Technic and Practice of ChiropracticLoban, Joy Maxwell
Science
Technic and Practice of Chiropractic
Loban, Joy Maxwell
Chiropractic
_Thoracic Walls_: The parietal muscles of the thorax are innervated by
the intercostal nerves and a very definite segmental association with
the spine is traceable.
_Diaphragm_: Phrenic nerve, which arises from fourth cervical chiefly;
lower intercostals, especially eighth and ninth; and phrenic plexus of
the sympathetic which may sometimes be reached from the fourth or fifth
dorsal vertebrae through the gangliated cord. For motor disturbances of
the diaphragm adjust fourth cervical.
_Abdominal Muscles_: These are supplied by the lower intercostals and
the transversalis and internal oblique make connection with L 1 by the
iliohypogastric. Cremaster is supplied by L 1 and 2 by way of the
genital branch of the genitofemoral.
_Perineal Muscles_: The anterior perineal group are supplied by
the perineal branch of the internal pudic which traces to the
second, third, and fourth sacral nerves. The posterior perineal and
ischiorectal region is also supplied by the sacral and coccygeal nerves.
_Trachea and Bronchi_: Vagus and sympathetic filaments from first and
second thoracic ganglia. The latter receive preganglionic fibres from
first dorsal nerve in all probability, as this adjustment reaches the
bronchi.
_Lungs_: The third thoracic ganglia connect with the pulmonary plexus
and establish a connection from third dorsal vertebra direct to the
lung parenchyma. The _Pleurae_ have a similar connection or may
sometimes be reached by the first dorsal.
_Heart and Pericardium_: In 55% of all heart disease or improper
action the second dorsal is responsible; in 40% the first dorsal, and
perhaps in the remaining 5% the atlas or axis. The former nerves (T 1
and 2) furnish pre-ganglionic fibres which stream upward through the
gangliated cord to terminate in the three cervical ganglia in relation
with the dendrites of new neurons (amyelinic) which form the superior,
middle, and inferior cardiac nerves and pass into the thorax to mingle
with vagal fibres to form the superficial and deep cardiac plexuses,
controlling the heart. Probably the upper cervicals occasionally affect
the vagus through the loop between the first and second cervical
nerves.
_Thoracic Aorta_: Controlled by sympathetic from first thoracic
ganglion or last cervical ganglion, and thus by seventh cervical or
first dorsal vertebra.
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