BONFANTI EDUCATION HV-NMS

HV-NMS represents a contemporary approach to teaching and applying High-Velocity Thrust Techniques.

Developed with over two decades of international educational and clinical experience, the program integrates established manual therapy skills with a modern educational framework focused on mechanical understanding, clinical reasoning, motor control, and individual adaptation. HV-NMS goes beyond learning techniques as standardized procedures.

Participants learn to understand how techniques are constructed, how mechanical inputs can be influenced, and how clinical decisions must consider the individual, the intended goal, safety, and observed responses. The program maintains a strong practical identity by combining core theoretical foundations with live demonstrations and comprehensive supervised hands-on training across major anatomical regions. The goal is not merely to reproduce a technique, but to progressively develop the knowledge, sensory awareness, coordination, and clinical judgment required to construct and adapt it.

3-Day Program

DAY 1

UNDERSTANDING & CREATING THE STIMULUS

Introduction to HV-NMS

HV-NMS Educational Philosophy and Person-Centered Approach

From Technique Reproduction to Stimulus Creation

Clinical Purpose and Decision Making

Clinical Screening, Risk Assessment, and Informed Consent

Safety, Indications, and Contraindications

Understanding Mechanical Input and Individual Response: Core Principles of Force, Movement, and Mechanical Impulse

The Six Components of Stimulus Creation

Creating and Dosing the High-Velocity Stimulus: The HV-NMS Decision Framework

Live Demonstration and Guided Practical Experience of Stimulus Creation

DAY 2

DEVELOPING THE TECHNIQUE REPERTOIRE

Live demonstrations and supervised hands-on practice:

Middle Cervical Spine

Upper Cervical Spine

Temporomandibular Joint (TMJ)

Shoulder, Elbow, Wrist

Lumbar Spine & Pelvis

Hip, Knee, Ankle & Foot

DAY 3

RESPONSE, ADAPTATION & CLINICAL INTEGRATION

Continuation and refinement of techniques introduced over the first two days:

Review and Progressive Refinement of High-Velocity Techniques

Body Coordination and Motor Control: Contact, Positioning, and Pre-loading Adaptation

Line of Thrust and Impulse Modulation in Technique Application: Individual Variability

Adapting Techniques to Individual Characteristics

Communication, Tolerance, and Patient Feedback

Recognizing When to Modify or Stop

Integrating the Six Components During Practical Application

From Technique Application to Clinical Reasoning

Establishing a Relevant Clinical Baseline

Individual Responses to High-Velocity Stimulation

Post-Intervention Re-evaluation (Pain, Movement, Function, and Tolerance)

Clinical Uncertainty and Individual Variability

Stimulus Adaptation and Dosage (Repeat, Modify, Change Approach, or Stop)

OBJECTIVES

By the end of the three-day program, participants will be able to:

1. Explain the educational and mechanical principles underlying HV-NMS.
2. Identify the six interactive components involved in constructing High-Velocity techniques.
3. Demonstrate and progressively develop selected High-Velocity Thrust Techniques across major anatomical regions through supervised practical experience.
4. Comprehend the importance of body coordination, contact, positioning, pre-loading, line of thrust, and impulse modulation in technique application.
5. Differentiate between the intended mechanical effect, actual application, mechanical input, and observed patient response.
6. Apply principles of appropriate clinical screening, safety considerations, informed consent, and scope of practice.
7. Consider individual characteristics and clinical purpose when selecting and adapting techniques.
8. Observe relevant patient feedback following an intervention and re-evaluate selected clinical findings