Principles and practice of spinal adjustment; for the use of students and practitioners . e position of thespinous processes, and observe any that may be out of align-ment. Further, we note any diminution of mobility in anysection or segment of the spine. If a certain section of thespine shows diminished elasticity, it is an indication of thepresence of ankylosis; there will exist a space involving twoor more vertebrae where the spinous processes do not sepa-rate, and there is evident a more or less sharp angle at thepoint where the ankylosis discontinues, wdiich will also betrue when the pati
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Principles and practice of spinal adjustment; for the use of students and practitioners . e position of thespinous processes, and observe any that may be out of align-ment. Further, we note any diminution of mobility in anysection or segment of the spine. If a certain section of thespine shows diminished elasticity, it is an indication of thepresence of ankylosis; there will exist a space involving twoor more vertebrae where the spinous processes do not sepa-rate, and there is evident a more or less sharp angle at thepoint where the ankylosis discontinues, wdiich will also betrue when the patient bends the trunk backward. To teststill further for ankylosis, especially in the lower dorsal andupper lumbar regions, have the patient flex the trunk side-ways, then rotate from side to side. This test is positive asthe nature of the joints of the spinal column is such that theyshould permit of a certain degree of motion in any direction, in each joint, to the extent of the limitation due to contact ofthe bones and muscular and ligamentous tension. Diminished 290 SPINAL ADJUSTxMENT. Fig. 53. The Erect Position. SPINAL ANALYSIS 291 mobility of a certain segment of the spine indicates contrac-tion of the ligaments of that particular segment. When thespine does not become flexed in a perfectly straight Hne, itindicates a contracted condition of the muscles and ligamentson the side toward which the deviation occurs. Lastly thisposition will reveal any unilateral prominence of the anglesof the ribs which is present when the vertebrae are rotated. • The Prone Position.—In this position the patient lies facedown on a flat table. While in this position we note the posi-tion of the spinous and transverse processes. The temperaturevariations which are present are also noted with the patientin the prone position. Tenderness of the nerves, thickeningof the nerve-trunks, and contractures of the ligaments of thespine are also palpated. This is the position which we havethe patient ass