Technic and Practice of ChiropracticLoban, Joy Maxwell
Science
Technic and Practice of Chiropractic
Loban, Joy Maxwell
Chiropractic
This section is intended to furnish the proper pre-conception and also
to serve as a monitor to adjusters who, by reference to the precepts
herein set down, may discover and remedy their own errors. It is not
intended to furnish sufficient education to warrant practice without
clinical instruction, which is unwarrantable, but rather to accelerate
the education which practice alone can furnish.
Object of Adjustment
The vertebral subluxation being an abnormality of _relation_ between
vertebrae, it is obvious that its correction must be a return of normal
relation. This can only be accomplished by bringing about a change of
_relative_ position. Movement of a section of the spine composed of
several vertebrae is not, in the true sense, an Adjustment. It is the
_single_ vertebra which must be moved.
The movement should be one calculated to bring the vertebra to its
normal position _in the most direct manner possible_. Such a movement
should be used as will reverse the direction of the forces which
subluxated the vertebra. It should be applied to the transverse or
spinous processes, or to the lamina, as is sometimes done in the
case of the Atlas, according to the _kind_ of subluxation. Different
subluxations require different handling. Cases vary. Select the move
_best suited to the case_. This can be determined most properly by
correct palpation which fixes in the mind of the adjuster the position
of every part of the vertebra, its relation to its fellows, the points
of greatest nerve impingement, etc., all of which should suggest the
best method for correction.
The prime object of adjustment is the removal of impingement from
nerves.
Transmitted Shock vs. Thrust
The movement used in adjusting has been variously described. Many
writers and teachers have used the term “thrust” to describe the
movement of the hands, and the term is correctly applied to the
movement used by many Chiropractors. But a careful study of the methods
of applying force in use among the most successful adjusters, those who
have attained the greatest results with the slightest percentage of
failures and a minimum of pain to the patient, discloses the fact that
the chief element of their adjustment is _transmitted shock_.
The hand is held in close contact with the vertebra to be adjusted
and the arms and shoulders describe such movements as to deliver the
required amount of force with the slightest possible change in the
position of the hands. The vertebra bounds away from the contact hand.
In the delivery of a _thrust_ the hand would follow the vertebra,
forcing each portion of the movement. The real effect of a thrusting
motion, since the hand cannot enter the body as a sharp instrument
would, is that of _pushing_. Pushing neither subluxates nor adjusts
vertebrae so readily as does a rapidly applied shock.
Public-domain text, read in full here on John Shaqi.
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