Index pillar prone technique.

A, Index contact established over the posterior aspect

Bilateral thenar contacts applied to the
posteroinferior aspect of the occiput
to flex the atlanto-occipital motion
segment
of the left C5 articular �process. B, Procedure shown to induce left lateral flexion
Bilateral thenar contacts applied to and right rotate at the left C5–6 motion segment.
the posterior aspect of the occiput to
extend the atlanto-occipital motion
segment.

rone unilateral hypothenar transverse adjustment.

Bilateral index contacts established over the posterior

Hypothenar contact applied to the C6 spinous process aspect of the C4 articular pillars to extend (A) or flex (B)
to flex the C6–7 motion segment. the C4–5
motion segment.
Resisted method. Hypothenar contact applied to the left
transverse process of T2 (dot) or right spinous process of T2 (x),
resisted by counter-rotation and lateral flexion of the segments
above. Depicted is a procedure for treatment of a left rotation
and/or coupled right lateral flexion restriction at T1–2 with
distraction of the left T1–2 articulation. Arrows indicate the
direction of motion induced during the application of the
procedure.
A, Assisted method, with thumb contact applied to the right lateral aspect of the T2 spinous process to
induce right
rotation at the T2–3 motion segment. B, Resisted method with a hypothenar contact applied to the right
lateral surface of the T3 spinous process to induce left rotation at the T2–3 joint. C, Hypothenar contact
applied to the right lateral surface of the T2 spinous process to induce right lateral flexion in the T2–3
motion segment.

Thumb (A) or thenar (B) contact applied to the right lateral aspect of the C7 spinous process to induce right
lateral flexion at the C7-T1 motion segment. C, Thumb contact applied to the right lateral aspect of the T1
spinous process to induce right rotation of the T1–2 motion segment.
Index contact established over the superior angle of the
left first rib to induce distraction of the left costotransverse articulation.
Prone unilateral hypothenar
mammillary adjustment. Resisted position with a hypothenar contact applied to the right L4 mammillary
Sitting mammillary push process to induce right rotation and gapping of the right L3–4 articulation.
adjustment.

Assisted position, with a hypothenar contact

applied to the right L3 spinous process to induce
right rotation and gapping of the right L3–4
articulation.
Assisted method, with a hypothenar contact applied to the right lateral
Assisted method, with a hypothenar contact applied
surface of the L3 spinous process to induce right rotation and gapping
to the left L3 mammillary (dot) to induce right rotation
of the right L3–4 articulation.
or right lateral flexion.

Assisted method, with a hypothenar contact applied

to the right lateral surface of the L3 spinous process
(dot) to induce right lateral flexion of the L3–4 motion
segment.
Assisted method, with hypothenar contact applied
over the L5 spinous process to induce distraction in
the L5–S1 motion segment.
Resisted method, with a hypothenar contact
applied to the L5 spinous process (dot) to
induce extension in the L4–5 motion segment.
Adjustment for superior-to-inferior glide of the left
sternoclavicular joint.

External coccyx adjustment. A, Tissue pull, with thumb contact taken. B, Reinforced contact,
with thrust headward.