A 55-year-old female presents to clinic with complaints of migraines. She states that she gets a migraine headache about once a week with associated symptoms of nausea, photophobia, and phonophobia. She is currently on topiramate which she states has helped improve her migraines. Vitals are within normal limits. Physical exam without neurologic deficits. Osteopathic structural examination reveals a normal cranial rhythmic impulse. Where is the 5th digit (pinky/little finger) placed on a standard vault hold?