May 1, 2026 · The Journal of orthopaedic and sports physical therapy · DOI: 10.2519/jospt.2026.0202

Reexamining the Evidence and Clinical Relevance of HVLAT for Radiculopathy

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In this letter to the editor, Davide Marotta critiques the findings of a systematic review and meta-analysis regarding the efficacy of high-velocity low-amplitude thrust (HVLAT) manipulations for treating radiculopathy. The author seeks to reexamine the evidence presented in the original article and discuss its clinical relevance, questioning the conclusions drawn about the effectiveness of HVLAT in this patient population.

Davide Marotta

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