“…Most commonly, spinal stiffness is quantified by an average value extracted from the F-d curve; however, the boundaries of the region used to define the average stiffness vary between studies. In some studies, the non-linear toe-region [21–23] of the curve is used to quantify stiffness, while other studies use the middle, most linear portion of the curve [6,9,23–25]. It is possible that the different methods in how stiffness is characterized contribute to the quantitative inconsistencies in the literature regarding the biomechanical effects of SMT.…”