NCT05850910

Comparison Of The Immediate Effects Of Manipulation On The Autonomic Nervous System

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 62 (actual)
• Sponsor: Istanbul Medipol University Hospital · Academic / Other
• Sex: All
• Age: 18 Years – 45 Years
• Healthy volunteers: Accepted

Summary

High velocity low amplitude thrust applied at the vertebral level during spinal manipulation is thought to slide the vertebrae over each other and alter segmental biomechanics.

Detailed description

Evidence suggests that spinal HVLA techniques may produce acute changes in skin sympathetic nerve activity. There are studies reporting that thoracic HVLA manipulation causes a statistically significant increase in cardiac vagal activity in the immediate post-intervention period compared to sham administration.

Conditions

• Vagus Nerve Autonomic Disorder

Interventions

Type	Name	Description
OTHER	Supine practice group	The practitioner's arm was placed in the mid-thoracic region from the opposite side of the individual's torso in the form of a half fist. In this position, the SPs coincide with the space in the middle of the half fist, while the TPs coincide with the fingertips and the thenar region. With the practitioner's other hand supporting the patient's elbows, a high-speed-low-amplitude thrust is applied from front to back.
OTHER	Prone application group	the practitioner positions the hypothenar part of his hands above the TPs in the mid-thoracic segment. From this point, a high-velocity-low-amplitude thrust is applied from the back to the front.

Timeline

• Start date: 2023-05-01
• Primary completion: 2023-05-01
• Completion: 2023-07-17
• First posted: 2023-05-09
• Last updated: 2023-07-18

Locations

1 site across 1 country: Turkey (Türkiye)