Hennenhoefer K, Schmidt D. Toward a Theory of the Mechanism of High-Velocity, Low-Amplitude Technique: A Literature Review. J Am Osteopath Assoc 2019;119(10):688–695. doi: https://doi.org/10.7556/jaoa.2019.116.
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This review seeks to integrate the current literature to create a more unified and inclusive theory regarding the therapeutic mechanism of high-velocity, low-amplitude (HVLA) technique. The authors review the literature currently available regarding the physiologic effects of HVLA. The progression from an articulatory model to a neuromuscular one is discussed, and the body of work demonstrating that HVLA has a centralized mechanism of action, rather than just a local one, is described.
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