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It is a technique which uses a percussion instrument in attempts to adjust what is perceived to be a subluxation of the atlas vertebra, the top vertebra in the cervical spine. It is based on the teachings of B. J. Palmer, who advocated the Hole-In-One version of spinal adjustment. It is primarily used by straight chiropractors.
Referring to the origins of upper cervical techniques, Dan Murphy, DC, DABCO, wrote:
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