Hold the adjusting hand tense, edgewise to the neck, fingers together and pointing downward. The thumb may rest against the patient’s jaw or may be free; the essential thing is the snug contact of the first finger against the transverse. [Illustration: Fig. 10. “The Break,” No. 1, from right. Contact; first phalanx with end of right transverse.] Movement With the hand in position and the head supported by the Hook Support, bend the head laterally, keeping the face upward, until it is felt that further movement would strain the muscles. Deliver the movement in a straight lateral direction, quickly and entirely with the contact hand. “THE BREAK” No. 2 For the Atlas only, and for straight lateral displacement of that vertebra. Position and Contact Position of patient’s head and of supporting hand exactly as in using Break No. 1. Contact is made with the end of the Atlas transverse on the laterally prominent side. Contact point on hand is second metacarpo-phalangeal joint, or rather, the condyle of the second metacarpal. Movement As for Break No. 1. “THE BREAK” No. 3 Position Have patient sitting erect on bench or stool and stand before him. For a right subluxation use left hand and for a left, right hand. Contact point is the middle of the proximal phalanx of the first finger and the fingers reach backward and downward, thumb upward so as to be out of the way. Movement Force _should_ be applied entirely with the contact hand to avoid the possibility that movement of the head may bring about movement of some other vertebra than the desired one. But in practice the force is usually divided between the head and the vertebra. The Hook Support cannot be used in this position. Uses The use of this position for the Break avoids the necessity for the patient to lie down again in a new position after having Dorsals and Lumbars adjusted. It is extremely convenient. But on the other hand it is undeniably harder for the patient to relax his muscles when sitting up with head flexed sidewise and a sense of lost equilibrium than when lying down. The Break No. 1 will be found the better for the average case. “THE BREAK” No. 4 Position Same as Break No. 3 except that adjuster stands behind patient and rests the thumb upon the base of the neck posteriorly while the fingers extend downward and forward toward the clavicle. As with No. 3, the supporting hand rests against the opposite side of the head and forces it sidewise to tighten the contact. [Illustration: Fig. 11. “The Break,” No. 3.] Movement Properly, a quick lateral movement of contact hand while the head is firmly held by the opposing hand. NOTE: “The Break” is unfortunately named and it would be well if some less suggestive term were generally substituted. THE ROTARY No. 1 For the correction of rotation only, and usable in the Cervicals from 2 to 7 inclusive. Philosophy of the Rotary