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Manual Therapy influences on the Autonomic Nervous System

Overview

The hypothalamus controls, monitors and integrates the ANS and is integral to the stress reactions and healing responses of humans. Manual therapy techniques including joint manipulation, mobilisation, soft tissue techniques and exercise based interventions all have the potential to influence the ANS and therefore the hypothalamus, thus providing a way to modify our response to pain, stress or injury.

This area of research looks at the neurophysiological and neuroendocrine mechanisms of manual therapy and the possible application of such interventions.

This research area has interest for those interested in non-pharmacological methods to modify neurophysiological and neuroendocrine functions to have an influence on stress and healing, and be of particular relevance to physiotherapists, osteopaths, chiropractors, exercise physiologists, physiologists and psychologists.

Research team

Team lead

Dr Steve Tumilty steve.tumilty@otago.ac.nz

Co-investigators:

Dr Ramakrishnan Mani
Assoc Prof Jim Cotter
Prof David Baxter

Graduate research students

Kesava Kovanur Sampath PhD candidate
Angela Spontelli-Gisselman PhD candidate

Events

Research week 2015 - Manual Therapy influences on the Autonomic Nervous System Symposium

This session looked at the neurophysiological and neuroendocrine mechanisms of manual therapy and the possible application of such interventions.

Dr Steve Tumilty (School of Physiotherapy)

Tendinopathy 

Non-Mechanical Effects of Manual Therapy

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Dr Karl Iremonger (Dept of Physiology)

Hypothalamic circuits controlling stress

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Kesava Sampath (Phd candidate, School of Physiotherapy)

Neurophysiological and Neuroendocrine changes after Manipulation of the Thoracic Spine

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Angela Spontelli-Gisselman (PhD candidate, School of Physiotherapy)

Measuring Heart Rate Variability in Elite Athletes

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Publications

Sampath, K.K, Mani, R., Cotter, J.D., Gisselman, A., and Tumilty, S. (2017). Changes in biochemical markers following spinal manipulation-a systematic review and meta-analysis. Musculoskeletal Science and Practice. DOI: 10.1016/j.msksp.2017.04.004

Sampath, K.K, Botnmark E., Mani, R., Cotter, J.D., Katare R., Munasinghe P.E., and Tumilty, S. (2017). Neuro-endocrine Response Following a Thoracic Spinal Manipulation in Healthy Men. Journal of Orthopaedic and Sports Physical Therapy. Accepted Manuscript.

Tumilty, S., Mani, R., and Baxter, G.D. (2015) Photobiomodulation and eccentric exercise for Achilles tendinopathy: a randomized controlled trial.  Lasers in Medical Science 31

Sampath, K.K, Mani, R., Cotter, J.D. and Tumilty, S. (2015) Measurable changes in the neuro-endocrinal mechanism following spinal manipulation. Medical Hypotheses. 85