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Sorry to be a bit slow with this one. The Manipulation Association of Chartered Physiotherapists and the Society of Orthopaedic Medicine have produced guidance for pre-manipulative testing of the cevical spine. The reference is: Barker S et al (2000) Guidance for premanipulative testing of the cervical spine Manual Therapy 5, 1, 37 - 40 Ralph Hammond MCSP Professional Adviser Research and Clinical Effectiveness Unit The Chartered Society of Physiotherapy 14 Bedford Row London WC1R 4ED UK Tel: 020 7306 6636 Fax: 020 7306 6611 Web: www.csp.org.uk %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%