Lecture 3:

HVLA manipulation: Autonomous  nervous system effects.

  • Dr. Stephan Vinzelberg

    Physical Medicine & Rehabilitation
    Manual Medicine

Hospital for Manual Medicine
(conservative orthopedic inpatient clinic)
Sommerfeld, Germany


HVLA techniques are appreciated for its quick use in everyday practice.

The effect often focuses on pain therapy and in the musculoskeletal system like better mobility or less tension in muscles or fasciae.

In addition, the autonomous nervous system is particularly involved in chronic pain symptoms.

The study situation over the last 10 years shows a trend to pay more attention to the autonomous effects of manual therapy. Especially, HVLA techniques are shown to be more effective and long-lasting in their therapeutic effect.

In particular, the effects on the sympathicotonus, heart rate variability, stress hormones and inflammatory parameters have been investigated.

The aim of the lecture is to present the current international study situation.

After the lecture, participants will be more informed about the effect of HVLA techniques on the autonomic nervous system, in particular the sympathetic nervous system. After the lecture, the participants will be better able to integrate their knowledge in patient treatment with manual medical techniques for pain therapy and systemic-autonomous effects.

• back

• back



2009 Teacher in Manual Medicine (2009 assistant, 2013 fully qualified)

2015 Member of Observation Board of the Academy of Manual Medicine (ÄMM) Berlin

2015 Spokesman of Berlin Academy of Osteopathic Medicine

2015 Representative to ESSOMM

2016 Representative to FIMM

2018 Member of the FIMM Executive Board, Science Officer