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X Demographics
Mendeley readers
| Title |
Effect of spinal manipulative treatment on cardiovascular autonomic control in patients with acute low back pain
|
|---|---|
| Published in |
Chiropractic & Manual Therapies, December 2017
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| DOI | 10.1186/s12998-017-0167-6 |
| Pubmed ID | |
| Authors |
Mohamed Younes, Karine Nowakowski, Benoit Didier-Laurent, Michel Gombert, François Cottin |
| Abstract |
This study aimed to quantify the effect of spinal manipulative treatment (SMT) from an analysis of baroreflex, systolic blood pressure and heart rate variability (HRV) on patients with acute back pain. It was hypothesized that SMT would increase the parasympathetic cardiovascular autonomic control. Twenty-two patients with acute back pain were randomly divided into two groups: one receiving sham treatment (Sham) and the other receiving SMT. Recordings were completed during the first day and the seventh day, immediately before and after treatment on both days. ECG and systolic blood pressure were continuously recorded to compute cardiovascular variability and baroreflex sensitivity components. The perceived level of pain was measured with the numeric pain scale (NPS) 48 h before, just before and just after each treatment. The NPS ranged from 0 to 100% (peak of pain before treatment). ECG and systolic blood pressure recordings were analyzed in time frequency domain using the Smoothed pseudo Wigner-Ville distribution. Root mean square of the successive differences, high frequency power of the heart rate variability, and high frequency baroreflex sensitivity differences between post and pre tests were higher in the SMT group than in the Sham group (p < 0.01), whereas no differences were observed with the other heart rate variability components. Also, no differences were observed with the systolic blood pressure components. Although the estimated pain scale values decreased over time, no difference was observed between the SMT and Sham groups. This seems to be the first study to assess the effect of SMT on both heart rate variability and baroreflex sensitivity in patients with acute back pain. SMT can be seen to provoke an increase in parasympathetic control known to relate to a person's healthy state. Thus, cardiovascular variability analysis may be a useful tool for clinicians to quantify and objectify the beneficial effects of spinal manipulation treatment. |
X Demographics
The data shown below were collected from the profiles of 6 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 3 | 50% |
| France | 1 | 17% |
| Unknown | 2 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 5 | 83% |
| Practitioners (doctors, other healthcare professionals) | 1 | 17% |
Mendeley readers
The data shown below were compiled from readership statistics for 178 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 178 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 30 | 17% |
| Student > Bachelor | 20 | 11% |
| Other | 10 | 6% |
| Student > Ph. D. Student | 10 | 6% |
| Student > Doctoral Student | 9 | 5% |
| Other | 32 | 18% |
| Unknown | 67 | 38% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 42 | 24% |
| Medicine and Dentistry | 31 | 17% |
| Neuroscience | 9 | 5% |
| Sports and Recreations | 8 | 4% |
| Agricultural and Biological Sciences | 5 | 3% |
| Other | 10 | 6% |
| Unknown | 73 | 41% |