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.