Activator

To date, there is limited evidence of poor design quality to suggest that Activator is of any clinical usefulness. There is also good quality evidence suggesting that Activator Methods are significantly less effective than Manual-Thrust Manipulation 

Essential Literature

A Comparison of Spinal Manipulation Methods and usual Medical care for Acute and Sub-AcuteLow Back Pain
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Conclusion:
Manual-Thrust Manipulation provides great short-term reductions in self-reported disability and pain scores compared to Mechanical-Assisted Manipulation or Usual Medical Care.

Status Of Activator Methods, Theory and Practice
Fuhr Menke 2005
Conclusion:
A body of basic science and clinical research has been generated on the AAI since its first peer-reviewed publication in 1986. The Activator analysis may be a clinically useful tool, but its ultimate scientific validation requires testing using sophisticated research models in the areas of neurophysiology, biomechanics, and statistical analysis.