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Sympathetic nervous system and manual therapy

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Jennifer Chu, Diane D Allen, Sarah Pawlowsky, Betty Smoot
OBJECTIVES: Spinal manual therapy (SMT) is commonly used for treatment of musculoskeletal pain in the neck, upper back, or upper extremity. Some authors report a multi-system effect of SMT, including peripheral alterations in skin conductance and skin temperature, suggesting that SMT may initiate a sympathetic nervous system (SNS) response. The focus of this evidence-based review and meta-analysis is to evaluate the evidence of SNS responses and clinically relevant outcomes following SMT to the cervical or thoracic spine...
November 2014: Journal of Manual & Manipulative Therapy
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