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Immediate effect of T2, T5, T11 thoracic spine manipulation of asymptomatic patient on autonomic nervous system response: Single-blind, parallel-arm controlled-group experiment

Journal: International Journal of Osteopathic Medicine Date: 2018/12, 30Pages: 12-17. doi: Subito , type of study: randomized controlled trial

Full text    (http://www.sciencedirect.com/science/article/pii/S1746068917301542)

Keywords:

thoracic spinal manipulation [1]
autonomic nervous system [94]
osteopathic manipulative treatment [2973]
OMT [2951]
randomized controlled trial [710]

Abstract:

Purpose Investigating the immediate effect of thoracic spinal manipulation on autonomic nervous system targeting three segments arbitrarily chosen, T2/T5/T11, compared to a sham-treatment randomised controlled group. Methods 73 participants completed the study protocol. Paired-t test were used to compare within-group and ANOVA repeated measures for between-groups results. Subjects were randomised into a single-blind controlled trial involving two study groups: intervention group and sham treatment group. Outcome measure was the rMSSD, electronically recorded through R-R intervals, continuously registered over a period of 60 s before and 60 s after the manipulation/sham. Results Within-group and between-group changes suggest a significant increase in rMSSD (p < 0.05) in intervention group compared to sham treatment, immediately after the postero-anterior thoracic HVLAT. Conclusion The result of this study suggests that thoracic OMT could affect ANS balance with a shift towards parasympathetic increase activity. Due to population sample, this study shouldn't be used for clinical application, but as a baseline for future research on the argument.


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