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

In Response to: "High-Velocity Low-Amplitude Thrust Manipulations and Radiculopathy: Time for a Reality Check"

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In this response, the authors address concerns raised in a previous letter regarding the efficacy and clinical relevance of high-velocity low-amplitude thrust (HVLAT) manipulations for treating radiculopathy. They aim to clarify their stance on the evidence supporting HVLAT and its implications for clinical practice in orthopaedic and sports physical therapy.

Giuseppe Giovannico, Matteo Cioeta, Gabriele Giannotta, Silvia Bargeri, Fabrizio Brindisino, Leonardo Pellicciari

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