q. v.
(A) If you desire to palpate with the right hand stand at patient’s
left and face toward him with left hand resting on his shoulder
or supporting his forehead as you palpate Dorsals or Cervicals
respectively. To use left hand stand similarly at patient’s right. Have
palpating arm relaxed and easy, extending as nearly as possible so that
the forearm and hand make a right angle with the patient’s spine. Let
the arm and hand remain close to the patient’s body at all times. Keep
the elbow close to your own body and avoid flexion of wrist on forearm,
or of forearm on arm at more than a right angle, since such flexion
would bring about too great muscular tension for close appreciation of
tactile impressions. If necessary lean sidewise and elevate shoulder
and palpating arm in order to preserve the proper relation between hand
and arm when hand must be elevated as in palpating upper Cervicals.
(B) As above, if you desire to use right hand stand on left side of
patient and if left hand stand on right. If the patient lies on a bench
so constructed that the head lies on one side, his face must be toward
the palpater in order that the same hand may be used in Cervical as in
other regions. It is inadvisable to change hands except when absolutely
unavoidable. If the patient’s head must be turned from you palpate the
Cervicals by standing with feet pointed away from patient and turn your
body with one hand resting on patient’s head to hold it steady and the
other palpating as if you were standing on the other side. This is
difficult and it is rarely necessary to count Cervicals in position B
if the record be used as advised on page 29.
Public-domain text, read in full here on John Shaqi.
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