“…13 Furthermore, we have proposed that segments of the spine where the movement is functionally restricted in at least 1 plane may represent an ongoing state of altered afferent input that could induce maladaptive neuroplastic changes. 6,10,12,13 The functional segmental restriction could involve restriction in the coronal plane, such as reduced lateral flexion motion, or could include restriction of appropriate movement in the sagittal plane, such as decreased flexion or extension movement. This functional putative manipulable lesion is known by a variety of terms such as joint dysfunction, fixation, or subluxation.…”