Safe & Well Studied

The first rule of a doctor is to do no harm. Extend that to the doctor himself/herself as well. Cox Technic Flexion Distraction is well-studied of the hundred or so chiropractic techniques and is less injurious to both the treating physician and the patient. Many chiropractors who find Cox Technic later in their careers appreciate the gentle application demanded of the doctor - potentially extending their professional careers - and on the patient. Chiropractic is quite a physically demanding profession. Cox Technic with the proper instrument and protocols makes chiropractic practice a bit easier and effective.
Ndetan, H, Rupert R, Bae S, Singh, K: Prevalence of musculoskeletal injuries sustained by students while attending a chiropractic college. Journal of Manipulative and Physiological Therapeutics 2009;32(2):140-48
  • Distributions of injuries associated with adjusting techniques and specifically training-related activities at Parker College of Chiropractic, 2006 (student perception of injury sources)
  • Results 
    Adjusting Technique # of cases # of injuries from adjusting to doctor # of injuries to patient from being adjusted
    Diversified 280 61 74
    Thompson 142 3 25
    Gonstead 135 31 39
    Cox F/D 54 0 1


Cooperstein R, Perle SM, Gatterman MI, Lantz C, Schneider MJ: Chiropractic technique procedures for specific low back conditions: Characterizing the literature. JMPT 2001;24(6):407-11

  • The 3 most studied adjustive procedures are
    • side-posture high-velocity
    • low-amplitude distraction (mostly flexion distraction)
    • mobilization
  • The clinical condition most commonly addressed by the included studies is low back pain.


For a complete list of publications on Cox Technic, click here.

For information on federally funded studies - description, status, funding - click here.