• Gyer G
• Williams B
• Cox RM
• Bowie J
• Michael J

• Manipulation, Chiropractic
• Mobilization
• Open Access Document
• Safety

Manual therapy is a broad term that includes various techniques, including soft tissue mobilization (STM), joint mobilization, and high-velocity, low-amplitude (HVLA) thrust manipulation. Recently, a new manual technique known as the Y-axis manipulation, or "Y-strap,” has gained popularity on social media platforms. The term "Y-Strap" refers to the way this Y-shaped strap design extends the spine along the Y-axis of the body. This technique, which claims to reduce spinal stress, is based on manual traction techniques; however, some in the industry believe it is appropriate for use as an HVLA application. Osteopaths, chiropractors, and physiotherapists have taken significant liberties with this device, despite the fact that the Y-strap manufacturers state it is not suitable for HVLA manipulation. Questions have been raised within the chiropractic and osteopathic communities regarding the safety and efficacy of Y-strap manipulation. This article reviews and comments on the safety and efficacy claims while appraising whether the clinical benefits outweigh the risks.

Author keywords: Chiropractic; Osteopathy; Physiotherapy; Manual Therapy

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