Autonomic nervous system and viscera-related responses to manual therapy: A narrative overview

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL International Journal of Osteopathic Medicine Pub Date : 2024-09-12 DOI:10.1016/j.ijosm.2024.100735

Murdi S. Alanazi , Brian Degenhardt , G. Franklin , Eric Jacobson , Sandy Fritz , Norman Kettner , Vaclav Kremen , Laura Lipke , William R. Reed

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Abstract

Background

Manual therapy (MT) has long-held that it physiologically impacts autonomic nervous system (ANS) and viscera-related function. This narrative review is intended to serve as a consolidated interdisciplinary resource of original studies related to physiological effects of MT as it relates to the ANS for MT clinicians and researchers new to this MT-related topic.

Objective

This review seeks to identify ANS and viscera-related physiological responses to MT interventions using search terms commonly used by chiropractic, massage, osteopathic, physical therapy, and structural integration clinicians and to provide a quick reference resource of original MT-related studies investigating ANS effects.

Methods

For this interdisciplinary review, the search was limited to the largest and most commonly used database (PubMed) between years 2000 and 2024, with a focus on direct ANS-related physiological outcomes. Unlike systematic reviews, assessment of scientific rigor and potential bias of included articles was beyond the scope and purpose of the current work.

Results

Original MT-related studies provide mixed evidence with regards to immediate and/or short term ANS and/or viscera-related responses on blood pressure, heart rate variability, skin conductance/temperature, respiratory and lymphatic changes.

Conclusions

This review identified a large number of MT and ANS-related original research in PubMed. Careful study of original MT-related research is needed with particular attention focused on the standardization of MT methodological approaches, appropriate controls, study design, appropriate populations, MT techniques, and anatomical site delivery so as to design more rigorous studies in order to arrive at definitive conclusions regarding direct effects of MT on the ANS.

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自律神经系统和内脏对手法治疗的相关反应：叙述性概述

背景手动疗法（MT）长期以来一直被认为会对自律神经系统（ANS）和内脏相关功能产生生理影响。这篇叙述性综述旨在为 MT 临床医生和刚接触 MT 相关主题的研究人员提供与 MT 对自律神经系统的生理影响有关的原始研究的跨学科综合资源。本综述旨在使用脊骨神经科、按摩科、整骨疗法科、理疗科和结构整合科临床医师常用的检索词来识别自律神经系统和内脏对 MT 干预的相关生理反应，并为调查自律神经系统影响的 MT 相关原始研究提供快速参考资源。与系统性综述不同的是，对所收录文章的科学严谨性和潜在偏差的评估超出了当前工作的范围和目的。结果与 MT 相关的原创研究提供了不同的证据，涉及对血压、心率变异性、皮肤电导率/温度、呼吸和淋巴变化的直接和/或短期 ANS 和/或粘液相关反应。结论本综述在 PubMed 上发现了大量与 MT 和 ANS 相关的原创研究。需要仔细研究与 MT 相关的原始研究，尤其要关注 MT 方法的标准化、适当的对照、研究设计、适当的人群、MT 技术和解剖部位的传递，以便设计出更严格的研究，从而就 MT 对 ANS 的直接影响得出明确的结论。

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来源期刊

International Journal of Osteopathic Medicine 医学-医学：内科

CiteScore

2.20

自引率

36.80%

发文量

审稿时长

3 months

期刊介绍： The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine. The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.