What is fundamental to understanding the effects of manipulation?

An understanding of spinal reflex physiology is essential because it provides insight into how spinal manipulations can affect both the nervous system and overall body function. Manipulation techniques are rooted in the interaction between the spine and the central nervous system, particularly how adjustments can influence spinal reflexes that govern muscle activity, pain perception, and the body's response to stress.

By grasping spinal reflex physiology, a chiropractor can better understand how specific adjustments might alleviate pain or dysfunction. These spinal reflexes involve complex neurophysiological responses that can be triggered or modulated through manipulation, which ultimately helps restore balance and proper function in the musculoskeletal system.

While knowledge of vertebral anatomy, the history of chiropractic practices, and patient psychology are all important components of chiropractic care, they serve more as supportive knowledge rather than the foundational understanding necessary to grasp the direct physiological effects of manipulation. Vertebral anatomy provides context for the structures being manipulated, history informs practice but does not dictate current methodologies, and psychology aids in patient interaction but does not directly relate to the physiological impact of manipulation. Therefore, spinal reflex physiology remains the critical foundation for comprehending the effects of chiropractic manipulation.