Technic and Practice of Chiropractic The transverse processes of the Lumbars are rela-
tively light compared with the general structure of the ver-
tebrae and are found just even with the interspace between
their own and the adjacent superior spinous process. They
vary greatly in size, length and strength and may be used
as levers for adjustment only when they are large enough
to be clearly palpable through the muscle mass which sepa-
rates them from the body surface.
Preparation of Patient
In all cases where a complete spinal examination is in-
tended the preparation is essentially the same. Have patient
arrange clothing so that the spine is exposed to the touch
throughout. Avoid bands of cloth across the spine, as these
interfere with the necessary continuous gliding movement
of the fingers. Advise the patient, if a female, to wear
waist or dressing sack, reversed, and have skirts loosened
at the waist. If a man, he should strip to the waist and
wear coat or coat shirt reversed.
Position of Patient
This varies widely according to circumstances but for
general purposes use position:
Presented by Chriropractor in Raleigh
(A) Place patient on stool, feet even on floor and body
in an easy, relaxed position. This may be modified by ask-
ing him to lean forward and rest elbows on knees, evenly,
to facilitate Lumbar palpation. Patient's head may be erect
or flexed forward or backward but should never be rotated
or laterally flexed during Cervical palpation except for the
purpose of locating some particular transverse process.
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