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The Effects of Manual Passive Exercise Performed by Physical Therapists on Autonomic Nervous System

  • Journal of the Korean Society of Physical Medicine
  • Abbr : J Korean Soc Phys Med
  • 2015, 10(1), pp.9-14
  • Publisher : The Korean Society of Physical Medicine
  • Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy

김인배 1,  김충유 1,  Kim EunKyung 2,  신한기 1,  Jong-Ho Kang 3

1부산가톨릭대학교 물리치료학과
2서남대학교
3부산가톨릭대학교

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ABSTRACT

PURPOSE:The purpose of this study was to investigate the effects of ten minutes of manual passive exercise performed by physical therapists on autonomic nervous system. METHODS:Thirty-five healthy adults, both male and female, were chosen as subjects for this study. The autonomic nervous system was measured by heart rate variability (HRV),before and after passive exercise using the following measurements: mean heart rate (mean HRT), low frequency (LF) and high frequency (HF) components, the LF/HF ratio, root mean square of the successive differences (RMSSD), and the HRV index. The exercise was performed on the subjects by a physical therapist with seven years of experience specializing in the nervous system. The exercise was conducted at the mid-range of motion on the upper and lower limbs of the subjects for two minutes and thirty seconds and for a total of ten minutes. RESULTS:There was a significant increase in the LF component. The mean HRT and the LF/HF ratio both increased, but these increases were not significant. The HF component, RMSSD, and HRV index all decreased, but these decreases were not significant. CONCLUSION:In conclusion, mid-range manual passive exercise does not induce stress on the autonomic nervous system. It can safely be performed by a physical therapist.

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