Which HVLA technique is described for cuboid dysfunction?

• A. Short lever whip
• B. Hiss whip
• C. Cross-handed thrust
• D. Muscle energy technique

Answer: (A)

The key idea is applying a precise, rapid thrust to correct a cuboid dysfunction. The short lever whip uses a direct, rapid impulse with a short contact arm placed close to the calcaneo-cuboid joint. This localized, high-velocity thrust allows the cuboid to snap back into its proper position without excessive tissue stretch, restoring motion along the lateral column of the foot. Its short lever design gives a controlled, targeted correction that minimizes load on surrounding structures while delivering enough force to overcome the maladaptive restriction.

This approach is especially suited for cuboid issues because the goal is a quick, definitive realignment of the calcaneo-cuboid articulation. Other options either describe non-thrust techniques or use different leverage or contact patterns that aren’t as precise for this joint. Muscle energy technique, for example, relies on patient muscle contractions rather than a high-velocity joint thrust, so it isn’t an HVLA method.