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脊柱操纵对影响自主神经系统的有效性 - - 系统性审查和元分析
Kesava Kovanur Sampath1,2, Steve Tumilty3, Liana Wooten4
1Centre for Health and Social Practice, Waikato Institute of Technology, Te Pukenga, Hamilton, New Zealand.
The Journal of manual & manipulative therapy
|December 4, 2023
概括
脊柱操纵 (SM) 通常不会改变自主神经系统 (ANS). 然而,椎脊柱操纵可能会影响心率变化 (HRV),这表明潜在的副交感效应,尽管证据质量较低.
科学领域:
- 身体生理学 身体生理学
- 神经学 神经学
- 综合医学是一个整体的医学.
背景情况:
- 脊柱操纵 (SM) 理论上是为了影响自主神经系统 (ANS).
- 根据操纵的脊柱段提出了ANS反应的潜在变化.
- 在健康和有症状的人群中缺乏关于SM对ANS的影响的综合证据.
研究的目的:
- 系统地审查和综合有关脊柱操纵对自主神经系统影响的现有证据.
- 评估MS对健康和有症状的个体各种ANS参数的影响.
主要方法:
- 对8个数据库进行了系统审查,包括到2023年5月的研究.
- 用标准平均差异和元分析分析了618名参与者的14项试验.
- 使用GRADE方法评估了偏差风险和证据质量.
主要成果:
- 总的来说,低质量的证据表明,SM不会显著影响心率变化 (HRV),氧血球蛋白,血压或甲基荷兰胺等ANS指标.
- 低质量的证据表明,椎脊柱操纵可能会影响HRV的高频参数,表明潜在的副交感神经系统活动.
- 在将SM与对照或虚假干预进行比较时,没有观察到自主神经系统标志物的显著变化.
结论:
- 脊柱操纵,一般来说,与控制或假冒干预相比,似乎没有改变自主神经系统功能.
- 目前的证据质量不佳,方法上有局限性,需要谨慎解释研究结果.
- 需要进一步进行高质量的研究和严格的数据收集,以确认脊柱操纵对自主神经系统的生理影响.
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