A specific, skill, and deliberate deliberate movements, shift, or application of a physical signal to a joint, soft tissue, Or region of the body, for a specific purpose which is predefined. All manipulations are describable and reproducible, and must be documented as to location, depth, level of release, intended outcome, and actually result. A movement of a joint which is not previously described as intending to produce a specific outcome, is not a manipulation, in modern chiropractic terms.