Principles and practice of spinal adjustment; for the use of students and practitioners . s of the bodies of the vertebrae place theleft hand on the tips of the spinous processes and press down-ward, at the same time raising the pelvis with the right hand. The Dorsal Position.—In this position the patient lies ona flat table on his back. This is the only position in which thecervical vertebrae may be palpated. By flexing the neck andsupporting the head with the hands the spinous processes canbe easily palpated, and any changes from the normal in theirposition noted. The transverse processes ar
Principles and practice of spinal adjustment; for the use of students and practitioners . s of the bodies of the vertebrae place theleft hand on the tips of the spinous processes and press down-ward, at the same time raising the pelvis with the right hand. The Dorsal Position.—In this position the patient lies ona flat table on his back. This is the only position in which thecervical vertebrae may be palpated. By flexing the neck andsupporting the head with the hands the spinous processes canbe easily palpated, and any changes from the normal in theirposition noted. The transverse processes are next palpatedwith the index and middle finger. The Erect Position.—The patient may either be seatedupon a chair, or stand erect with his heels together and hishands hanging at his side. (Fig. 53.)* The following observa-tions are made with the patient in this position: The positionof the spinous processes is first noted. The curvatures of thespine are also noted with the patient in this position, andviewed from the side. The angles of the ribs are observed, 292 SPINAL ADJUSTMENT. Fig. 54. Spinal Adjustment Table. SPINAL ANALYSIS 293 and any prominence of a certain rib due to a rotation of thevertebra with which it is connected noted with the patienterect. The comparative height and prominence of the scap-ulae is seen. The pelvic inclination and the comparativeheight of the iliac crests is noted with the patient in thisposture. The Diagnosis of Subluxations In addition to the symptoms and signs of subluxationswhich are subjective, and have already been described, threeother methods are used for the determination of the exactnature of the subluxation. By the methods thus far con-sidered we are enabled to say positively that a displacementof a vertebra is present; the direction of this displacement can,however, only be determined by the following methods: X-ray. Inspection.—By inspection we note the following points: 1. Alal-alignment of the spinou
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