Manuelle Therapietechniken an der Wirbelsäule zur Stimulation des autonomen Nervensystems: ein Scoping Review

Rogan, Slavko; Taeymans, Jan; Berger, Ina; Baur, Heiner (2023). Manuelle Therapietechniken an der Wirbelsäule zur Stimulation des autonomen Nervensystems: ein Scoping Review Sportverletzung - Sportschaden, 37(2), pp. 67-78. Georg Thieme Verlag 10.1055/a-1958-2730

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Background Physical interventions or manual therapeutic techniques (MTTe) such as mobilisation, manipulation or soft tissue techniques not only have an influence on the target tissue with improvement of metabolism or reduction of hypertonic muscles. They are also used for balance regulation in central nervous changes of the autonomic nervous system (ANS). To date, there is a lack of empirical evidence on impact mechanisms and target locations of MTTe on the ANS. This scoping review aims to provide an overview of the evidence on the application of MTTe at diverse levels of the spine with a view to the ANS. Method A systematic literature search was conducted on CENTRAL, Google Scholar, Osteopathic Research Web, PEDro and PubMed. The scope and content of the literature were documented. The results of the included and referenced studies were summarised in a narrative approach with the focus being on the most significant clinical aspects. Results MTTe was described as manipulations, mobilisations, myofascial techniques and cervical traction. In 27 out of 35 studies, therapeutic treatments were carried out on healthy volunteers. Ten studies analysed immediate effects in patients, while two studies were designed as longitudinal studies in patients with hypertension. Over a period of four to eight weeks, the frequency of intervention was between one and three MTTe sessions a week. Conclusion The study results proved to be heterogeneous. For this reason, it is not possible to draw definitive, explicit and generally valid statements regarding the type and intensity as well as the segmental level at which MTTe should be applied in order to trigger specific positive ANS response mechanisms. Consequently, longitudinal studies with follow-up are recommended for future studies. In addition, comprehensive effects of MTTe should be evaluated in groups of patients with different characteristics.

Item Type:

Journal Article (Original Article)


School of Health Professions
School of Health Professions > Physiotherapy
School of Health Professions > Physiotherapy > Neuromuscular Control


Rogan, Slavko0000-0003-0865-2575;
Taeymans, Jan;
Berger, Ina and
Baur, Heiner0000-0002-4780-225X


R Medicine > R Medicine (General)
R Medicine > RZ Other systems of medicine




Georg Thieme Verlag




Heiner Baur

Date Deposited:

27 Oct 2023 10:47

Last Modified:

27 Oct 2023 10:47

Publisher DOI:


Uncontrolled Keywords:

Manipulation - sympathisches Nervensystem - parasympathisches Nervensystem musculoskeletal manipulation - sympathetic nervous systems - parasympathetic nervous system




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