000			02040nas a22002297a 4500
003			OSt
005			20210316111139.0
006			m|||||r|||| 00| 0
007			ta
008			171219t2012 sp ||||| |||| 00| 0 spa |
022			_a1050-6411
040			_cSalus Infirmorum
245	0	0	_aVisceral responses to spinal manipulation / _cPhilip S. Bolton, Brian Budgell
500			_aEste artículo se encuentra disponible en su edición impresa.
504			_aBibliografía: p.784
520	8		_aWhile spinal manipulation is widely seen as a reasonable treatment option for biomechanical disorders of the spine, such as neck pain and low back pain, the use of spinal manipulation to treat non-musculoskeletal complaints remains controversial. This controversy is due in part to the perception that there is no robust neurobiological rationale to justify using a biomechanical treatment of the spine to address a disorder of visceral function. This paper therefore looks at the physiological evidence that spinal manipulation can impact visceral function. A structured search was conducted, using PubMed and the Index to Chiropractic Literature, to construct of corpus of primary data studies in healthy human subjects of the effects of spinal manipulation on visceral function. The corpus of literature is not large, and the greatest number of papers concerns cardiovascular function. Authors often attribute visceral effects of spinal manipulation to somato-autonomic reflexes. While this is not unreasonable, little attention is paid to alternative mechanisms such as somato-humoural pathways. Thus, while the literature confirms that mechanical stimulation of the spine modulates some organ functions in some cohorts, a comprehensive neurobiological rationale for this general phenomenon has yet to appear.
653	1	4	_aSomato-autonomic reflex
653	1	4	_aSomato-visceral reflex
653	1	4	_aSpinal manipulation
773			_g-- 2012, v. 22, n. 5, p. 777-784 _tJournal of Electromyography and Kinesiology
942			_2udc _cARTÍCULO
999			_c13002 _d13002