HVLA OMT

Question 1

What type of technique is HVLA?

Answer 1

Direct technique

Question 2

What is a rapid, therapeutic force of brief duration that travels a short distance within anatomic range of joint and engages restrictive barrier to elicit release?

Answer 2

HVLA

Question 3

How much force should you use with HVLA?

Answer 3

Minimum required for release - the more precise localization, the less force is needed

Question 4

Indications for HVLA?

Answer 4

Dysfunction localizes to a joint

Presence of a distinctive barrier with a firm/hard end feel

Question 5

Contraindications for HVLA?

Answer 5

Rheumatoid Arthritis, Down syndrome - Alar L. unstable

Local cancer, osteoporosis, osteogenesis imperfecta, herniated nucleus pulposus

Question 6

Many direct techniques localize to the feathers edge of the restrictive barrier, where does HVLA localize?

Answer 6

Firmly to the restrictive barrier

Question 7

Is a noise/pop necessary for HVLA?

Answer 7

NO

Question 8

What are the steps to HVLA?

Answer 8

• Diagnose SD
• Soft tissue preparation (MET, ST, MFR)
• Localize forces to segment or joint and engage all 3 planes of motion (stacking)
• Release enhancing maneuver (pt exhalation)
• Accumulation of forces
• Corrective thrust
• Return to neutral and reassess

Question 9

If localization is lost, what should you not do?

Answer 9

Thrust

Question 10

What are the benefits of HVLA?

Answer 10

Time efficient, well tolerated, immediate relief and should be chosen if there is a distinct firm barrier present