Immediate effects of cervical spine and sacroiliac joint manipulations on the autonomic nervous system and pedobarographic analysis: Randomized controlled trial

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dc.contributor.authorTurgut, Hayriye
dc.contributor.authorBuyukkirli, Lker Lker Can
dc.contributor.authorHatik, Sefa Haktan
dc.contributor.authorAydin, Emine Busra
dc.date.accessioned2026-04-25T14:19:55Z
dc.date.available2026-04-25T14:19:55Z
dc.date.issued2026
dc.departmentSinop Üniversitesi
dc.description.abstractBackground: This study aimed to investigate the immediate effects of cervical and sacroiliac joint manipulations on autonomic nervous system activity and baropodometric parameters. Methods: Participants were randomly assigned to three groups with equal gender distribution. The cervical manipulation group received chiropractic manipulation at the C3-C5 level, while the sacroiliac group received manipulation at the sacroiliac joint. The control group received no intervention. Pre- and post-treatment evaluations were conducted after a 30-minute interval. Plantar pressure was measured via a pedobarographic device. Autonomic nervous system activity was assessed using the Polar H10. Blood pressure and heart rate were manually recorded using a sphygmomanometer and pulse oximeter. Statistical significance was set at p < 0.05. Results: No significant differences were found among groups in terms of age, gender, height, or BMI (Kruskal-Wallis, p > 0.05). The cervical manipulation group showed significant decreases in systolic and diastolic blood pressure and heart rate post-intervention (Wilcoxon, p < 0.05). The sacroiliac group showed a significant increase in heart rate only (Wilcoxon, p < 0.05). No significant changes were observed in baropodometric parameters or autonomic activity within or between groups (Wilcoxon and Kruskal-Wallis, p > 0.05). However, post-intervention comparisons showed cervical manipulation led to a greater reduction in systolic blood pressure, while sacroiliac manipulation led to a greater increase in heart rate compared to controls (Mann-Whitney U with Bonferroni correction, p < 0.05). Conclusion: While no significant changes were observed in baropodometric or autonomic parameters, chiropractic manipulation demonstrated short-term effects on blood pressure and heart rate. The accuracy of heart rate variability assessments should be reviewed, and further studies are needed to evaluate long-term cardiovascular and autonomic outcomes.
dc.identifier.doi10.1016/j.aimed.2026.100634
dc.identifier.issn2212-9588
dc.identifier.issn2212-9596
dc.identifier.issue2
dc.identifier.scopus2-s2.0-105031713126
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1016/j.aimed.2026.100634
dc.identifier.urihttps://hdl.handle.net/11486/8250
dc.identifier.volume13
dc.identifier.wosWOS:001709501800001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofAdvances in Integrative Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20260420
dc.subjectSpinal manipulation
dc.subjectPedobarographic analysis
dc.subjectAutonomic nervous system
dc.titleImmediate effects of cervical spine and sacroiliac joint manipulations on the autonomic nervous system and pedobarographic analysis: Randomized controlled trial
dc.typeArticle

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