Introduction to high velocity low amplitude (HVLA)

Notes

Introduction to OMM

Introduction to high velocity low amplitude (HVLA)

WHAT IS HVLA?
High velocity low amplitude is a direct, passive treatment used to move a dysfunctional segment through its restrictive barrier to increase range of motion at that particular segment. This is accomplished by performing a quick (high velocity) and small (low amplitude) thrust into that restrictive barrier. This thrust should be localized to only one specific vertebra or joint at a time. High amplitude thrusts should not be used.
MECHANISM OF ACTION
The proposed mechanism describes thrusting at the joint to cause a rapid overload of afferent input to the CNS, which forces a reset back to resting length and tension of the dysfunctional musculature.
KEY ELEMENTS FOR SUCCESS
  1. Making a proper diagnosis
  2. Performing soft tissue techniques or myofascial release to prepare the region for treatment
  3. Precisely localizing the patient to their restrictive barrier at the dysfunctional segment
  4. Utilizing respirations to further relax the tissues prior to the “thrust”
  5. Thrusting quickly at a short distance and at the specific dysfunctional segment during exhalation
Author: Arman Israelyan, OMS-III
Editor: Matt Lipinski, DO
Editor: Robyn Hughes, MScBMC

Key Takeaways

HVLA is a type of manual therapy that uses short, fast movements to help improve range of motion and decrease pain. It's often used to treat conditions like neck pain, back pain, and carpal tunnel syndrome.

The goal of HVLA is to increase the range of motion in a joint and stimulate the surrounding muscles. This can help reduce inflammation and pain, as well as increase joint function. Some people may find HVLA treatment helpful for reducing chronic pain, while others may find it helpful for improving sports performance.