Journal of Orthopedic & Sports Physical Therapy

Spinal manipulation has been used for hundreds of years40 and is commonly performed by physical therapists, osteopaths, chiropractors and medical practitioners. Spinal manipulation is defined as "a small amplitude manipulative thrust technique performed with speed." Manipulations to the thoracic spine are typically applied so that the emphasis of movement is localized to a single intervertebral level to restore its range of movement. Spinal manipulation has been shown to be an effective form of treatment for patients with cervical, thoracic and lumbar spine pain when clinically indicated. Mechanisms to explain how spinal manipulation works are not well defined, and there is a lack of evidence to support existing theories.

 

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