Knowledge and use of thoracic manipulations by manual therapists in Belgium and the Netherlands

Most clinicians rely on experience rather than a pre-screening tool when assessing the thoracic region, focussing on excluding red flags and determining indications for TM, with biomechanical effects being the most favored rationale. Although most findings showed agreement, some inconsistencies were noted regarding screening and rationale, highlighting the importance of clinical reasoning for safe TM practice.