The patient met criteria for the clinical prediction rule for LBP and the regional lumbopelvic manipulation was used with success. This manipulation was performed by applying the intervention with the patient in the supine position because this followed the original clinical prediction rule, but success might also have been predicted utilizing a lumbar rotary type manipulation.18 In order to document the manipulation of choice in a manner that is understandable and reproducible, the manipulation was documented in the manner suggested by Mintken et al.21,22 Documentation in this manner allows the intervention to be clearly understood and potentially replicated, and avoids using biomechanical descriptions of manipulation techniques that have little scientific evidence. This model suggested a documentation standard for manipulation techniques utilizing the following six descriptors: rate of force application, location in range of available movement, direction of force, target of force, relative structural movement, and patient position. Thus, the technique applied to this patient was documented as a high velocity, end range, left rotational force to the left ilium on the lumbar spine in supine