Peripheral response to cervical or thoracic spinal manual therapy: an evidence based review with meta-analysis
Journal of Manual & Manipulative Therapy
Spinal manual therapy is commonly used for treating patients for musculoskeletal pain in the neck, upper back, or upper extremities. Some authors report a multisystem effect of SMT, including peripheral alterations in skin conductance and skin temperature, suggesting that SMT may initiate a sympathetic nervous system 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 … ABSTRACT
