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September 12, 2025Journal of Orthopaedic and Sports Physical Therapy

Efficacy of Spine High-Velocity-Low-Amplitude Thrust Manipulations in Patients With Radiculopathy: A Systematic Review With Meta-Analysis

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Authors

GGGiuseppe GiovannicoMCMatteo CioetaGGGabriele Giannotta

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Overview

Systematic review shows HVLAT manipulations reduce pain in radiculopathy patients, suggesting effective relief approaches.

Key Points

  • HVLAT manipulations significantly reduce pain in patients with cervical and lumbar radiculopathy.
  • Eleven trials with a total of 991 participants reported pain reductions of 1.20 and 1.26 compared to various interventions.
  • A systematic review design with a random-effects model was utilized for data synthesis and assessing evidence certainty.
  • Findings highlight potential benefits of HVLAT, but indicate a high overall risk of bias and variable evidence certainty.

Cite This Study

Giovannico et al. (2025) studied this question.

synapsesocial.com/papers/68d44a3731b076d99fa53458https://doi.org/10.2519/jospt.2025.13103
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