The Somatic Connection  |   July 2016
HVLA or Stretch May Not Be Necessary for Nonspecific Back or Neck Pain Relief
Author Notes
  • Professor, Western University of Health Sciences College of Osteopathic Medicine of the Pacific, Pomona, California 
Article Information
The Somatic Connection   |   July 2016
HVLA or Stretch May Not Be Necessary for Nonspecific Back or Neck Pain Relief
The Journal of the American Osteopathic Association, July 2016, Vol. 116, 488-489. doi:10.7556/jaoa.2016.097
The Journal of the American Osteopathic Association, July 2016, Vol. 116, 488-489. doi:10.7556/jaoa.2016.097
Paanalahti K, Holm LW, Nordin M, et al. Three combinations of manual therapy techniques within naprapathy in the treatment of neck and/or back pain: a randomized controlled trial. BMC Musculoskelet Disord. 2016;17:176. doi:10.1186/s12891-016-1030-y. 
Because of controversy regarding the safety of the use of high-velocity, low-amplitude (HVLA) spinal manipulation for patients with neck or back pain, researchers in Sweden designed an innovative randomized clinical trial (RCT) at an educational clinic in which students being trained in naprapathic manual therapy (NMT) used a variety of manual procedures to determine efficacy and safety. Naprapathy is a registered health profession and the largest manual therapy profession in Sweden. Originated in Chicago, Illinois, in 1907 by Oakley Smith, DC, DN, naprapathy is a drugless, manual diagnostic and treatment system that entails using a “combination of manual techniques such as spinal manipulation/mobilization, stretching and massage used to treat shortened or pathologic soft and connective tissue” thought to be common causes of musculoskeletal pain conditions. 
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