Enhance your lumbar manual therapy skills with manipulation or high velocity thrust (HVT) techniques— a fast, effective way to restore movement and improve symptoms in patients with some residual mechanical low back pain and persistent segmental stiffness.
Which patient presentations are most appropriate for HVT’s—and what precautions must be taken?
HVT’s can be effective when your patient has responded well to your manual therapy and exercise, but they're a bit stiff and need a little bit of extra treatment to get rid of the remaining pain and stiffness.
In this practical, hands-on session, you’ll learn how to apply a lumbar manipulation (Grade V) technique built on solid clinical reasoning, careful patient selection, and thorough safety screening.
You’ll discover:
- When HVT is indicated and how to identify patients most likely to benefit
- How to screen for absolute contraindications and understand key precautions
- Strategies to gain informed consent and communicate risks, benefits, and alternatives
- The importance of matching technique timing and force to end-range positioning
You’ll also learn how to:
- Use rotation-based PPIVM positioning to achieve precise segmental targeting
- Build from Grade IV PPIVMs into high velocity thrust with control and confidence
- Enhance patient comfort and reduce the risk of discomfort or adverse responses
- Apply HVT to improve mobility at specific lumbar levels (e.g. L4/5) with minimal force but high effectiveness
Watch this session to see each phase of the lumbar HVT technique broken down—from setup, positioning, and safety checks through to patient communication and thrust application.
By the end, you’ll have a structured approach for incorporating lumbar high velocity thrust into your treatment repertoire—safely and effectively enhancing movement and clinical outcomes for your patients.
Watch now and add lumbar manipulation to your manual therapy toolkit with confidence.
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