Time effect for in-situ dry needling on the autonomic nervous system, a pilot study

Sillevis, Rob; Duijn, Jacqueline van; Shamus, Eric; Hard, Matt

doi:10.1080/09593985.2019.1644691

Cited by 11 publications

(13 citation statements)

References 54 publications

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“…The needle was inserted fully at a 45-degree angle toward the spine. This same needle placement protocol was previously reported by Sillevis et al [55].…”

Section: Measurement/needling Protocolmentioning

confidence: 81%

“…Fully automated pupillometry devices have been used previously in a number of studies investigating autonomic nervous system activity [48,51,54,55,[60][61][62][63][64][65]. The measurement error is minimal and pupil changes of less than 0.2 mm can be detected [63,[65][66][67].…”

Section: Figure 1 Pupilometry Goggles In Positionmentioning

confidence: 99%

“…The diameter of the pupil at any given time is a reflection of the real time balance of between the activity of the sympathetic system and parasympathetic activity [13,46,52]. Previous studies have used fully automated pupillometry to capture the pupil diameter in real time [53][54][55].…”

Section: Introductionmentioning

confidence: 99%

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The Effects of Neural Therapy Using 1% Procaine Injections on Pain and Autonomic Nervous System in Patients with Neck Pain

2020

JRPR

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Background: Neural therapy, is a treatment approach that targets the nervous system by altering resting potential through injecting a local anesthetic. Neural therapy can be used to treat local tissues such as trigger points. It was the aim of this study to evaluate the short-term effect of neural therapy, using 1% procaine injections at cervicothoracic region, in subjects with chronic cervical spine pain on the autonomic nervous system. The secondary aim was to investigate if neural therapy resulted in immediate change in reported pain.Methods: A convenience sample of 22 subjects were recruited for this study. Each subjected reported pre intervention pain level. After this they underwent an automated pupillometry measurement for 1 minute. Following this they received the neural therapy intervention paravertebrally and an immediate pupil measurement followed. A third pupillometry measure was taken 4 minutes later. After this the subject reported post intervention pain level.Outcomes: There was no significant change in the pupil measurements in both the right and left eye (p>0.05). There was a significant reduction difference in pain report post testing (p< 0.01). Discussion:The results of this study demonstrate that Neural therapy using 1% procaine has an immediate effect on localized pain perception with eight paravertebral 1% procaine injections at the level of C7-T3. No change in pupil diameter was observed following neural therapy indicating that the balance between the sympathetic and parasympathetic nervous system did not change.

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“…The needle was inserted fully at a 45-degree angle toward the spine. This same needle placement protocol was previously reported by Sillevis et al [55].…”

Section: Measurement/needling Protocolmentioning

confidence: 81%

Section: Figure 1 Pupilometry Goggles In Positionmentioning

confidence: 99%

See 1 more Smart Citation

The Effects of Neural Therapy Using 1% Procaine Injections on Pain and Autonomic Nervous System in Patients with Neck Pain

2020

JRPR

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“…The use of fully automated pupillometry devices have been reviously reported [28,31,35,36,[41][42][43][44][45][46]. The measurement error is minimal and pupil changes of less than 0.2 mm can be detected [44,[46][47][48].…”

Section: Automated Measuresmentioning

confidence: 99%

“…The diameter of the pupil at any given time is the reflection of the real-time balance between the activity of the sympathetic system and parasympathetic activity [26,32,33]. Previous studies have used fully automated pupillometry to capture the pupil diameter in real-time [34][35][36]. No the previous studied have been reported of the direct effect of the SRT on the ANS.…”

Section: Introductionmentioning

confidence: 99%

The Effects of the Suboccipital Release Technique on the Autonomic Nervous System in Healthy Subjects: a Pilot Study

2020

JRPR

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Introduction: Neck pain and dysfunction are often the results of structural imbalances between the thoracic and cervical spine, including the suboccipital region. Myodural bridges between the suboccipital musculature, cervical fascia, and central nervous system present an essential consideration for the suboccipital release technique (SRT). Previous studies demonstrated local and systemic effects following SRT. Systemic effects resulting from SRT are likely due to the somatic influence on the autonomic nervous system (ANS). Previous research has suggested this influence. No prior studies have investigated the direct effect of SRT on the ANS in real-time. The ANS can be indirectly measured by pupil diameter.Purpose: To determine the immediate and short-term effect of the suboccipital release on the ANS system in a subgroup of healthy individuals.Methods: Twenty-seven subjects were screened for red flags and factors which may bias the ANS. The subjects underwent baseline pupillometry measurement, administration of SRT, and subsequent pupillometry measurement. Subjects also completed a Global Rate of Change Scale (GROC) following testing. Results:The mean pre-pupil diameter of the left eye did not differ significantly between Post1 and Post2 measures (F= 0.942, p=0.395). For the right pupil assessment, the non-parametric Friedman's test of differences among repeated measures was conducted and rendered a Chi-square value of 1.407, which was non-significant, p=0.495. Five subjects reported feeling unchanged after the measurement phase (18.5%). Nine subjects reported a "1" score of change (33.3%, seven subjects reported a "2" score of change (25.9%), and 6 subjects reported a "3" score of change (22.25%). The mean score was 1.5185 (SD=1.05 and a SE=0.202). Conclusion:This study's results demonstrate that the SRT did not have a significant immediate short-term systemic effect on the ANS. There was an overall perception of our subjects that something beneficial changed based on the GROC.

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Cardiac autonomic neuropathy and physical therapy: A case report

Herman

Zehr

Butts

et al. 2022

Journal of Bodywork and Movement Therapies

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Time effect for in-situ dry needling on the autonomic nervous system, a pilot study

Cited by 11 publications

References 54 publications

The Effects of Neural Therapy Using 1% Procaine Injections on Pain and Autonomic Nervous System in Patients with Neck Pain

The Effects of Neural Therapy Using 1% Procaine Injections on Pain and Autonomic Nervous System in Patients with Neck Pain

The Effects of the Suboccipital Release Technique on the Autonomic Nervous System in Healthy Subjects: a Pilot Study

Cardiac autonomic neuropathy and physical therapy: A case report

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