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  • SoCal: One Day HVLA Technique Course

SoCal: One Day HVLA Technique Course

  • 01 Aug 2020
  • 9:00 AM - 6:00 PM
  • PRN Physical Therapy 4453 Eastgate Mall Suite 120 San Diego, CA 92121
  • 0


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One Day High Velocity Low Amplitude Technique Course

Offered by the California Orthopedic Manual Therapy Special Interest Group of the CPTA

August 1, 2020

PRN Physical Therapy

4453 Eastgate Mall Suite 120

San Diego, CA 92121

  San Diego, CA 

0.8 CEUs

Davis Koh, DPT, MBA, GCS, CSCS


Nick Perkins, PT, DPT 


The course will primarily consist of lab sessions with interspersed instructional components. There will be a review of evidence pertaining to HVLA, indications/contraindications to HVLA, a discussion of VBI/CAD testing, and concepts related to the model of spinal positioning and locking for HVLA. Specific techniques and strategies from osteopathic and Australian traditions will be presented. There will be ample time for practice and one on one attention.

Participants: Physical Therapists only

Instructor to Student Ratio: 1:12 (we will be limiting this course to 12 persons MAX)

Educational level: Intermediate/Advanced


  • COMPTSIG members - $180

  • APTA members - $210

  • Non-APTA members - $300
  • Student Member- $99
  • Student Non-Member- $120

Learning Objectives:

Upon completion of the course the participant will be able to:

*Describe the limitations of clinical VBI/CAD testing and perform the recommended screening procedure

*Discuss current best evidence relating to the indications/contraindications and use of high velocity low amplitude (HVLA) techniques for the spine and extremities

*Describe and demonstrate spinal positioning and locking used in cervical cervicothoracic, and lumbar HVLA techniques necessary to ensure patient comfort and safety while delivering an effective thrust

*Demonstrate enhanced proficiency and confidence in the delivery of HVLA techniques to the spine


Lecture will be approximately 2 hours and consist of:

  • Introduction

  • Review of Indications/contraindications for HVLA

  • Current Theories on HVLA

  • Biomechanical vs non-biomechanical thrust direction

  • Cavitation vs non-cavitation thrust efficacies

  • Soft tissue treatment pre vs. post-HVLA technique

  • Theories on pre-thrust joint positioning

Lab portion will be approximately 6 hours and consist of:

  • Demonstration of various hand hold options for HVLA

  • Proper body mechanics for HVLA

  • Prone vs. supine vs. sitting vs. standing options

  • HVLA spine techniques by location:


    • C0-C1

    • C1-C2

    • C3-C6

    • Cervicothoracic junction

    • Mid-thoracic

    • Thoracolumbar junction

    • Lumbar/sacroiliac options

    • HVLA extremity & rib options


Dr. Davis Koh, DPT, MBA, GCS, CSCS

Dr. Koh is a sports and orthopedic physical therapist with over 20 years of experience. He earned his B.S. degree in Physiological Sciences from the University of California at Los Angeles, as well as his Master and Doctorate degree in Physical Therapy from the University of Southern California. In 2007, Dr. Koh earned a Master in Business Administration from USC’s Marshall School of Business. 

His extensive training over the years has included studying different treatment techniques originating from Russia, Norway, France, Great Britain, Italy, South America, Korea and Australia.

Dr. Koh has been invited as a guest speaker for various organizations such as the University of California- Irvine Dept. of Sports Medicine, Columbia University, Rice University, USC School of Physical Therapy, Sacred Heart University School of Physical Therapy, California Physical Therapy Association, New York Knicks NBA Team, New York Liberty WNBA Team, Jacksonville Jaguars NFL Team, multiple NSCA State Conferences, Naval Special Warfare PT Department, US Army Med Dept. – Fort Bragg, Elite Sports and Spine Expo, and COPA World Conference.

In addition to working with individual athletes from the NFL, NBA, WTA, AVP, LPGA, UFC, MLB, WCAA, Olympics, and Canadian National Track & Field Team, Dr. Koh has enjoyed being a member of various medical teams for organizations including the Ironman Triathlon World Championships, Association of Volleyball Professionals (AVP) Tour, BMX World Cup Pro Tour, VANs Pro Skateboarding and BMX Tour, and the Association of Surfing Professionals (ASP) Tour. Dr. Koh is proud to have served on medical teams at various U.S. Olympic Training Centers working with athletes from Team USA Weightlifting, USA Beach and Indoor Volleyball, USA Boxing, USA Gymnastics, and USA Tae Kwon Do. Dr. Koh was part of Team USA Medical Team for the Pan-American Games and the NCAA Tae Kwon Do Medical Team. Dr. Koh has served on medical teams for Team USA Volleyball, USA Weightlifting, USA Sailing, USA Bobsled & Skeleton, USA Cricket, and USA Track and Field. Dr. Koh has also worked on national & international tours for So You Think You Can Dance, Dancing with the Stars, Ringling Bros, Black Sabbath, Beyonce, and Carrie Underwood.

In addition, Dr. Koh has been a consultant and researcher for Sketchers, Inc., Taylor-Made Golf, Inc., NBA Head Trainers Association, US Olympic Sports Med Dept., Muscle-Aid Tape, Inc., and Aspen Medical Products, Inc. He has published various articles for national physical therapy publications such as Advance Magazine and In Motion Magazine.

Dr. Koh is recognized as one of the “Best Physical Therapists in Southern California” by KCAL9/KTLA5 Television Stations in Los Angeles.

-Over 20 years of experience in Sports & Orthopedic PT for athletes in NBA, NFL, NCAA, MLB, and Olympic Teams

-International Olympic Medical Team Provider

-Team USA Volleyball Medical Team Member

-Team USA Weightlifting Medical Team Member

-Team USA Bobsled & Skeleton Medical Team Member

- Team USA Sailing Medical Team Member

-AVP Pro Beach Volleyball Medical Team Member

-ASP Pro Surfing Medical Team Member

-Vans Pro Skateboarding Medical Team Member

-Certified Strength & Conditioning Specialist

-U.S. Government Expert Witness for Physical Therapy

-Speaker to PT Schools, Medical Schools, International PT Conferences worldwide

Nick Perkins, PT, DPT

Dr. Nick Perkins was born and raised in San Diego, CA. From a young age he was involved in multiple

sports, and eventually became a tri-sport varsity athlete during his High School years. Dr. Perkins was

also a youth sports coach where he promoted self-esteem and confidence through fitness at multiple

elementary and middle schools in San Diego. He earned his Bachelor of Science in Public Health Science

from the University of California Irvine.

Dr. Perkins received his Doctorate of Physical Therapy with high honors from the University of St.

Augustine in San Marcos, California. The University of St. Augustine’s comprehensive curriculum

provided him with a strong background in physical rehabilitation of various patient populations with an

emphasis in orthopedic and manual physical therapy. Dr. Perkins is also an instructor with KOH

Education for Instrument Assisted Soft Tissue Mobilization Techniques (IASTM) course. He is a medical

team member of Team USA weightlifting and the AVP Pro Beach volleyball tour.

Dr. Perkins continues to expand his practice by becoming certified in Graston Technique, IASTM L1 & L2

Expert Practitioner using Fibroblaster, Advanced Concepts in Kinesiology Taping, and Fascial

Manipulation® techniques. Dr. Perkins also completed continuing education coursework in Total Motion

Release Spinal Manipulation as well as a year-long Orthopedic Manual Therapy Seminar Series.

Following his passion for teaching Dr. Perkins became a Certified Clinical Instructor and has accepted

multiple Physical Therapy Students for clinical internships.

Dr. Perkins was selected as class representative for the Student Physical Therapy Association (SPTA), and

eventually took a leadership role as the SPTA Vice President, where he enjoyed copious opportunities to

volunteer and fund-raise for local and national physical therapy initiatives. Dr. Perkins, was also chosen

by his professors to be an anatomy tutor, and a Teaching Assistant for the Spinal Evaluation and

Manipulation course at the University of St. Augustine. He relished the opportunity to teach his

colleagues. Dr. Perkins, received certificates in the Evaluation and Treatment of the Cervical, Thoracic,

and Lumbar Spine, Lumbo-Pelvic-Hip Complex, Extremity Integration, and Myofascial Manipulation in his

final trimester. His clinical experiences allowed Dr. Perkins to treat a diverse patient population ranging

from dependent geriatrics to advanced athletes in both land based and aquatic settings.

Dr. Perkins current career goals are to continue his education with numerous other clinical

specializations. Dr. Perkins hopes to continue expanding his practice and integrate his passion for

athletics and fitness with his therapeutic interventions to bring out the inner athlete in all his patients.

  • Team USA Weightlifting Medical Team Member
  • AVP Pro Beach Volleyball Medical Team Member
  • Assistant Instructor for IASTM L1 Practitioner course for KOH Education
  • Certified IASTM L1 & L2 Expert Practitioner
  • Certified Graston Technique provider
  • Certified in Advanced Concepts in Kinesiology Taping technique
  • Certified Total Motion Release Spinal Manipulation technique
  • Certified Clinical Instructor
  • Trained in Fasical Joint Pumping techniques
  • Trained in Orthopedic Manual Therapy Seminar Series

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