Now reflecting the tremendous increase in knowledge and research evidence on the use of manipulative techniques in clinical practice, Manipulation of the Spine, Thorax and Pelvis, 5th Edition, helps you acquire and refine your skills on the safe use of high-velocity low-amplitude (HVLA) thrust techniques. This highly regarded resource advocates an approach that uses minimal leverage to achieve cavitation in a safe, comfortable and effective manner-supported by up-to-date, high-quality images and videos. In one comprehensive volume, you’ll find essential information on all aspects of the delivery of manipulation techniques, including important issues surrounding patient consent and safety issues in the broader context of relative risk. Provides step-by-step coverage of 43 commonly used manipulation (HVLA) thrust techniques, supported by 293 photographs/drawings and 60 videos-all fully updated in light of recent research evidence Includes concise technique summaries for quick review, a troubleshooting section that addresses difficulties with technique application, and a comprehensive review of spinal kinematics and spinal positioning for manipulation techniques Contains a new chapter on the possible biological and psychological mechanisms relating to the efficacy of manipulation in clinical practice, and a new section on rib cage HVLA techniques Offers detailed information on kinematics and coupled motion of the spine, minimal leverage positioning for HVLA thrust techniques, safety and minimising risk in the application of manipulation, and current evidence relating to the use of manipulation in paediatric and pregnant patient populations Examines evidence relating to cavitation and the clinical effectiveness of spinal manipulation Encourages you to reflect on how you are performing manipulative techniques in order to improve your skills