Summary by Utah Sports and Wellness
Link to Original Article: https://pubmed.ncbi.nlm.nih.gov/33496535/
- Randomized Placebo-Controlled Trial
- PubMed Spine – January 2021
- 35 References
The objective was to compare the immediate effect of Spinal Manipulation:
- Included 59 patients with musculoskeletal pain.
- 19 patients assigned to upper thoracic spinal manipulation, 20 patients assigned to thoracic myofascial work on the upper thoracic region, and 20 patients assigned to a placebo, which included an ultrasound without any current output.
- Each patient received one intervention lasting 3 minutes.
There were a few patient exclusions:
- Patients with previous spinal or back surgeries.
- Pregnant women
- Patients with rheumatologic diagnosis, tumors, pacemakers, cardiac arrhythmia, or heart transplant and open-heart surgery.
- Patients who had consumed alcohol within the previous 24 hours.
- Musculoskeletal pain is a major societal burden worldwide, affecting nearly 1.3 billion people globally.
- Musculoskeletal pain increases the risk of cardiovascular events.
- Only spinal manipulation induced immediate improvement in the parasympathetic activity of the heart.
- Spinal manipulation on the upper thoracic spine led to an immediate improvement in the resting cardio autonomic control without having an effect on blood pressure.
- Spinal manipulation was applied in the spine position with the arms wrapped around the chest.
- Myofascial manipulation and placebo did not change cardiovascular autonomic control.
- Manual therapy applied to the upper thoracic region is likely efficient to improve the cardiac autonomic control.