Assessment of skin blood flow following spinal manual therapy: A systematic review

Zegarra-Parodi, Rafael; Park, Peter Yong Soo; Heath, Deborah M.; Makin, Inder Raj S.; Degenhardt, Brian F.; Roustit, Matthieu

doi:10.1016/j.math.2014.08.011

Cited by 27 publications

(29 citation statements)

References 40 publications

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“…Several important technical points to consider (different from risk of bias) have previously been recommended in order to obtain valid data when conducting experimental studies on autonomic mediated physiology such as SC [26], HRV [27], and SBF [28]. Therefore, determining the effect of JMT on autonomic mediated physiology requires careful control over several factors relating to the stabilizing period before baseline recordings [27, 28], to the environment (e.g. temperature, noise) [26, 28], intake of stimulants (e.g.…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, determining the effect of JMT on autonomic mediated physiology requires careful control over several factors relating to the stabilizing period before baseline recordings [27, 28], to the environment (e.g. temperature, noise) [26, 28], intake of stimulants (e.g. caffeine, tobacco) [27, 28], recordings (e.g.…”

Section: Methodsmentioning

confidence: 99%

“…temperature, noise) [26, 28], intake of stimulants (e.g. caffeine, tobacco) [27, 28], recordings (e.g. sampling rate) [26, 27, 29], and processing of data (e.g.…”

Section: Methodsmentioning

confidence: 99%

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The acute effects of joint manipulative techniques on markers of autonomic nervous system activity: a systematic review and meta-analysis of randomized sham-controlled trials

et al. 2019

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BackgroundThe autonomic nervous system (ANS) interests many chiropractors and manual therapists, because joint manipulative techniques (JMT), e.g. high velocity low amplitude (HVLA) manipulations and mobilizations, appear to produce acute changes in ANS mediated physiology. The complexity of this issue justifies a systematic critical literature review.ObjectiveTo review the literature comparing the acute changes in markers of ANS activity between JMT applied on spinal or peripheral joints and a sham procedure in healthy or symptomatic subjects.MethodWe searched PsycINFO, PEDro, PubMed, Cochrane library, EMBASE, and Medline up to December 2017. We updated the search with PubMed, Cochrane library, EMBASE, and Medline including July 2018. Inclusion criteria were: randomized sham-controlled trials assessing the effect of JMT on markers of ANS activity; manually applied JMT, regardless of technique, applied on either healthy or symptomatic humans; outcome measurements recorded at baseline and repeated during and/or after interventions. Selection of articles and data extraction were performed independently by two reviewers. The quality of studies was assessed using the Cochrane ‘risk of bias’ tool and a technical check-list. Results were reported narratively with some meta-analyses. The Cochrane GRADE approach was used to assess the certainty of evidence.ResultsTwenty-nine of 2267 studies were included in the synthesis. Mobilizations (oscillatory technique) probably produce an immediate and short-term, bilateral increase in skin sympathetic nerve activity (reflected by an increase in skin conductance) regardless of the area treated (moderate-certainty evidence). It is uncertain whether the sympathetic arousal also explains an increase in respiratory rate (very low-certainty evidence). Our evaluation of the literature suggests that spinal sustained apophyseal glides (SNAGs) mobilization and HVLA manipulation of the spine may have no acute effect on the studied markers of ANS activity (very low- to low-certainty evidence).ConclusionSome types of mobilizations probably produce an immediate and short-term, statistically significant increase in skin sympathetic nerve activity when compared to a sham procedure, whereas spinal SNAGs and spinal HVLA techniques may have no acute effect on the studied markers of ANS activity. No region-specific results were noted. The literature suffers from several shortcomings, for which reason we strongly suggest further research.Electronic supplementary materialThe online version of this article (10.1186/s12998-019-0235-1) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The acute effects of joint manipulative techniques on markers of autonomic nervous system activity: a systematic review and meta-analysis of randomized sham-controlled trials

et al. 2019

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“…The involvement of supraspinal systems in mediating the treatment effects of MT has been corroborated through the observation of concurrent hypoalgesia (reduction in pain in response to a standard stimulus) and excitation of the sympathetic nervous system in relation with the application of MT techniques [50]; for example, changes in heart rate, blood pressure, skin conductance or skin blood flow [51]. Decreases heart rate variability [52], salivary amylase [53] and salivary cortisol and insulin levels [52] are also noted after MT.…”

Section: • Neurophysiological Mediatorsmentioning

confidence: 99%

What Effect can Manual Therapy have on a Patient’s Pain Experience?

et al. 2015

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Manual therapy (MT) is a passive, skilled movement applied by clinicians that directly or indirectly targets a variety of anatomical structures or systems, which is utilized with the intent to create beneficial changes in some aspect of the patient pain experience. Collectively, the process of MT is grounded on clinical reasoning to enhance patient management for musculoskeletal pain by influencing factors from a multidimensional perspective that have potential to positively impact clinical outcomes. The influence of biomechanical, neurophysiological, psychological and nonspecific patient factors as treatment mediators and/or moderators provides additional information related to the process and potential mechanisms by which MT may be effective. As healthcare delivery advances toward personalized approaches there is a crucial need to advance our understanding of the underlying mechanisms associated with MT effectiveness.

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“…• Verblindung der Statistiker ▪ Technische Aspekte des Experiments (Bewertung mittels 6 Kriterien) -Untersuchung JMT auf ANS erfordert sorgfältige Kontrolle diverser Faktoren (z. B. Stabilisationsperiode vor Baselinemessung [11,12], Umgebung (Temperatur, Geräusche) [10,12], Einnahme von Stimulantien (Koffein, Tabak) [11,12], Aufnahme (Sampling-Rate) [10,11,13] und Datenverarbeitung [11,12]). ▪ Allgemeine Beweissicherheit für jede Outcome-Variable (Cochrane-GRADE-Methode)…”

Section: Bewertung Inkludierter Studienunclassified

Die akuten Effekte von Gelenkmanipulationstechniken auf Marker der Aktivität des autonomen Nervensystems: Eine Literaturübersicht und Metaanalyse von randomisierten Sham-kontrollierten Studien

2020

physioscience

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Assessment of skin blood flow following spinal manual therapy: A systematic review

Cited by 27 publications

References 40 publications

The acute effects of joint manipulative techniques on markers of autonomic nervous system activity: a systematic review and meta-analysis of randomized sham-controlled trials

The acute effects of joint manipulative techniques on markers of autonomic nervous system activity: a systematic review and meta-analysis of randomized sham-controlled trials

What Effect can Manual Therapy have on a Patient’s Pain Experience?

Die akuten Effekte von Gelenkmanipulationstechniken auf Marker der Aktivität des autonomen Nervensystems: Eine Literaturübersicht und Metaanalyse von randomisierten Sham-kontrollierten Studien

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