Lumbar HVLA

Rob Kawa demonstrates lumbar treatment using high velocity low amplitude. The "transverse process up" and "transverse process down" techniques are explained.

[@GarandThumb]

The beginning gets me every time.

[@HelpMeINeedDrB]

Ayyy thanks for this video! My FM/OMM residency is having us do some OMM rotation assignments, and this was one of the videos they asked us to watch :D One additional thing I wanted to add because I tutored this hundreds of times. I'll give an example based off your dysfunction: Type I (as demonstrated in this video): L1-L5 N SrRl...I do rotation side down as well. For muscle energy/HVLA we flip the diagnosis to get the restrictions- SlRr. When on the left hip, and placing pressure with your left arm on the patient's gluteal fold...the vector for Type I is down the femur. When the hips and sacrum are rotated LEFT, the lumbars are conversely rotated RIGHT...the restrictive barrier (sort of like a cogwheel). What I tell students to do is split your arms a perfect 180 degrees...that forms a Roman Numeral "I" for Type I dysfunction to remember it better. When you split the elbows, that would make the doc's right arm raise the patient's right shoulder, which lowers their left shoulder...aka left sidebending...also the restrictive barrier! Type II- let's say L3 F RlSl (which I rarely ever use), so the barrier is RrSr: note that the rotation left is the same...the only differences are the sidebending! So same set up for the patient on left hip, lock the leg behind popliteal fossa, and flatten out their back...the doc will basically pull both elbows in toward his/her ribcage (it looks like a Roman Numeral "II" with both arms...hence type II !)... this will drop the patient's RIGHT shoulder and cause RIGHT sidebending. Whereas the vector of force previously was down the femur, the vector this time will basically be straight into the doc's left ribcage with the left arm. Since this is still the same rotation restriction--the rotation of the hips and sacrum to the left will still make the lumbars rotate right. Boom! You're done!

[@santaidou1029]

It is easy to understand well in polite description. Thank you.

[@andrewford9089]

As a prospective DO student, I love your videos!

[@BM-ht9xk]

When I audited 1st semester of Chiro program, the fellow next to me said took him 7 years to plan and get there; now decades later I appreciate this as I never continued but visit a doctor a few times a month.

[@jtjr100]

As an OMS-I, you guys are a god send.

[@xoxoplz09]

You guys are awesome. Straight forward and helps keep my opp fresh.

[@byoung0826]

agreed with the comment above me & being an OMS-I this is helping me a lot for my practical next week. Thanks a lot

[@dimass2328]

perfect explanation 👍

[@allanr1515]

Thanks for sharing! Very nice!

[@AnnaMela]

Thanks!

[@esever]

thanks.

[@bkjeong1856]

Nice openning :)

[@deisogondamo3726]

nice presentation keep it up

[@rajivranjan4712]

Nice

[@dominiquehochain2380]

Top Super teacher

[@alkabret1]

Great

[@kabe6146]

What about Flex/ex AND seitbend from upper segments?

[@gian5334]

BRAVO COMPLIMENTI!WHAT IS YOUR NAME AND WHERE DO YOU WORK?

[@dr.christle]

dat beginning

[@glennsherman6523]

Is there a difference with HVLA setup with neutral vs type 2 mechanics

[@HelpMeINeedDrB]

See my 4-year-later response above

[@BrunoCThai]

Hi. Would you explain the mechanics 'to and through' please?

[@HelpMeINeedDrB]

See my response above

[@francosecchi9288]

Looks like there's too much rotation applied to the lumbar spine...what about chiropractic adjustments which are less rotatory and more focused on contacting the SP instead? Thanks

[@richardouellette4041]

No that kind of motion is needed to bring the lumbar spine to the restrictive barrier. This is correct. This is OMM and not chiropractic btw

[@dontatme7]

There is way to much random movement to chiro practice and since a chiro applies same techniques to patients with different problem it's all just luck of the draw in terms of it working

[@unryu1]

you have to believe to feel all the things he said.

[@ethanbates3484]

“Correction”

[@linasmikalauskas6214]

I think there was too much rotation

[@Becky959846]

With flexible people, like myself, it takes a bit more rotation to get pretention

[@edoardo9796]

Cutie!

[@numlock142]

nice video but this is not even close to be hvla technique, well maybe it is high velocity with low amplitude but its at the end of ROM so not totaly safe imo

[@ricardomariobosscalota5223]

J

[@dontatme7]

What a crock of shart