Cardiac autonomic response after cranial technique of the fourth ventricle (cv4) compression in systemic hypertensive subjects

Curi, Ana Christina Certain; Maior, Alex Souto; Silva, Julio Guilherme

doi:10.1016/j.jbmt.2017.11.013

Cited by 23 publications

(43 citation statements)

References 19 publications

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“…Of the included articles, one study [13] performed an OMT intervention based on each patient’s needs and 6 studies [8, 14–18] dealing with cranial osteopathic manipulative medicine (OMM). 15 of the 23 studies were dealing with a healthy population.…”

Section: Resultsmentioning

confidence: 99%

“…15 of the 23 studies were dealing with a healthy population. In the other articles, the included subjects were dealing with craniofascial pain and temporomandibular dysfunction (TMD) [19], hypertensive and normotensive blood pressure [8], lumbar pain vs. pain free [20], acute cervical pain vs. pain free [21], lumbar pain, cervical pain or headache [22], acute back pain [23], cervical pain and stiffness [24] and certain symptomatic region [25].…”

Section: Resultsmentioning

confidence: 99%

“…No sign. change in the comparison of pre- or post-intervention results in all study groups (p < 0.01)Curi et al [8]Journal of Bodywork and Movement TherapiesRCTThe aim of this study was to compare blood pressure and HRV amongst hypertensive stage I (HT) and normotensive (NT) individuals who were submitted to cranial CV4 technique n = 30CV4 technique was applied to both groups. Measurements were taken immediate after technique, 5, 10 and 15 min after interventionBlood pressure reduction in HT group, statistical sign.…”

Section: Resultsmentioning

confidence: 99%

“…A rib raise technique, which Henderson et al [7] discovered in their study, also has an influence on the ANS activity. Other osteopathic treatment techniques such as craniosacral compression techniques on the fourth ventricle of the brain also show a change in the ANS activity which Curi et al [8] studied in 2017.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of an osteopathic treatment on the autonomic nervous system: a systematic review of the literature

Rechberger¹,

Biberschick²,

Porthun

2019

Eur J Med Res

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ObjectiveThe objective of this systematic review was to evaluate the effectiveness of an osteopathic treatment on the autonomic nervous system (ANS). For this purpose, published primary studies were analysed and critically evaluated.MethodTo generate this review, 15 electronic databases were systematically searched for studies. Randomized clinical controlled trials (RCT) and clinical controlled trials (CCT) are included in the review and evaluated with appropriate assessment tools (Downs and Black Checklist and the checklist from Kienle and Kiene).Results23 published studies (10 RCT, 1 clinic multi-centre study, 1 CCT, 5 randomized cross-over studies, 5 randomized pilot studies and 1 single case study) are included in this review. The studies were evaluated with the assessment tools according to their quality. 3 studies are graded as high quality, 11 as moderate and 8 as low-quality studies.ConclusionThe included published studies represent a good level of evidence. Due to a small number of subjects and no follow-ups, the methodological quality is rated as moderate. A significant change on the ANS was shown in studies including High-Velocity Low-Amplitude Techniques (HVLAT). No statement could be drawn in studies in which they used cranial osteopathic techniques due to the lack of methodological quality. A significant change on the ANS is shown in the treatment of the suboccipital region. In studies which evaluated the effectiveness of mobilization in the cervical and thoracic region, no statement could be displayed due to a low level of evidence. None of the findings in these studies have given statements if ANS activation takes place in the sympathetic or parasympathetic system.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of an osteopathic treatment on the autonomic nervous system: a systematic review of the literature

Rechberger¹,

Biberschick²,

Porthun

2019

Eur J Med Res

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“…More recently, BP and HRV were assessed in hypertensive and normotensive men aged 40-60 years before and after a single-session cranial OMT (Curi et al, 2018). Analysis of BP and HRV (derived from a cardiac monitor) revealed a decrease in SBP and DBP in hypertensive, but not normotensive, subjects, and a modest increase in vagally mediated HRV in both groups during the 15 min that followed OMT (Curi et al, 2018). However, as the authors acknowledged, the absence of a sham intervention and the short HRV and BP monitoring period after OMT limited the interpretation of these results.…”

Section: Hypertensionmentioning

confidence: 99%

Exploring the Effects of Osteopathic Manipulative Treatment on Autonomic Function Through the Lens of Heart Rate Variability

Carnevali

Lombardi²,

Fornari³

et al. 2020

Front. Neurosci.

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The osteopathic community has long hypothesized that the autonomic nervous system (ANS) represents one of the putative substrates through which osteopathic manipulative treatment (OMT) can improve body functions that have been altered by musculoskeletal alterations. Heart rate variability (HRV) is an important physiological measure of cardiac ANS activity. Emerging evidence suggests that OMT is associated with HRV changes that (i) are indicative of a larger cardiac vagal modulation, (ii) are independent from the part of the body needing treatment, (iii) occur even in the absence of musculoskeletal alterations. Yet, many questions remain unanswered, the duration of these effects and the specificity of HRV responses to different OMT techniques being perhaps the most critical. Therefore, this paper discusses prospects for future applications of HRV for the study of the influence of OMT on ANS function. Moreover, based on existing studies and preliminary data on the effects of OMT on HRV in specific pathological (hypertension) and physiological (stress exposure and recovery from sport competition) conditions that are commonly associated with increased sympathetic and/or decreased vagal activity, we propose that HRV analysis could be exploited to evaluate the effectiveness of OMT as a preventive or complementary strategy in clinical and non-clinical conditions characterized by ANS imbalance.

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Fourth Ventricle Compression (CV4) as a Method for Stress Management

Chhetri¹,

Ghosh

2022

Ergonomics for Design and Innovation

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Cardiac autonomic response after cranial technique of the fourth ventricle (cv4) compression in systemic hypertensive subjects

Cited by 23 publications

References 19 publications

Effectiveness of an osteopathic treatment on the autonomic nervous system: a systematic review of the literature

Effectiveness of an osteopathic treatment on the autonomic nervous system: a systematic review of the literature

Exploring the Effects of Osteopathic Manipulative Treatment on Autonomic Function Through the Lens of Heart Rate Variability

Fourth Ventricle Compression (CV4) as a Method for Stress Management

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