01/27/2026
How does chiropractic care reduce pain, decrease op**te use, and surgical interventions? How does chiropractic care decrease disability status and improve quality of life?
Why is HVLA-Chiropractic Spinal Manipulation (HVLA-CSM) uniquely qualified?
• HVLA-CSM delivers a unique neural stimulus: High-velocity, low-amplitude thrusts generate a rapid, high–rate-of-force impulse that preferentially excites deep paraspinal mechanoreceptors (especially muscle spindles and joint receptors) more effectively than slower or sustained manual therapies.
• HVLA-CSM targets segments specifically: When directed at segments with central segmental motor control (CSMC) dysfunction, HVLA adjustments are proposed to normalize distorted proprioceptive afferent input rather than merely stretching tissues or reducing muscle tone.
• HVLA-CSM produces a strong afferent “reset” signal: The brief, time-locked sensory barrage from HVLA is thought to recalibrate multisensory processing and filtering within the CNS, improving sensorimotor integration.
• HVLA-CSM demonstrated supraspinal effects: Neurophysiologic studies show changes in cortical processing (e.g., reduced N30 somatosensory evoked potentials and altered prefrontal cortex activity) following spinal manipulation of dysfunctional segments, supporting a central neurologic mechanism.
• HVLA-CSM provides improved proprioceptive modulation than mobilization: Compared with mobilization or sham interventions, HVLA manipulation has been associated with stronger shifts toward segment-appropriate proprioceptive weighting and pain reduction in responsive patients.
• HVLA-CSM improves motor control efficiency: By normalizing afferent input and supraspinal excitability, HVLA adjustments may enhance motor output, reduce maladaptive muscle guarding, and interrupt self-perpetuating pain–dysfunction cycles.
Join us on Tuesday, February 3, for a 1 CE Hour Live Grand Rounds Discussion related to Proprioception and the CNS: https://postgraddc.com/product/grand-rounds-proprioception-and-the-cns/