Technic and Practice of ChiropracticLoban, Joy Maxwell
Science
Technic and Practice of Chiropractic
Loban, Joy Maxwell
Chiropractic
In case of general thinning of intervertebral substance unequally
divided between different sections of the spine the record will show
that almost every vertebra is listed either S or I, and if a system of
underscoring is used that these two directions are frequently indicated
as most noticeable.
A study of the spine will make clear the fact that if the cartilage
between any two Dorsal vertebrae be thinned in front the bodies of the
vertebrae will be closer together and the spinous processes more widely
separated; the spinous process of the upper vertebra will be crowded
against the one superior to it and that of the lower against the one
inferior to it. These spinous processes are said to be _approximated_.
The correction of S or I subluxations, then, depends upon correction of
disturbed nutritive processes.
Lateral Displacements
According to the usage of earlier writers on subluxations this
term (lateral displacement) included rotation of the vertebra as
well as those changes in position in which the whole or nearly all
of the vertebra deviates sidewise from its normal position. Since
the introduction of the term “rotation” into the description of
subluxations, the meaning of the term “lateral displacement” is much
more restricted. It refers now to a condition which probably occurs in
the strictest sense only in the Cervical region, most frequently with
the first and second Cervical, the two being subluxated together.
We have already stated that the most important fact to be determined
regarding the Atlas is its lateral displacement, since this produces
the greatest impingement of nerves. Lateral displacement of any other
Cervical can best be judged by examination of the transverse processes,
since by palpation of the spinous process alone it is quite impossible
to distinguish between lateral and rotary subluxation.
In the Dorsal and Lumbar regions the R or L used to describe the
position of the spinous process most often indicates rotation of the
vertebra. While it is perfectly proper thus to describe the subluxation
on a record, in the determining of the form of adjustment to be used
the position of the _whole_ vertebra must be considered.
Anterior Subluxations
Forward displacements may occur anywhere in the spine. In the case
of the first Cervical they are usually, though not always, forward
displacements of only one side--rotation--though the whole Atlas may be
anterior if the Axis has moved with it or is tipped so that the spinous
process is much superior. This is rare.
Any Cervical may be anterior; usually a series are anterior (if any)
amounting to an increase in the Cervical curve--a lordosis. This
condition may be corrected by transverse adjustments given from the
front and side.
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