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This is what is inside the steering gear. The piston has a section of tapered gear that mates up to a section of matching tapered gear on the sector shaft. The back lash for those is set by adjusting that screw to move the sector shaft up and down very similar to setting the back lash in an axle ring and pinion by shimming the carrier back and forth and the pinion in and out.
The partial gear on the shaft is tapered.
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That meshes with the teeth cut in the side of the piston you can see in the cut-away. The adjustment screw moves that shaft up and down to set the back lash. Up higher, more lash, down lower is less lash.
The piston spends the vast majority of the time during use with the tires straight ahead or the piston centered in the bore. That is the area that will get the most wear. As the wear gets bad enough, folks will try to compensate by tightening up the lash and forcing the piston over to one side in the bore a tiny bit. That will improve the amount of slop at the steering wheel but it does so at the expense of good return to center or can.
You're not trying very hard.
Can you adjust parking brake shoes enough to fix them if they have no lining left on them? The FSM tells you how to adjust them, why would they do that if it doesn't fix worn out ones?
Can you adjust the excessive back lash on a ring and pinion set that has wiped the case hardening off of the tooth faces? The FSM tells you how to set up the gears, why would it do that if it can't fix worn out gear sets?
What about the band adjustment in the 32RH? The FSM tells you how to adjust them, why would it do that if it won't fix excessively worn linings?
Or, perhaps they include that so we can adjust less worn near new or new stuff that may not have shown up correctly adjusted. I've dealt with many where the builder (not rebuilder) had them slightly off. They were a tiny bit too tight and we had very little return to center so we adjust the screw in very small increments with a test drive after each. I tend to keep that info to myself because of posts like are in this thread. Folks don't understand what is going on and mistakenly think that if I can adjust a gear and make it work, then they can do the same thing and fix their worn out beat to hell sloppy steering gear.