The invention provides a physical manipulation apparatus that is engageable with a
skin surface of a human or
animal subject. The apparatus may comprise a
skin-engageable pad configured to conform to the morphology of a physical manipulation member such as a digit of a human therapist or a
stylus tip of a chiropractic adjustment instrument. The
skin-engageable pad may include a friction-inducing component in the form of a biomimetic dry
adhesive. The apparatus may comprise a digit cover (110, 120, 130) configured at least partially to cover a human digit. Instead, the apparatus may be configured as a
skin patch having two release liners superimposed, respectively, on opposite sides of the skin-engageable pad. The
skin patch may include indicia arranged to indicate a required orientation of the
skin patch relative to a targeted
anatomical feature such as a
spinal segment, or a required direction of movement of the manipulation member.