Principles and practice of spinal adjustment; for the use of students and practitioners . at ap-peared upon the surface to be a subluxation, judged by theposition of the tip of the spinous process, was afterwardfound to be simply a distorted spinous process; either it wastwisted, or it had grown in an abnormal direction. Suchevidence as is obtained by palpation of the spinous processesis therefore not to be relied upon, but in every instance con-firmatory evidence must be sought for by a careful palpationof the transverse processes. In palpating the transverse processes the palmar surfaceof th


Principles and practice of spinal adjustment; for the use of students and practitioners . at ap-peared upon the surface to be a subluxation, judged by theposition of the tip of the spinous process, was afterwardfound to be simply a distorted spinous process; either it wastwisted, or it had grown in an abnormal direction. Suchevidence as is obtained by palpation of the spinous processesis therefore not to be relied upon, but in every instance con-firmatory evidence must be sought for by a careful palpationof the transverse processes. In palpating the transverse processes the palmar surfaceof the index-finger should be used. (Fig. 57.) The use of thethree first fingers in palpation is confusing, especially to thenovice, and in fact requires long experience to educate thesense of touch in the three fingers to such a degree as tomake it possible for one to interpret the three sensationssimultaneously. The palmar surface of the index fingershould be placed firmly on the transverse processes on eitherside of the spinous processes. The fingers should then be 298 SPINAL ADJUSTMENT. Fig. of Transverse Processes. SPINAL ANALYSIS 299 made to glide over three transverse processes in one move-ment, moving the skin along beneath them. In this way theposition of three transverse processes is determined withreference to each other. Individual palpation of each trans-verse process may then follow, and the position of the trans-verse process on each side of the vertebra which is displacedshould be determined for the purpose of ascertaining the exactnature of the subluxation. The following are the conclusionsto be drawn from the position of the transverse processes: When the transverse processes of a vertebra are displacedbackward equally on each side, it indicates that the vertebrais displaced backward as a whole, and denotes a posteriorsubluxation. If the transverse processes of a vertebra are displaced for-ward to an equal extent on each side, it indicates an anterior


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Keywords: ., bookcentury1900, bookdecade1910, bookidprinciplespr, bookyear1915