Heart rate variability responses to instrument-assisted atlas (C1) chiropractic manipulation: A randomized placebo-controlled trial

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES Pub Date : 2025-07-03 DOI:10.1016/j.jbmt.2025.06.027

Thais de Souza Horsth , Ivan de Araujo Barros , Rafael Cotta de Souza , Arthur de Sá Ferreira , Renato Santos de Almeida

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引用次数: 0

Abstract

Introduction

Musculoskeletal pain is often linked to dysfunctions of the ANS. Instrument-assisted chiropractic manipulation is promising for modulating HRV through the ANS.

Objective

To assess the impact of chiropractic manipulation on HRV in individuals with musculoskeletal pain compared to a placebo.

Methods

A randomized clinical trial included 64 participants aged 18–60 years (mean age = 32 ± 10.4) with acute or chronic musculoskeletal pain. The intervention group (IG) received a single high-velocity, low-amplitude impulse on the bilateral transverse processes of C1, while the control group (CG) received a placebo. HRV was recorded both pre- and post-intervention using a Polar H10 monitor and analyzed with Kubios HRV Standard (v3.5.0). Analysis was through repeated-measures ANOVA (p < 0.05).

Results

The IG showed a significant LF/HF change (p = 0.013), and the CG had a significant SD1/SD2 change (p = 0.02) in intra-group comparisons. No significant differences were found between IG and CG for variables such as SDNN, NN50, PNN50 %, SD1, SD2, LF/HF, and SD1/SD2.

Discussion

Both interventions induced HRV changes without significant intergroup differences, suggesting uncontrolled factors may influence the autonomic response.

Conclusion

Instrument-assisted chiropractic manipulation of C1 did not significantly change HRV vs. placebo, indicating the need for further studies on external variables.

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心率变异性对器械辅助寰椎（C1）捏脊手法的反应：一项随机安慰剂对照试验

肌肉骨骼疼痛通常与ANS功能障碍有关，器械辅助的脊椎指压疗法有望通过ANS调节HRV。目的评估脊椎指压疗法对肌肉骨骼疼痛患者HRV的影响，并与安慰剂进行比较。方法随机临床试验纳入64例急性或慢性肌肉骨骼疼痛患者，年龄18-60岁（平均年龄32±10.4岁）。干预组（IG）对双侧C1横突进行单次高速低振幅脉冲，对照组（CG）给予安慰剂。使用Polar H10监测器记录干预前后的HRV，并使用Kubios HRV Standard （v3.5.0）进行分析。分析采用重复测量方差分析(p <；0.05)。结果IG组LF/HF变化显著（p = 0.013）， CG组SD1/SD2变化显著（p = 0.02）。IG组和CG组在SDNN、NN50、pnn50%、SD1、SD2、LF/HF、SD1/SD2等变量上均无显著差异。两种干预措施均诱导HRV改变，组间差异不显著，提示不受控制的因素可能影响自主神经反应。结论器械辅助捏脊手法对C1的HRV与安慰剂相比无显著性改变，提示需要进一步研究外部变量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES REHABILITATION-

CiteScore

2.80

自引率

0.00%

发文量

133

审稿时长

321 days

期刊介绍： The Journal of Bodywork and Movement Therapies brings you the latest therapeutic techniques and current professional debate. Publishing highly illustrated articles on a wide range of subjects this journal is immediately relevant to everyday clinical practice in private, community and primary health care settings. Techiques featured include: • Physical Therapy • Osteopathy • Chiropractic • Massage Therapy • Structural Integration • Feldenkrais • Yoga Therapy • Dance • Physiotherapy • Pilates • Alexander Technique • Shiatsu and Tuina