Response to "Spinal Manipulative Therapy and Sports Performance Enhancement: A Systematic Review"

Cerqueira, Mikhail Santos

doi:10.1016/j.jmpt.2018.03.008

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…The latter does not allow unifying manual influences taking into account the existing pathology of internal organs, especially cardiovascular. The effects of SMT on the respiratory system are associated with improved tidal volumes, and there are no insufficient data on cardiovascular effects [16][17][18][19]. A number of authors have shown changes in the autonomic regulation of cardiac rate according to HRV.…”

Section: Discussionmentioning

confidence: 99%

“…The positive effect on the psycho-emotional state of patients was also observed [15]. Some studies have shown that SMT improves athletic performance, reduces spasticity of the athletes with cerebral palsy, increases forced vital lung capacity and forced exhalation, improves lung function and activity of the patients with chronic obstructive pulmonary disease, moreover it is even included into the respiratory treatment protocols [16][17][18][19]. Some attention was paid to the autonomic effects of SMT, which include the changes in heart rate variability (HRV), peripheral blood flow and skin conduction [20][21][22].…”

Section: Introductionmentioning

confidence: 85%

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The Immediate Effects of the Manual Therapy Traction Manipulations on Parameters of Cardiorespiratory System Functioning

Romanchuk¹

2022

saj

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The aim of this study was to determine the changes in the cardiorespiratory system activity under the influence of traction manipulations in the thoracic spine. The study involved 26 adults, including 18 women aged 39.6 ± 12.1 years and 8 men aged 36.3 ± 8.3 years. The mean age of patients was 38.6 ± 11.2 years. The work used an integral method of studying the cardiorespiratory system -spiroarteriocardiorhythmography (SAKR). SACR registration was performed before and after traction manipulations in the thoracic spine directly in the procedure of manual therapy. The study of the immediate effect of traction manipulations of SMT in the thoracic spine on the cardiorespiratory system allowed establishing the main significant effects: decrease in HR (min -1 ) from 85.1 (77.1; 94.2) to 79.5 (69.8; 87.6), p=0.000, decrease in duration of QTC (s) from 0.419 (0.404; 0.434) to 0.413 (0.401; 0.427), p=0.012, decrease in CO (dm 3 ) from 5.2 (4.6; 5.8) to 4.9 (4.4; 5.6), p=0.000, SI (dm 3 /m 2 ) from 3.05 (2.75; 3.30) to 2.90 (2.62; 3.20), p=0.000, increase in Vexp (L/s) from 0.28 (0.22; 0.34) to 0.31 (0.25; 0.39), p=0.030. The obtained data suggest that the main effects of traction manipulations on the thoracic spine are associated more with the changes in hemodynamic parameters of blood circulation due to activation of expiratory muscles and chest mobility, when the suction mechanisms of the chest and cardiovascular function of diaphragm are activated.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 85%

The Immediate Effects of the Manual Therapy Traction Manipulations on Parameters of Cardiorespiratory System Functioning

Romanchuk¹

2022

saj

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Spinal Manipulation and Select Manual Therapies

Hinkeldey

Okamoto

Khan

2020

Physical Medicine and Rehabilitation Clinics of North America

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Comparative features of the immediate impact of manual therapy traction manipulations on the cardiorespiratory system of men and women

Romanchuk¹

2022

PhR&RHT

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Purpose: the aim of this study was to determine the principal differences of changes in the cardiorespiratory system activity under the influence of traction manipulations in the thoracic spine of men and women. Material & Methods: the 26 adults were involved in the study, including 18 women aged 39.6±12.1 years and 8 men aged 36.3±8.3 years. All patients were diagnosed with osteochondrosis of the thoracic spine, which was confirmed by radiographic examination. The study of the cardiorespiratory system was conducted in the first procedure of SMT before and after the use of traction manipulations directly in the physician office. The integrated method of studying the cardiorespiratory system defined as spiroarteriocardiorhythmography (SACR) was used. It simultaneously records the heart rate, rhythms of systolic and diastolic pressure at each heartbeat and respiratory rhythms, which provides significant time savings to determine the functional state of the heart, vessels and respiration, as well as to identify the important parameters of their interaction. Results: characterizing the changes in the cardiorespiratory system as a whole under the influence of traction manipulations on the thoracic spine, it should be noted that men and women had some significant unidirectional changes in HR (min–1), CO (dm3), CI (dm3/m2), IH (n. u.), which are determined primarily by the decrease in HR (min–1) under the influence of traction manipulations. As to the men, the significant effects were more related to the impact on the contractile function of the heart, which was confirmed by the improvement of the electrical systole of the ventricles (QTC, s), the increase in the activity of the effects of the parasympathetic branch of the ANS on the cardiac rhythm (HF, ms2) and a certain increase in the stroke index within the normative values (SI, cm3/m2), then to the women the significant effects were more related to the influence on the breathing pattern and vascular tone. Thus, characteristic and positive effects in women can be considered a decrease in the variability of diastolic blood pressure in the very-low-frequency range (VLFDBP, mmHg2), which is combined with a decrease in the total power of diastolic pressure variability (TPDBP, mmHg2) and an increase in the total peripheral vascular resistance (GPVR, dyn/s/cm−5). Conclusions: summarizing the results of the impact of traction manipulations in the thoracic spine on the cardiorespiratory system of men and women, it can be stated that their effect is different and has features associated with the use of different mechanisms. For men, the predominant effect is on the heart contractile function, and for women it is on the respiratory system and autonomous regulation of vascular tone.

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Response to "Spinal Manipulative Therapy and Sports Performance Enhancement: A Systematic Review"

Cited by 3 publications

References 4 publications

The Immediate Effects of the Manual Therapy Traction Manipulations on Parameters of Cardiorespiratory System Functioning

The Immediate Effects of the Manual Therapy Traction Manipulations on Parameters of Cardiorespiratory System Functioning

Spinal Manipulation and Select Manual Therapies

Comparative features of the immediate impact of manual therapy traction manipulations on the cardiorespiratory system of men and women

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