RMT HVLA: Spinal High Velocity Low Amplitude Techniques

Approved for CEUs for California PTs

Sunnyvale (SF BAY AREA), CA Aug 13-14th

Hosted by Lucas Physical Therapy - 1322 South Mary Ave, Sunnyvale, CA 98407

RMT HVLA is a lab course focused on the clinical use of high velocity low amplitude (HVLA) thrust techniques in the lumbar, thoracic and cervical spine. The primary aim for this course is for participants to develop the knowledge and skill to increase utilization of HVLA techniques in the clinic. Participants will be instructed in the principles underlying two commonly used approaches to thrust mobilization: segmental localization and locking. A variety of techniques, of varying levels of complexity, will be shown for each region of the body. Although, this course emphasizes mastering the technical application of HVLA techniques, students will learn about the physiological effects and evidence to support thrust techniques in the treatment of musculoskeletal pain.

What you should Expect to learn

  1. Contraindications and Risks of HVLA techniques
  2. Proposed physiological benefits and evidence to support HVLA techniques in the treatment of musculoskeletal pain
  3. A variety of HVLA techniques of varying complexity for each region of the spine
  4. Clinical indications for the use of HVLA techniques
  5. Evidence to support the use of HVLA techniques in the treatment of musculoskeletal pain

Day Two:  Emphasis on Spinal Locking Thrust Techniques

8:00 - Mechanical Principles of Spinal Locking (lock) Thrust Techniques

9:00 - Mid and Lower Cervical Spine (lock)

10:00 - Lumbar Spine (lock)

10:15 - Break

10:30 - Thoracic Spine (lock)

11:15 - Quantifying the Risks of HVLA Techniques

11:45 - SIJ and Lumbar Spine Modifications (lock)

12:30 - Lunch (on your own)

1:30 - Cervicothoracic Spine (lock)

2:00 - Pillow Modifications to Segmental Localized Techniques

2:45 - Upper Cervical Introduction

3:30 - Break

3:45 - Locking Technique Consolidation

4:45 - Efficacy of HVLA Techniques

5:30 - End Day Two


Day One: Emphasis on Segmental Localization Thrust Techniques

8:00 - HVLA Contraindications and Risks

8:30 - Pre-HVLA Screening

9:00 - Mechanical Principles of Segmental Localization (local) Thrust Technique

9:30 - Mid and Lower Cervical Spine (local)

10:15 - Break

10:30 -  Lumbar Spine (local)

11:00 -  Mid Thoracic spine (local)

11:40 -  Cervicothoracic Spine (local) 

12:30 - Lunch (on your own)

1:30 - Mid and Lower Cervical Spine (cont)

2:30 - Lower Thoracic Spine (local)

3:00 - Clinical indications for HVLA techniques

3:30 - Break

3:45 - Segmental Technique Consolidation

5:00 - Physiological effects of HVLA

5:30 - End Day One

Please note: varying degrees of segmental localization are also possible with the spinal locking techniques instructed on day 2.


Upon completion of this course, participants will learn:

I. HVLA contraindications and risk factors

II. Clinical indications for HVLA techniques

III. About the evidence behind and the practical application of pre-HVLAscreening tests

IV. Segmental localization HVLA techniques for the lumbopelvic, thoracic & cervical regions

V. Spinal locking HVLA techniques for the lumbopelvic, thoracic & cervical regions

VI. About the proposed physiological effects of HVLA techniques.

VII. About the effectiveness for HVLA techniques in the treatment of musculoskeletal pain

Instructor: Roland LUcas PT MPhty FAAOMPT

Roland Lucas graduated with a Degree in Physiotherapy from the University of Sydney in 1992. Soon after graduation he immigrated to California and undertook post professional residency training in Orthopedic Manual Therapy (Hayward, CA-1996) and Proprioceptive Neuromuscular Facilitation (Vallejo, CA-1999). In 2000, he completed a Master of Manipulative and Sports Therapy at the University of South Australia. Currently, he is studying Clinical Epidemiology and Biostatistics through the University of Sydney.

Roland divides his time between clinical practice in Sunnyvale, CA and teaching continuing education. He founded a Yearlong Manual Therapy Course in 2001, which is offered August through May every year in Redwood City. Since 1999, Roland has written and instructed weekend continuing education courses on orthopedic, sports and manual therapy. Additionally, Roland has presented at State and National Conferences for Physical Therapists, Chiropractors and Medical Doctors. He has presented on Restorative Mechanotherapy and the Manual Therapy Ethics at Annual Conferences of the California Chapter of the APTA.

While completing his Master’s Roland developed a special interest in tendon rehabilitation, and since that time he has explored the role of connective tissue loading through manual therapy and exercise. Through combination of his clinical experience with modern histopathology and scientific evidence Roland developed the rehabilitative approach he has coined Restorative Mechanotherapy.  In his free time Roland enjoys running, windsurfing and spending time with his family.