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August 17, 2025Bulletin of Rehabilitation MedicineOpen Access

Safety and therapeutic outcomes of cervical high-velocity low-amplitude manipulation in clinical practice: a review

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Authors

RNRahmat NugrahaUniversity of BrawijayaRRRizky Wulandari RamliMinistry of HealthLNLatifa Insani NurhalimMinistry of Health

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Implication

This review demonstrates effective pain reduction and improved mobility in patients using cervical HVLA manipulation, suggesting thorough risk assessments are essential.

Key Points

  • Cervical HVLA manipulation effectively reduces pain and enhances mobility in patients with neck disorders.
  • The technique shows positive outcomes on range of motion and functional improvement, especially for mechanical neck pain.
  • A systematic literature review of 15 selected articles confirms the safety and efficacy of HVLA manipulation in clinical settings.
  • Risk assessment is crucial to minimize potential complications and ensure safe application in physiotherapy practice.

Cite This Study

Nugraha et al. (2025) studied this question.

synapsesocial.com/papers/68a36a3f0a429f797332e9a2https://doi.org/10.38025/2078-1962-2025-24-4-130-140
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The effect of HVLA manipulation on static and dynamic postural parameters – a case study of a patient with a blocked atlanto-occipital transition2024 · 1 citations
  2. 2Neurophysiological Effects of High Velocity and Low Amplitude Spinal Manipulation in Symptomatic and Asymptomatic Humans2019 · 59 citations
  3. 3Effect of High-Velocity Low-Amplitude Manipulation on Cervical Spine Muscle Strength: A Randomized Clinical Trial2006 · 25 citations
  4. 4Manipulation of the Cervical Spine: Risks and Benefits1999 · 248 citations
  5. 5Effect of cervical vs. thoracic spinal manipulation on peripheral neural features and grip strength in subjects with chronic mechanical neck pain: a randomized controlled trial2017 · 50 citations