comparison between pre- and post-treatment results demonstrated that combined acupuncture and manual therapy provides immediate short-term improvement in comfort and mobility, as demonstrated by owner observed changes in play behavior ( p = 0.015), walking ( p < 0.001), trotting ( p = 0.002), jumping ( p < 0.001), descending stairs ( p = 0.003), … There is limited epidemiological literature surrounding the thoracic spine. This was made evident when a systematic review found that thoracic spinal pain has prevalence data which ranges greatly from 4.0-72.0% between different studies. It has often been said that the thoracic spine is the 'Cinderella region' of the spine but it may be viewed as a 'silent contributor' to clinical Manual therapy has been shown to be effective for certain conditons but more research is needed to identify other suitable patients Recent randomised clinical trials found manual therapy to be more effective than other methods of conservative management for low back and neck pain.1-5 On the other hand, some randomised clinical trials,6-13 systematic reviews,14 and meta-analyses15 concluded The hypothesis is that manual mobilizations of ankle and midfoot joints in addition to conventional physical therapy will improve pain and function significantly more than conventional treatment, in patients with PF. Effectiveness of Manual Therapy Combined With Standard Treatment in the Management of Plantar Fasciitis, a Randomized Control (RCTs) have demonstrated that manual therapy could reduce pain, alleviate stiffness, and improve physical function (11-13). The most recent systematic review (SR) suggests that manual therapy is effective compared to no intervention (14), but it is no better than medication or placebo for treating pain in patients with KOA. Objective: To determine the effectiveness of manual therapy (MT) for functional outcomes in patients with distal radius fracture (DRF). Methods: An electronic search was performed in the Medline, Central, Embase, PEDro, Lilacs, CINAHL, SPORTDiscus, and Web of Science databases. The eligibility criteria for selecting studies included randomized clinical trials that included MT techniques with The current evidence on the effectiveness of manual therapy for MSDs of the upper and lower extremities is limited. The available evidence supports the use of manual therapy for non-specific shoulder pain and ankle sprains, but not for subacromial impingement syndrome in adults. Future research is needed to determine the effectiveness of manual The term temporomandibular disorder (TMD) includes disorders of the temporomandibular joints (TMJ), masticatory muscles and adjacent tissues. Several studies have examined the effectiveness of manual therapy (MT) for TMDs by evaluating changes in pain and maximum mouth opening (MMO). Nevertheless, the effectiveness of MT exclusively applied to the craniomandibular structures (craniomandibular Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: Systematic review and update of UK evidence report March 2014 Chiropractic and In a randomized trial, the effectiveness of manual therapy, physiotherapy, continued treatment by the general practitioner, and placebo therapy (detuned ultrasound and detuned short-wave diathermy) were compared for patients (n = 256) with nonspecific back and neck complaints lasting for at least 6 weeks. The principle out