“…The timeliness of-indeed, urgency for-wrapping a meaningful description around the intervention of manipulation stems from the current evidence supporting its use as a treatment option for several spinal conditions 22,23,27,29,45 . Our dilemma as a profession arises from the fact that there is scientifi cally sound evidence that a favorable outcome can be achieved using manipulation; however, this intervention cannot be described without using archaic, sometimes meaningless, jargon and, perhaps more importantly, terminology that implies scientifi cally fl awed assumptions [56][57][58][59][60] . The basis of this conundrum is perpetuated at all levels in our profession, from entry level to postprofessional, by textbooks and literature sources that continue to quote outdated, poorly validated, and sometimes blatantly inaccurate theory, despite current evidence disproving them 48,56,58,59,[61][62][63][64][65][66][67][68][69][70][71] .…”