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. 2021 Dec 2;16(12):e0260642. doi: 10.1371/journal.pone.0260642

Table 7. Short-term effects of different techniques on specific autonomic indices of HRV.

HRV marker Technique Result autonomic effect Article
Time-domain
SDNN Myofascial increase PNS activation Amoroso-Borges 2018
RMSSD Myofascial increase PNS activation Amoroso-Borges 2018
pNN50 Myofascial increase PNS activation Amoroso-Borges 2018
Frequency domain
LF HVLA upper thoracic increase SNS predominance Wirth 2019
HVLA lower cervical increase SNS predominance Wirth 2019
HF HVLA upper thoracic decrease Decreased PNS predominance Wirth 2019
HVLA lower cervical decrease Decreased PNS predominance Wirth 2019
HVLA upper cervical increase PNS predominance Amoroso-Borges 2018
Myofascial increase PNS predominance Amoroso-Borges 2018
Spinal manipulation No effect No effect Picchiottino 2019
LF/HF ratio HVLA upper thoracic increase increased sympa- tho-vagal balance Wirth 2019, Amoroso-Borges 2018
HVLA lower cervical increase increased sympatho-vagal balance Wirth 2019
HVLA upper cervical decrease sympatho-vagal balance Wirth 2019, Amoroso-Borges 2018
HVLA lumbar decrease sympatho-vagal balance Amoroso-Borges 2018
Myofascial decrease sympatho-vagal balance Amoroso-Borges 2018
Spinal Manipulations No effect No effect Picchiottino 2019

SDNN: the standard deviation of all R–R intervals; RMSSD: the root mean square of successive differences; pNN50: the percentage of successive normal sinus RR intervals more than 50 ms; PNS: Parasympathetic nervous system; SNS: Sympathetic nervous system; HVLA: high-velocity low amplitude technique; LF: low frequency; HF: high frequency.