Spinal Manipulation (HVLA)
HVLA manipulation typically involves a rapid, controlled movement of a joint through its full range of motion, with the thrust being delivered at a low amplitude (distance) but high velocity (speed). The objective of HVLA manipulation is to induce a therapeutic response in the targeted tissues, such as releasing joint restrictions, reducing muscle tension, and modulating pain perception, thereby promoting optimal musculoskeletal health and function.
Study on HVLA Manipulation for Acute Low Back Pain:
A randomized controlled trial (RCT) comparing HVLA manipulation to other interventions for acute low back pain, such as anti-inflammatories and placebo demonstrated positive outcomes in terms of pain reduction, improved function, and patient satisfaction when compared to both other groups.
Trial on HVLA Manipulation for Neck Pain:
A 2018 randomized clinical trial found significant improvements in pain and cervical ROM immediately after treatment with manipulation over exercise.
Trial on Cervical and Thoracic HVLA for Mechanical Neck Pain:
Compared the short-term effects of upper cervical and upper thoracic high-velocity low-amplitude (HVLA) thrust manipulation to nonthrust mobilization in patients with neck pain. Demonstrated The combination of upper cervical and upper thoracic HVLA thrust manipulation is appreciably more effective in the short term than non-thrust mobilization in patients with mechanical neck pain.
References:
Von Heymann, et al. Spinal High-Velocity Low Amplitude Manipulation in Acute Nonspecific Low Back Pain: A Double-Blinded Randomized Controlled Trial in Comparison With Diclofenac and Placebo. Spine 38(7):p 540-548, April 01, 2013. | DOI: 10.1097/BRS.0b013e318275d09c
Cabahug, Mary Crista and Seffinger, Michael A.. "Effect of HVLA on Chronic Neck Pain and Dysfunction" Journal of Osteopathic Medicine, vol. 118, no. 7, 2018, pp. 483-484.
Dunning, et al. Upper Cervical and Upper Thoracic Thrust Manipulation Versus Nonthrust Mobilization in Patients With Mechanical Neck Pain: A Multicenter Randomized Clinical Trial. Journal of Orthopaedic & Sports Physical Therapy,Volume 42, Issue1, Pages5-18, 2012.