Review  |   October 2019
Toward a Theory of the Mechanism of High-Velocity, Low-Amplitude Technique: A Literature Review
Kevin Hennenhoefer, DO; Deborah Schmidt, DO
Author Notes
  • From the Greenbrier Valley Medical Center in Fairlea, West Virginia (Dr Hennenhoefer), and the West Virginia School of Osteopathic Medicine in Lewisburg (Dr Schmidt). 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Kevin Hennenhoefer, DO, 3920 Hope Valley Rd, Durham, NC 27707-5444. Email: kevin@hennenhoefer.org
     
Article Information
Neuromusculoskeletal Disorders / Osteopathic Manipulative Treatment / Pain Management/Palliative Care
Review   |   October 2019
Toward a Theory of the Mechanism of High-Velocity, Low-Amplitude Technique: A Literature Review
The Journal of the American Osteopathic Association, October 2019, Vol. 119, 688-695. doi:https://doi.org/10.7556/jaoa.2019.116
The Journal of the American Osteopathic Association, October 2019, Vol. 119, 688-695. doi:https://doi.org/10.7556/jaoa.2019.116
Abstract

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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