A passive, high velocity, low amplitude thrust applied to a joint complex within its anatomical limit* with the intent to restore optimal motion, function, and/ or to reduce pain.
Manipulation is a passive technique where the therapist applies a specifically directed manual impulse, or thrust, to a joint, at or near the end of the passive (or physiological) range of motion.
It is an intervention Physical therapists have been employing since the beginning of physical therapy practice. The APTA has created a page that delineates the difference between physical therapy manipulation and chiropractic manipulation.