Effectiveness of spinal manipulation in influencing the autonomic nervous system - a systematic review and meta-analysis.
Spinal manipulation
autonomic nervous system
heart rate variability
oxy-hemoglobin
sympathetic nervous system
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:
03 Dec 2023
03 Dec 2023
Historique:
medline:
4
12
2023
pubmed:
4
12
2023
entrez:
4
12
2023
Statut:
aheadofprint
Résumé
Spinal manipulation (SM) has been hypothesized to influence the autonomic nervous system (ANS). Further, it has been proposed that the effects may vary depending on the segment manipulated. The aim of this systematic review was to synthesize the current level of evidence for SM in influencing the ANS in healthy and/or symptomatic population. Various databases ( Overall, there was low quality evidence that SM did not influence any measure of ANS including heart rate variability (HRV), oxy-hemoglobin, blood pressure, epinephrine and nor-epinephrine. However, there was low quality evidence that cervical spine manipulation may influence high frequency parameter of HRV, indicating its influence on the parasympathetic nervous system. When compared with control or sham interventions, SM did not alter the ANS. Due to invalid methodologies and the low quality of included studies, findings must be interpreted with great caution. Future studies are needed which employ rigorous data collection processes to verify the true physiological implications of SM on ANS.
Sections du résumé
BACKGROUND
BACKGROUND
Spinal manipulation (SM) has been hypothesized to influence the autonomic nervous system (ANS). Further, it has been proposed that the effects may vary depending on the segment manipulated. The aim of this systematic review was to synthesize the current level of evidence for SM in influencing the ANS in healthy and/or symptomatic population.
METHODS
METHODS
Various databases (
RESULTS
RESULTS
Overall, there was low quality evidence that SM did not influence any measure of ANS including heart rate variability (HRV), oxy-hemoglobin, blood pressure, epinephrine and nor-epinephrine. However, there was low quality evidence that cervical spine manipulation may influence high frequency parameter of HRV, indicating its influence on the parasympathetic nervous system.
CONCLUSION
CONCLUSIONS
When compared with control or sham interventions, SM did not alter the ANS. Due to invalid methodologies and the low quality of included studies, findings must be interpreted with great caution. Future studies are needed which employ rigorous data collection processes to verify the true physiological implications of SM on ANS.
Identifiants
pubmed: 38044657
doi: 10.1080/10669817.2023.2285196
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM