Key Features

  • Offers over 700 photos and line drawings depicting the correct way to set up and perform adjustive procedures, clarifying concepts, and showing important spinal and muscle anatomy.
  • Includes up-to-date research studies and methods for validating manual therapy.
  • Discusses mechanical principles so you can determine not only which adjustive procedure to use and when, but also why you should choose one approach over another.
  • Organizes content thematically with a discussion of practical anatomy, kinematics, evaluation, and technique for each joint.
  • Covers anatomy and biomechanics in detail, along with adjustive techniques for the spine, extraspinal techniques, and additional techniques for special populations, helping you fully prepare for board examinations.
  • Covers the manipulable lesion as a basis for treating disorders with manual therapy, including chiropractic techniques.
  • Includes content on low-force techniques to help you treat elderly patients and patients who are in acute pain.
  • Includes useful appendices with clinical information as well as interesting historical information, including a feature on practitioners who developed specific techniques.

Table of Contents

Chapter 1: General Overview of the Chiropractic Profession 

The Past

The Present

The Future 


Chapter 2: Joint Anatomy and Basic Biomechanics

Fundamental Concepts, Principles, and Terms 

Joint Function 

Mechanical Forces Acting on Connective Tissue 

Properties of Connective Tissue 

Models of Spine Function 

Chapter 3: Joint Assessment Principles and Procedures

The Manipulable Lesion 


Vertebral Subluxation Complex 

Joint Subluxation/Dysfunction Syndrome 

Spinal Listings 

Clinical Evaluation of Joint Subluxation/Dysfunction Syndrome 

Clinical Documentation 

Chapter 4: Principles of Adjustive Technique

Classification and Definition of Manual Therapies 

Joint Manipulative Procedures 

Soft Tissue Manipulative Procedures 

Indications for Adjustive Therapy 

Mechanical Spine Pain 

Joint Subluxation/Dysfunction Syndromes 

Contraindications to and Complications of Adjustive Therapy 

Effects of Adjustive Therapy 

Application of Adjustive Therapy 

Chapter 5: The Spine: Anatomy, Biomechanics, Assessment and Adjustive Techniques

Structure and Function of the Spine 

Evaluation of Spinal Joint Function 

Cervical Spine 

Adjustments of the Cervical Spine 

Thoracic Spine 

Adjustments of the Thoracic Spine and Rib Cage 

Lumbar Spine 

Adjustments of the Lumbar Spine 

Pelvic Joints 

Adjustments of the Pelvis 

Chapter 6: Extraspinal Techniques

Role of the Peripheral Joints 



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About the authors

Thomas Bergmann

Affiliations and Expertise

Editor-in-Chief, Chiropractic Technique, Mendota Heights, MN

David Peterson

Affiliations and Expertise

Chiropractic Science Center, Western States Chiropractic College, Portland, OR