The activity of the autonomic nervous system has been shown to influence the appearance of symptoms in some diseases such as rheumatoid arthritis, fibromyalgia, or migraine, among others. In the bibliography we find different authors who, through intervention using manual therapy, have demonstrated its effects on the autonomic nervous system, especially on the increase in parasympathetic activity and reduction in sympathetic activity. A clinical trial is proposed to verify these effects.
The aim of the study is to analyse the effects of applying a specific sequence of manual therapy techniques focused on the regulation of the autonomic nervous system. This intervention sequence will be applied in a single intervention. As a result, an immediate increase in parasympathetic activity could occur, measured by different parameters of heart rate variability, heart rate and respiratory rate. If the results confirm the expected effects, this treatment sequence could be used as a therapeutic resource in patients with pathologies whose symptoms may be related to the deregulation of the autonomic nervous system, such as rheumatoid arthritis, migraine or fibromyalgia, among others.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
DOUBLE
Enrollment
96
Receive a sequence of manual therapy techniques composed by: suboccipital decompression technique, suboccipital release technique, fourth ventricle compression technique, vagus nerve neurodynamic technique
Receive a sequence of simulated manual therapy techniques composed by four maneuvers without effect on autonomic nervous system
Universitat Internacional de Catalunya
Sant Cugat del Vallès, Barcelona, Spain
RECRUITINGHeart rate
The investigators will examine the difference between Time 1 and Time 2 and between groups in beats per minute.
Time frame: Day 1
Root mean square of the successive differences between adjacent RR intervals (RMSSD) in heart rate variability index
The investigators will examine the difference between Time 1 and Time 2 and between groups in HRV measured by Root mean square of the successive differences between adjacent RR intervals (RMSSD) in heart rate variability index
Time frame: Day 1
High frequency (HF) band in heart rate variability index
The investigators will examine the difference between Time 1 and Time 2 and between groups in HRV measured by high frequency (HF) band in heart rate variability index .
Time frame: Day 1
Respiratory rate
The investigators will examine the difference between Time 1 and Time 2 and between groups in breaths per minute.
Time frame: Day 1
Incidence of Treatment-Emergent Adverse Events
The investigators register if an adverse effect is present during the intervention or just after the intervention.
Time frame: Day 1
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