THE Y-AXIS MANIPULATION—THE CLINICAL EFFICACY AND ASSOCIATED PATIENT SAFETY EXPLORED—A CLINICAL COMMENTARY (“The Ring Dinger”)
The Journal of Contemporary Chiropractic
Vol. 8, Issue 1, 2025 January 28, 2025 CDT
Giles Gyer, B.Sc., O.S.T. (Hones), Brogan Williams, Ph.D., Robert Cox, Dip.Osteo.S.T.M., Dip.Dm.P.2., Jaimie Bowie, B.Sc., O.S.T (Hons)., Jimmie Michael, B.X|Sc., O.S.T. (Hons)., B.Sc., Sp.Ex.Sc. (Hons).
Abstract
Manual therapy is a broad term that includes various techniques, including soft tissue mobilization (STM), joint mobilization, and high-velocity, low-amplitude (HVLA) thrust manipulation. Recently, a new manual technique known as the Y-axis manipulation, or “Y-strap,” has gained popularity on social media platforms. The term “Y-Strap” refers to the way this Y-shaped strap design extends the spine along the Y-axis of the body. This technique, which claims to reduce spinal stress, is based on manual traction techniques; however, some in the industry believe it is appropriate for use as an HVLA application. Osteopaths, chiropractors, and physiotherapists have taken significant liberties with this device, despite the fact that the Y-strap manufacturers state it is not suitable for HVLA manipulation. Questions have been raised within the chiropractic and osteopathic communities regarding the safety and efficacy of Y-strap manipulation. This article reviews and comments on the safety and efficacy claims while appraising whether the clinical benefits outweigh the risks.