Autonomic nervous system and endocrine system response to upper and lower cervical spine mobilization in healthy male adults: a randomized crossover trial.
Manual therapy
cortisol
heart rate variability
hypothalamic pituitary adrenal-axis
musculoskeletal manipulations
stress response
Journal
The Journal of manual & manipulative therapy
ISSN: 2042-6186
Titre abrégé: J Man Manip Ther
Pays: England
ID NLM: 9433812
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
medline:
13
11
2023
pubmed:
17
2
2023
entrez:
16
2
2023
Statut:
ppublish
Résumé
Cervical spine mobilizations may differentially modulate both components of the stress response, consisting of the autonomic nervous system and hypothalamic pituitary adrenal-axis, depending on whether the target location is the upper or lower cervical spine. To date, no study has investigated this. A randomized, crossover trial investigated the effects of upper versus lower cervical mobilization on both components of the stress response simultaneously. The primary outcome was salivary cortisol (sCOR) concentration. The secondary outcome was heart rate variability measured with a smartphone application. Twenty healthy males, aged 21-35, were included. Participants were randomly assigned to block-AB (upper then lower cervical mobilization, Within groups, sCOR concentration reduced thirty-minutes following lower cervical mobilization ( There was a statistically significant reduction in sCOR concentration following lower cervical spine mobilization, and between-group difference, 30 min following the intervention. This indicates that mobilizations applied to separate target locations within the cervical spine can differentially modulate the stress response.
Sections du résumé
BACKGROUND
UNASSIGNED
Cervical spine mobilizations may differentially modulate both components of the stress response, consisting of the autonomic nervous system and hypothalamic pituitary adrenal-axis, depending on whether the target location is the upper or lower cervical spine. To date, no study has investigated this.
METHODS
UNASSIGNED
A randomized, crossover trial investigated the effects of upper versus lower cervical mobilization on both components of the stress response simultaneously. The primary outcome was salivary cortisol (sCOR) concentration. The secondary outcome was heart rate variability measured with a smartphone application. Twenty healthy males, aged 21-35, were included. Participants were randomly assigned to block-AB (upper then lower cervical mobilization,
RESULTS
UNASSIGNED
Within groups, sCOR concentration reduced thirty-minutes following lower cervical mobilization (
CONCLUSION
UNASSIGNED
There was a statistically significant reduction in sCOR concentration following lower cervical spine mobilization, and between-group difference, 30 min following the intervention. This indicates that mobilizations applied to separate target locations within the cervical spine can differentially modulate the stress response.
Identifiants
pubmed: 36794952
doi: 10.1080/10669817.2023.2177071
pmc: PMC10642313
doi:
Substances chimiques
Hydrocortisone
WI4X0X7BPJ
Types de publication
Randomized Controlled Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
421-434Références
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