Treatment Notes: There are contraindications, both relative and absolute, to performing the texas twist HVLA technique. Osteoporosis is an absolute contraindications while significant kyphosis is considered a relative contraindication to the technique in which the physician should assess the risk to benefit ratio. Steps for Treatment: Have the patient lie […]
Category: High Velocity Low-Amplitude (HVLA)
24 posts
High Velocity Low Amplitude Direct and Passive Technique Indications Precautions and Contraindications Risk/benefit relationships should be evaluated before proceeding with treatment. Technique Overview This form of treatment requires specific diagnosis of the joint dysfunction before each treatment. Step One: Set-up Motion is carried in the direction of its restriction to […]
Treatment Notes: For this HVLA treatment, the patient will be in the seated position which makes this an especially useful technique in pregnant women Steps for Treatment: Video Tutorial:
Diagnosis: By movement of the navicular ventrally and dorsally Steps for Treatment: Patient supine or seated with the knee flexed, hip flexed, abducted and externally rotated, foot on the table Physician is at the side or foot of the table One hand is on the calcaneus securing it against the […]
Foot, Cuboid/First Cuneiform/Navicular Dysfunction (Plantar) Note: Common following inversion ankle sprain Steps for Treatment: The patient lies prone with the leg (off the table) flexed 30° at the knee. The physician stands at the foot of the table. The physician places the thumb on the medial side of the foot […]
Diagnosis (via Drawer Test): Remember that the Drawer Test is when you motion test a distal bone (Talus) in reference to a proximal bone (Tibia) (think of the knee in the same way) Anterior Drawer = talus moves anterior more Posterior Drawer = talus moves posterior more Notice the difference […]
Recall: Diagnosis of Fibular Head Steps for Treatment: Supine Treatment Patient is supine with physician standing on affected side. Flex the patient’s leg and hip about 90° on the affected side and stabilize by holding ankle firmly with caudad hand. Place cephalad hand in the popliteal fossa, with the MCP […]
Recall: Diagnosis of Fibular Head Steps for Treatment: Patient supine with slight knee flexion (~5°) (you can also use a pillow if you would like) Grasp ankle firmly with your caudad hand and internally rotate the ankle to bring the fibular head posterior Place thenar eminence of cephalad hand on […]
Treatment Notes: This HVLA treatment, may be used to treat any carpal bone dysfunction Steps for Treatment: Pronate patient’s affected arm Grip wrist at carpal bones, with thumbs on dorsal aspect of the wrist over the displaced carpal bone and index fingers wrapped around to palmar surface (emphasis is on the […]
Recall Diagnosing the Radial Head Steps for Treatment: Patient is seated. Doctor facing the patient Hold hands with the patient with the thumb or two fingers of the opposite hand anterior to the radial head Extend the elbow and supinate the forearm into the barrier while the thumb on the radial […]
Recall Diagnosing the Radial Head Steps for Treatment: Patient is seated. Doctor facing the patient Hold hands with the patient with the thumb or two fingers of the opposite hand anterior to the radial head Flex the elbow and pronate the forearm into the barrier. HVLA thrust force through the barrier […]
Treatment Notes: This HVLA treatment, may be used for all sacral dysfunctions!! This is also a great technique for people who are pregnant or those who you can’t roll onto their stomach. Steps for Treatment: Patient lies supine. Physician stands on the side of the deep sulcus and sidebend their […]
Treatment Notes: This HVLA treatment, patient must be able to tolerate lying on their stomach and be able to roll onto their stomach. Steps for Treatment: Video Tutorial:
The Kirksville Crunch HVLA technique utilizes different variations of a similar treatment depending on the targeted area of the thoracic spine. See more below for specific treatment instructions. Upper Thoracic Spine (T1-T3) Patient is in supine with the physician standing on the opposite side from the posterior transverse process, the […]
Treatment Notes: This technique can be performed in the prone position as well the supine position. The only difference in technique treatment is that while treating in prone you would lift the leg UP off of the table to tense the anterior compartment. See below for more details. Steps for […]
Treatment Notes: This technique can be performed in the prone position as well the supine position. The difference in technique treatment in the prone position involves physician abducting and internally rotating the dysfunction leg, while an assistant is stabilizing the opposite ischial tuberosity. See below for more details. Steps for Treatment: […]
Recall: Diagnosing the Thoracic Inlet Steps for Treatment: Supine HVLA of the Thoracic Inlet is completed in two parts: the sidebending component, and the rotational component. See more below for specific treatment instructions. Treatment of Sidebending Component: Patient is in supine with the physician standing behind the patient at the […]
Recall Diagnosing the Occipito-Atlanal Joint Steps for Treatment: Patient is in supine with the physician standing behind the patient at the head of the table Physician places 2nd MCP joint on the posterior occiput in the groove behind the mastoid Tip – your fulcrum hand thumb should be pointing towards the […]
Recall Diagnosing the Atlanto-Axial Joint Treatment Notes: The side of rotation restriction is the side that you rotate towards during HVLA. The treatment is performed in a neutral position. Do not treat with neck flexion like you do for diagnosis or extension, as there is a risk of injury. Steps for […]
Recall Diagnosing the Typical Cervicals Steps for Treatment: Cervical HVLA with Rotational Focus Steps for Treatment: Cervical HVLA with Sidebending Focus
