What distinguishes the Thompson technique from other manual HVLA approaches?

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The distinguishing feature is the drop-table mechanism that augments the thrust with a controlled, low-load impulse. In the Thompson technique, the patient lies on a segmented table that drops slightly under the target segment as the clinician applies a gentle contact. This drop adds momentum to the movement, delivering a quick, light impulse without requiring the clinician to generate a heavy manual force. That combination—table-assisted impulse with minimal manual load—is what sets it apart from other HVLA methods that rely more on a direct manual thrust, or on devices like vibration units or handheld impulse instruments.