The Somatic Connection  |   January 2016
Using Osteopathic Manipulative Therapy to Influence Autonomic Nervous System Activity
Author Affiliations
  • Christle C. Guevarra, MS, OMS III
    Western University of Health Sciences, College of Osteopathic Medicine of the Pacific, Pomona, California
  • Michael A. Seffinger, DO
    Western University of Health Sciences, College of Osteopathic Medicine of the Pacific, Pomona, California
Article Information
The Somatic Connection   |   January 2016
Using Osteopathic Manipulative Therapy to Influence Autonomic Nervous System Activity
The Journal of the American Osteopathic Association, January 2016, Vol. 116, 57. doi:10.7556/jaoa.2016.011
The Journal of the American Osteopathic Association, January 2016, Vol. 116, 57. doi:10.7556/jaoa.2016.011
Ruffini N, D’Alessandro G, Mariani N, Pollastrelli A, Cardinali L, Cerritelli F. Variations of high frequency parameter of heart rate variability following osteopathic manipulative treatment in healthy subjects compared to control group and sham therapy: randomized control trial. Front Neurosci. 2015;9:272. doi:10.3389/fnins.2015.00272. 
The relationship between manipulative techniques and heart rate variability (HRV) as a measure of autonomic nervous system balance has been reported in the literature.1-4 Researchers in Italy conducted a pragmatic, randomized, single-blinded, placebo-controlled crossover study to further examine the effects of osteopathic manipulative therapy (OMTh; manipulative care provided by foreign-trained osteopaths) on HRV. 
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