Technic and Practice of ChiropracticLoban, Joy Maxwell
Science
Technic and Practice of Chiropractic
Loban, Joy Maxwell
Chiropractic
In position B, if the patient’s face be away from the palpater it will
be necessary to stand with back toward patient and body twisted, and to
change hands for counting, resting the free hand on patient’s head to
insure its steadiness.
Disagreements
If there be any apparent disagreement between findings in positions B
and A, re-examine carefully in both positions, whereupon that which
seemed a disagreement will probably prove to have been an error in
one or the other palpation. If apparent disagreement persists after
searching examination, position A furnishes the safest guide to
adjustment because the patient is in his most usual attitude as regards
the spinal curves, muscle tension, etc. But it is usually wisest when
in grave doubt not to adjust the doubtful vertebra at all.
PALPATION IN POSITION C
Since palpation in this position, patient lying on his back with head
supported by palpater’s hands, cannot be so reliable as that done in
position A, the chief point to be observed is an accurate count. Only
the Cervicals below the first can be properly palpated in this position.
Induce the patient to relax the neck muscles as much as may be, and use
in palpation the first three fingers of one hand if the count alone is
desired or the first three fingers of _both_ hands if you desire to
ascertain the _direction_ of any vertebra. In the former case let the
fingers press aside the muscles and glide _downward_ from the second
Cervical, being careful to lift the head high enough so that the third
Cervical is not overlooked beneath the overlapping second. In the
latter case let the fingers of both hands glide gently downward while
the patient’s head rests upon the palpater’s wrists or knee. Palpate
the transverses in much the same manner, paying special attention to
their _laterality_, felt as a prominence on one side lateral to a
transverse process and a corresponding depression on the opposite side.
Do not be deceived by exceptionally long transverses where both project
outward to an equal degree.
[Illustration: Fig. 3. Locative palpation of Cervical spinous processes
in Position C, preparatory to Rotary or Break.]
Since the greater mass of the vertebra is divided with fair equality
by the intertransverse line, laterality of transverses indicates
laterality of the whole vertebra with the possible exception of the
anterior portion of the body. Laterality of a Cervical _spinous_
process may indicate laterality of the entire vertebra or merely
rotation around its vertical axis, in which the one articular process
is separated from its fellow of the adjacent vertebra while the other
remains in partial apposition.
Disagreements
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