Die akuten Effekte von Gelenkmanipulationstechniken auf Marker der Aktivität des autonomen Nervensystems: Eine Literaturübersicht und Metaanalyse von randomisierten Sham-kontrollierten Studien

Zusammenfassung

Hintergrund

Joint manipulative techniques (JMT) sind Behandlungstechniken, die bei muskuloskelettalen Schmerzen von vielen verschiedenen Therapeutengruppen eingesetzt werden [1]. JMT können sowohl an der Wirbelsäule als auch an peripheren Gelenken sowie in unterschiedlichen Intensitäten als Mobilisation oder als „High-velocity-low-amplitude“-Technik (HVLA-Manipulation) angewendet werden. Es werden biomechanische [2] [3] [4] und neurophysiologische Outcomes wie neuromuskuläre Antwort [3], Schmerz [5] sowie die Aktivität des autonomen Nervensystems (ANS) [6] [7] [8] genutzt. JMT scheinen sowohl eine Hypalgesie [5] als auch eine sympathische Erregung [6] [7] zu erzielen.

 

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• Literatur

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