Technic and Practice of ChiropracticLoban, Joy Maxwell
Science
Technic and Practice of Chiropractic
Loban, Joy Maxwell
Chiropractic
Palpation of Cervical transverses to determine laterality of the
vertebra as a whole or its rotation is possible in position C and has
been described under that head.
Dorsals
Palpation for _direction_ can be done best in position B. Use three
fingers with a gliding movement along the line of the transverses,
passing over several to determine which is most posterior. Then
repeat the glide on the other side of the spine to determine whether
the transverse corresponding to the anterior one is posterior or
vice versa, showing that the entire vertebra is merely rotated or
is displaced backward. Some palpaters prefer using both hands and
palpating both transverses at once and there is no serious objection
to this method, if confined to palpation in position B. In many cases,
however, it leads to similar palpation of spinous processes, a most
execrable habit.
It should be remembered that with the first two Dorsals the transverse
will be found in a transverse plane which would pass between its own
spinous process and that above. This is also true of the last three
Dorsals, while in the middle Dorsals the transverse is usually (not
always) level with the tip of the spinous process of the next superior
vertebra.
Before adjusting, to determine the _location_ of a transverse process
in order to direct an adjustment against it, first palpate spinous
process and hold it with the tip of the middle finger. Then approximate
with the first finger a point even with the tip of the spinous process
above and about one inch from the spine--this of course in mid-dorsal.
Then let second and third fingers follow the first so that all three
rest on or near the transverse to be palpated. Pressing gently, but
firmly, move the three fingers until the process can be felt beneath
them. Hold the process with the middle finger so as to direct with
it the contact of the adjusting hand to a point exactly over the
transverse process.
Lumbars
The transverses of a Lumbar vertebra lie just even with the interspace
between their own and the adjacent superior spinous process. They are
deeply embedded in muscle tissue and very hard to palpate. They may
vary considerably in size or length and the last one or two may be
absolutely impalpable. It is sometimes advisable to adjust a rotated
Lumbar by using the transverse as a lever, but this should never be
attempted unless the process can be distinctly felt. The method of
locating in Lumbar is practically the same as in the Dorsal region.
Transverse Palpation with Patient Sitting
Palpation of Cervical transverses in position A has been described and
is frequently done. Palpation of Dorsal or Lumbar transverses in the
same position may sometimes be desirable. It can be done with the same
movement as spinous process palpation, and may serve to detect a bent
spinous process.
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