Short- and Long-term HRV Measurements After Osteopathic Myofascial Thoracic Manipulations

Study Overview
=================
Brief Summary
-----------------
The adaptation of the heart to react to any stimulus is called heart rate variability (HRV). Moreover, HRV is now used as a health index. In fact, among the pathologies affecting HRV the most, there are the cardiovascular diseases and depressive disorders that take a predominant part in the investigator's actual societies, According to a recent literature overview, many factors influence HRV and they need to be determined in order to plan efficient research protocols. Moreover, the control of these factors can improve the HRV and therefore help the heart to have maximum capacity to fulfill its physiological functions. Valorizing a good HRV seems, according to the effects reported by several studies, to be a good opportunity to take into consideration and to apply. Visceral osteopathy, even if it goes back to the founder of Osteopathy himself, Andrew Taylor Still, is at its debuts in terms of acknowledgement from a scientific point of view. The evidence of efficacy of osteopathy is not to be done anymore. However, it is now necessary to define the action mechanisms of the osteopathic techniques, particularly by using physiological variables, and starting from a biomechanical angle. In fact, Jean-Pierre Barral and others has developed visceral manipulation techniques based on the viscera anatomy. The originality of this research can be found in the technical protocol, not used yet, the use of witness group, the measurements over four weeks to evaluate the effect of this protocol with time on chosen dependant variables, its reproducibility but also its inter-therapist variance. This objective if this study is to reinforce the proof level of the osteopathic approach on the cardiac physiology. HRV is a solid tool recognized for research, the variable is well isolated and the control group ensures an isolation of some confounding variables.

Official Title
-----------------
Études Des Effets d'un Protocol de thérapie Manuelle ostéopathique Sur la variabilité de la fréquence Cardiaque

Conditions
-----------------
Heart Rate Variability

Intervention / Treatment
-----------------
* Other: Osteopathic manipulative treatment
* Other: Sham therapy


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: man or woman between 25 and 35 years old healthy non smoking Exclusion Criteria: diagnosed with anxiety or psychological disorder smoker, drug consumption diagnosed with renal disorder, cardiac disorder, functional somatic disorders, diabetes, chronic alcoholism, cancer or immunosuppressive disorders, stroke, aortic aneurysm, pregnant high level athletes thoracic trauma or surgeries does not fit Hexoskin vest for HRV measurements does not complete all sessions cannot stay lying down for 1 hour below 25 or above 35 years old student in manual therapy

Ages Eligible for Study
-----------------
Minimum Age: 25 Years
Maximum Age: 35 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Basic Science
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: randomized controlled trial
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental<br>Participants received osteopathic treatment | Other: Osteopathic manipulative treatment<br>* Specific protocol including 4 osteopathic techniques targeting the pericardium<br>|
| Sham Comparator: Sham<br>Participants received sham therapy | Other: Sham therapy<br>* Sham therapy mimicking the osteopathic techniques applied to experimental group<br>|
| No Intervention: Control<br>Participants received no intervention | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Heart rate variability | Real-time measurements of HRV before, during and after each intervention | 45 minutes | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
heart rate variability, autonomous nervous system, osteopathy, osteopathy manipulative treatment, visceral, pericardium