Episode 253: "Cervical Spine Manipulation" Doctors of Physical Therapy can effectively and safely perform spinal manipulations just like chiropractors. Grade 5 low amplitude high velocity manipulations can be extremely effective in certain subgroups of individuals. They can improve range of motion, reduce pain in various ways, decrease muscle tone/guarding and improve muscle activation/recruitment. However, the exact mechanisms of how spinal manipulation truly works is still debated. But, we can