b'Factors of Effective far too many technique systems imply.The layers of skin, muscle, fat, connective tissue, etc. dissipate whatever force is HVLA Adjustments:transmitted through them.Further, older patients and those with varying degrees of degenerative changes, joint mobility Delivering an Effective Force restrictions, and bone density will require a delicate balance in the proper application of adjustive methods.The art of the adjustment is a creative and integrative endeavor.When unsure of how much force to use in an adjustment, its wise to err on the side of caution.The adages light is right and less is more apply here.A chiropractor can always add more force on a second thrust, but can never take force away fastest speeds are generated by various electromechanicalthats already been delivered.devices.This is followed by spring-loaded devices (i.e. Acti- One consistent observation Ive made from teaching thou-vator), toggle recoil, and finally, with end range techniquessands of chiropractors over 30 years is that we all get sloppy.being about twice as slow (i.e. diversified, Gonstead). We all develop bad habits that dont serve us.This is why All the forces generated by the doctor have to be transmittedlive training seminars are a must for most of us (especially to the patient through a contact point.Most commonly, thisthose of us who are lone rangers in solo practice) to get is through the hands.The least surface area contacting thean expert audit of our form.Its not about learning more patient will transfer forces more directly and specifically. techniques, but about being brilliant at the basics underlying Flexed or arched hands impart adjustive forces with moreall techniques.precision and less dispersion than flat hand or broader base contacts.This is due to having both a more focal point of contact on the patient and being more anatomically efficient atDavid Graber, DC, is a Diplomate of the American Chiropractic force transfer through a doctors body. Board of Sports Physicians, and an ANJC board member.He Its important to consider the body composition of thepractices in Parsippany.He teaches courses in spinal and patient youre adjusting.Adjustments are never deliveredextremity manipulation, hands-on care, and evidence-informed directly into the bones and joints intended, despite whatpractice.S AV E S T H E D AT E S !Upcoming Regional Meetings:CENTRALWednesday, Sept. 8, 2021Hilton Garden Inn Edison/Raritan CenterSOUTHERNThursday, Sept. 16, 2021Adelphia RestaurantNORTHEAST/NORTHWESTWednesday, Sept. 22, 2021Holiday Inn ParsippanyWe look forward to seeing you in person again!www.njchiropractors.com I 13'