The rotation and push/pull “angles” of chiropractic manipulation are seldom mentioned in many chiropractic and massage books, and it can be said that no one mentions them. But these issues are in the actual application of the operation is very critical to a few important details, is to determine the efficacy and safety issues. Perhaps these are the masters of the untold secrets, huh huh! First, the angle of the cervical spine In doing cervical rotation oblique wrenching, the neck forward flexion 60 °, wrenching when the power conduction then cervical spine of the lower segment; forward flexion 80 ° when the bar, wrenching when the power conduction to the cervical vertebrae of the upper segment; cervical spine slightly forward flexion wrenching power conduction in the atlantoaxial and pivot joints. In the lateral and posterior oblique plate to 45 ° is stopped, and then changed to upward lifting, at the same time the other song to the direction of the phase side of the transverse process and spinal process of the corresponding vertebrae push, pull. Second, the angle of the lumbar vertebrae side plate in the lumbar vertebrae side plate, both lower limbs (below) a straight, (above) a flexed, flexed limb foot on the other limb’s knee joint parts, the side plate when the power conduction and then the middle lumbar vertebral body; placed in the knee joint below the part of the lumbar vertebrae side plate when the power conduction and then the upper lumbar vertebrae, thoracic vertebrae; placed in the knee joint above the part of the lumbar vertebrae side plate when the power conduction and then the lumbar vertebral lower lumbar vertebral body, the lumbar sacral vertebral body. Note: 1. The above is only a general relationship between angle and force transmission. Specific conduction in the more certain vertebrae to look for around this angle. It is possible to experience the force conduction to a certain definite vertebrae by hand. 2, cervical oblique plate, in the turn side to the limit when the most important thing is to gently lift up, at the same time the other primary gently push to correct the transverse processes of the vertebrae and gently pull to correct the vertebral spinous processes. Pushing, pulling and lifting at the same time is the key to successful correction. Do not use violence!!!! 3. In the general literature, the cervical oblique plate method is often described as a lateral or posterior oblique plate. But in reality, it is rotated to the side to 45 ° when the upward lifting force, and with the other hand in the corresponding vertebral transverse processes and spinous processes of the push and pull. That is, in the rotation of the cervical spine at an angle of 45 ° upward lifting and the lesion of the vertebrae of the push and pull! 4, the cervical spine rotation physiological range is in 60-80 degrees, so in the rotation to 45 ° is absolutely safe! 5. The shear force formed at this angle with the lifting and corresponding vertebrae pushing and pulling is the most suitable for correcting the disordered vertebral angle. 6, in order to enhance the correction of the cervical spine when the vertebral transverse processes of the thrust, you can use a length, width and height were about 1.5 * 1.5 * 4cm of gauze, or toilet paper, or cotton made of the outside of the report to the rubber paste of the rectangle placed in the transverse process of the vertebrae in the upward pulling at the same time with the root of the palm pushed the top. But this also gives up the hook pulling force in the spinous process of the diseased vertebra. Third, the angle of the thoracic spine Correcting the upper end of the thoracic spine when the palm of the hand wants to tilt downward and forward at an angle of 60 °, so as to comply with the physiological relationship of the thoracic spine. The lower thoracic spine is vertical downward force. When correcting the upper thoracic spine in the seated position, the soft tissues of the upper thorax are completely relaxed when the patient is tilted backward, that is, at least 135° angle in the backward tilted position to achieve satisfactory results. Note: 1. The orthopedic force should be exerted with the body leaning forward and the weight of the entire body slowly transferred to the palms of the hands. Instead of purely upper limb strength. 2, the force should be fixed around the thoracic spine spinous process. Not again thoracic rib joints and ribs. The range of force is too large desirable for accidents, such as rib fractures, dislocation of the thoracic rib joints, and so on. 3, sitting position to correct the upper thoracic segment, in order to improve the efficacy, can be in the patient’s thoracic spine and the medical practitioner between the pad a long, thin, thick about 5-10cm towel. To strengthen the role of the front top while lifting. 4, do not simply upper extremity force and rough violence.