Excerpt: We wish to thank the author of the articulate and well-referenced letter to the editor. We certainly agree that there are many other commonly used nonthrust types of manipulation procedures, such as flexion-distraction and instrument-assisted techniques. Nonthrust techniques may, indeed, be viable and alternative options to thrust manipulation procedures. Any decision concerning patient treatment must be informed by evidence, clinician experience, and/or patient preference to achieve the optimal outcome. [Original article: Hawk C, Schneider MJ, Haas M, Katz P, Dougherty P, Gleberzon B, Killinger LZ, Weeks J. Best practices for chiropractic care for older adults: A systematic review and consensus update. J Manipulative Physiol Ther. 2017 May;40(4):217-229.]
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