This is delivered straight downward toward the bench. It should be light and quick and the hand should not follow the process in its movement. This movement is painful and should not be used if avoidable. When used it requires the utmost care and a careful measuring of force. Err, if at all, on the side of overcaution. The technic will be better understood after study of the more detailed description of “The Recoil”, since the position and use of hands, arms, and shoulders is much the same for both. PISIFORM ANTERIOR CERVICAL MOVE Indicated for rotation of a Cervical vertebra in which one transverse process is anterior to its normal position or more anterior than its fellow which may also be somewhat, though less, anterior. Placing Patient As for the Morikubo Move place the patient in the dorsal recumbent posture with head resting on bench and chin uptilted. Turn patient’s face slightly away from the side of the selected anterior transverse and steady the head with the free hand while palpating. [Illustration: Fig. 8. Pisiform anterior Cervical move.] Making Contact Palpate downward from the Atlas transverse along the posterior margin of the sterno-mastoid, dipping deeply into the neck and exploring with the tips of the first three fingers until the offending process is felt as a nodule of bone plainer to the touch than those above and below. Always reach _across_ the neck to the selected transverse; if it be the right, stand on the patient’s left and use left hand for palpating and for contact hand as well. Having found the process, gently move aside any tissues which tend to interpose between the finger and the bone, change hands so that the palpating hand is free and the other holds the contact spot clear of interposed tissue and plainly points it out, then place pisiform bone of contact hand gently but firmly against the _front_ of the process so that a mass of bone is felt between the pisiform and the bench when downward pressure is made. Completing Position It will be noted here that the head is unstable and tends to rock with slight pressure or movement of the contact hand. Steady the head by placing the knee upon head of bench and against side of patient’s head, not roughly but so that the head cannot move further toward the adjuster. Now reinforce the contact hand by gripping the wrist with the other, press slightly downward to tighten the contact and avoid slipping, and you are ready for The Movement which is directed sharply _downward_ toward the bench. This move rotates the vertebra around its vertical axis and puts a strain in a backward direction on the whole column at this point.