6-18-08
N.J.A.C. 13:44E-1.1(a) permits manipulation of articulations beyond those of the spine when there is a causal nexus between a condition of the manipulated structure and a condition of the spine. Whether adjustment of a particular portion of the body is permissible as a “related structure” under the rule must be determined and demonstrated by the practitioner on a case-bycase basis, focusing on whether a condition to the adjusted structure bears a causal relationship to a condition of the spine.
