Spinal manipulative therapy (SMT) is the generic term commonly given to a group of manually applied therapeutic interventions.1 These are usually applied with the aim of inducing intervertebral movement by directing forces to vertebrae.2,3 There are various theories for mechanisms to how SMT translates into clinical effects, in particular, for the treatment of spinal pain,4-8 making the selection of techniques difficult to explain or justify.
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Evans et al. (2006) studied this question.
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