NMM/OMTReview Article

Toward a Theory of the Mechanism of High Velocity, Low Amplitude Technique: A Literature Review

Kevin Hennenhoefer, DO, and Deborah Schmidt, DO
Notes and Affiliations
Notes and Affiliations

Received: January 17, 2019

Accepted: February 5, 2019

Published: October 1, 2019

J Osteopath Med; 119(10): 688-695

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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