Evidence map›Paper›PMID 39916313›Full record

ArticleMedical science monitor : international medical journal of experimental and clinical research2025

Impact of Osteopathic Techniques on Autonomic Regulation: A Study of Heart Rate Variability in Healthy Adults.

Jakub Stępnik, Agnieszka Kędra, Dariusz Czaprowski

Abstract read
In one paragraph

Article in Medical science monitor : international medical journal of experimental and clinical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Jakub StępnikStill Academy of Osteopathy, Warsaw, Poland.
Agnieszka KędraDepartment of Applied Physiotherapy, Faculty of Physical Education and Health in Biała Podlaska, Józef Piłsudski University of Physical Education in Warsaw, Biała Podlaska, Poland.ORCID 0000-0002-8128-4839
Dariusz CzaprowskiDepartment of Physiotherapy, School of Public Health, University of Warmia and Mazury, Olsztyn, Poland.ORCID 0000-0002-8993-4322

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND This study examined how osteopathic techniques, including compression of the fourth ventricle (CV4) and rib raising (RR), influence autonomic nervous system (ANS) activity using heart rate variability (HRV) as a measurement tool. This study aimed to evaluate the effects of the fourth ventricle compression technique and the rib raising osteopathic technique on the activity of the autonomic nervous system measured by heart rate variability in 100 healthy adults. MATERIAL AND METHODS A total of 100 healthy participants were divided into 3 groups: CV4+RR (33 subjects), CV4 only (34 subjects), and a control group (33 subjects) undergoing a simulated procedure. Three 30-minute sessions were performed. HRV was recorded during a 5-minute seated session to assess ANS activity. RESULTS While no significant differences in the overall HRV parameter were observed between groups, significant changes were found in specific frequency domain parameters. The low-frequency (LF) parameter differed significantly between groups (p=0.005). A significant interaction effect was observed for the high-frequency (HF) parameter (F2=(4,194)=3.262; p=0.013), indicating group-dependent variations. Additionally, the LF/HF ratio showed a significant interaction effect between group membership and measurement time points (F2=(4,194)=5.39; p<0.001), highlighting differences across groups and time points. CONCLUSIONS The findings demonstrate that osteopathic techniques, particularly the combined CV4+RR approach, significantly affect certain HRV parameters, such as LF%, HF%, and the LF/HF ratio. The CV4+RR group exhibited notable changes compared to the control group, which showed no significant changes. These results suggest the potential effectiveness of the applied interventions in modulating ANS activity.

Indexed as

Autonomic Nervous SystemHeart RateManipulation, OsteopathicAdultFemaleHealthy VolunteersHumansMaleMiddle AgedYoung Adult

Identifiers

PMID39916313
PMCPMC11813193

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.