Technic and Practice of ChiropracticLoban, Joy Maxwell
Science
Technic and Practice of Chiropractic
Loban, Joy Maxwell
Chiropractic
For adjustment of the last two Cervicals or any Dorsal down to the
sixth, it is best to turn patient’s head toward the direction of the
subluxation. This curves that section of the spine into an arc toward
the convex side of which movement may be made more easily than toward
the concave.
The patient’s hands may lie under the table, loosely, or may reach back
and rest upon the buttocks, palm upward. Whichever position secures
best relaxation is to be used in any case.
This movement may be used with the roll. (See Fig. 30 and p. 285.)
[Illustration: Fig. 21. After palpation. Finger ready to guide contact
hand to a spinous process.]
Position of Adjuster
Stand on either side of patient, feet apart for base and poise. The
direction of the feet and position of body will vary according to
the direction of the adjustment, by the following two rules:
Rule 1. For movement of a vertebra _away_ from the side on which
you stand, place your arms and hands in such a position that the
pisiform bone of adjusting hand, both elbows, and both shoulder joints
(shoulders being dropped loosely forward) will fall in the same plane
and that the plane of direction in which the vertebra is to be moved.
In other words, let the force be applied in a line straight from
your body _through_ the vertebra. Always shift your feet to a proper
position from which to direct the movement.
Rule 2. To move a vertebra _toward_ the side on which you stand, step
close to patient’s body and support yourself with one knee against
the adjusting table at the most convenient point. Then place arms so
that contact point, elbows, shoulders, and the mid-point of the body’s
base, between the feet, are all in the same plane. This insures balance
during and after the movement and is the attitude from which the
greatest and most carefully measured force can be delivered.
It will be seen that the desire is always to deliver all force in one
plane and thus avoid conflict of forces and waste or misdirection
through the predominance of one force over the other, and to use both
arms with equal facility in the move. There are at least a hundred
ways to hinder this movement by varying the preliminary positions. And
no one can know the real efficiency of the move who has not become
instinctively adept at taking position.
Use of Hands and Arms
Use of hands for palpation has been described. (P. 46.)
The palpating hand comes to rest with the middle finger on the spinous
process of the vertebra to be adjusted. The heel of the hand is raised,
the first and third fingers doubled back, and the heel lowered again.
Now the middle finger alone is a slender pointer guiding to the contact
point.
Place pisiform bone of other hand snugly _against_ the process to
be moved. The hand should rest in a slight arch, pisiform against
spinous, fingers rigid and flexed on hand, last finger firmly anchored,
or pressed into the flesh, to prevent slipping. (Fig. 22 shows the
position.)
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