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Journal of Complementary and Integrative Medicine

Editor-in-Chief: Lui, Edmund

Ed. by Ko, Robert / Leung, Kelvin Sze-Yin / Saunders, Paul / Suntres, PH. D., Zacharias


CiteScore 2017: 1.41

SCImago Journal Rank (SJR) 2017: 0.472
Source Normalized Impact per Paper (SNIP) 2017: 0.564

Online
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1553-3840
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Comparative study on effect of neutral spinal bath and neutral spinal spray on blood pressure, heart rate and heart rate variability in healthy volunteers

Arundhati Goley
  • Division of Yoga and Life Sciences, Swami Vivekananda Yoga Anusandhana Samsthana (S-VYASA), A Deemed to be University, #19, Eknath Bhavan, Gavipuram Circle, Kepegowda Nagar, Bengaluru, Karnataka, India
  • Other articles by this author:
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/ A. Mooventhan
  • Corresponding author
  • Division of Yoga and Life Sciences, Department of Research and Development, Swami Vivekananda Yoga Anusandhana Samsthana (S-VYASA), A Deemed to be University, #19, Eknath Bhavan, Gavipuram Circle, Kepegowda Nagar, Bengaluru, Karnataka, India
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/ NK. Manjunath
  • Division of Yoga and Life Sciences & Head, Department of Research and Development, Swami Vivekananda Yoga Anusandhana Samsthana (S-VYASA), A Deemed to be University, #19, Eknath Bhavan, Gavipuram Circle, Kepegowda Nagar, Bengaluru, Karnataka, India
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2018-10-17 | DOI: https://doi.org/10.1515/jcim-2018-0118

Abstract

Background

Hydrotherapeutic applications to the head and spine have shown to improve cardiovascular and autonomic functions. There is lack of study reporting the effect of either neutral spinal bath (NSB) or neutral spinal spray (NSS). Hence, the present study was conducted to evaluate and compare the effects of both NSB and NSS in healthy volunteers.

Methods

Thirty healthy subjects were recruited and randomized into either neutral spinal bath group (NSBG) or neutral spinal spray group (NSSG). A single session of NSB, NSS was given for 15 min to the NSBG and NSSG, respectively. Assessments were taken before and after the interventions.

Results

Results of this study showed a significant reduction in low-frequency (LF) to high-frequency (HF) (LF/HF) ratio of heart rate variability (HRV) spectrum in NSBG compared with NSSG (p=0.026). Within-group analysis of both NSBG and NSSG showed a significant increase in the mean of the intervals between adjacent QRS complexes or the instantaneous heart rate (HR) (RRI) (p=0.002; p=0.009, respectively), along with a significant reduction in HR (p=0.002; p=0.004, respectively). But, a significant reduction in systolic blood pressure (SBP) (p=0.037) and pulse pressure (PP) (p=0.017) was observed in NSSG, while a significant reduction in diastolic blood pressure (DBP) (p=0.008), mean arterial blood pressure (MAP) (p=0.008) and LF/HF ratio (p=0.041) was observed in NSBG.

Conclusion

Results of the study suggest that 15 min of both NSB and NSS might be effective in reducing HR and improving HRV. However, NSS is particularly effective in reducing SBP and PP, while NSB is particularly effective in reducing DBP and MAP along with improving sympathovagal balance in healthy volunteers.

Keywords: autonomic functions; blood pressure; heart rate; hydrotherapy; naturopathy; spine

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About the article

Received: 2018-07-31

Accepted: 2018-09-04

Published Online: 2018-10-17


Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

Research funding: None declared.

Employment or leadership: None declared.

Honorarium: None declared.

Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis and interpretation of data; in the writing of the report or in the decision to submit the report for publication.


Citation Information: Journal of Complementary and Integrative Medicine, 20180118, ISSN (Online) 1553-3840, DOI: https://doi.org/10.1515/jcim-2018-0118.

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