Systematic review on biomechanical effects of high-velocity, low amplitude spinal manipulation.

ABSTRACT:

Background

Spinal manipulative therapy uses high-velocity low-amplitude (HVLA) thrusts which are clinically effective, but underlying mechanisms are still unknown.

Objective

To summarize the evidence for biomechanical effects of HVLA thrusts in asymptomatic and symptomatic humans as well as for a possible link between biomechanical effects and clinical effectiveness.

Study design

Systematic review of randomized controlled trials.

Methods

An information specialist conducted systematic literature searches in six databases [Medline (OvidSP), Premedline (PubMed), CINAHL, EMBASE, Cochrane, and Biosis]. Studies were selected by two authors and classified using the revised Cochrane risk-of-bias tool for randomized trials (RoB 2). Results were qualitatively summarized

SUBMITTER: Langenfeld A 

PROVIDER: S-EPMC12273944 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature