UPPER CERVICAL TECHNIQUES - Chiropractic Adjustment

The knee-chest table is utilised in making the atlas adjustment and such adjustments are delivered only when the patient presents with the subluxation pattern. Kale considered that the pattern which will be identical always when the patient is subluxated. The adjustment mimics the way Palmer had intended it to be following his research and refinement of the technique. It is a torque, toggle adjustment. The adjustment relies on "that extra something" - the torque. The torque is dependant on the superiority or inferiority of atlas or axis. The body drop is also crucial in delivering a proper adjustment. Doctor position and hand placement is dependant on the side and anteriority and posteriority of atlas or axis.
After a rest period of at least 15 to 20 minutes, the patient is rechecked to see if the pattern has not returned thus confirming that the subluxation is removed. Kale never really emphasised leg length as a pointer to subluxation so he would rely on the scanning instrumentation to determine if subluxation remained. There can also be leg length discrepancies as a result of anatomic variations, and thus relying on leg length analysis requires understanding of this factor.