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.