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Table 4 Effect on cardiovascular autonomic outcomes in an RCT on spinal manipulation. Effect estimates were obtained using generalized linear mixed models

From: The effect of a single spinal manipulation on cardiovascular autonomic activity and the relationship to pressure pain threshold: a randomized, cross-over, sham-controlled trial

Outcomes

 

Intercept

Intervention (sham as reference)

Time (covariate)

Intervention × Time (sham as reference)

RRi (ms)

Estimates

856

0.2

51

4

N = 41

95% CI

820.7 - 892.9

− 32.3 - 32.7

37 - 65.6

− 12.9 - 21.4

p values

<  0.01

0.989

<  0.01

0.626

Log HF-HRV (ms2)

Estimates

3.004

− 0.013

0.051

0.026

N = 41

95% CI

2.863 - 3.144

− 0.118 - 0.092

0.025 - 0.076

− 0.009 - 0.062

p values

<  0.01

0.805

<  0.01

0.152

HF normalized unit

Estimates

67.3

− 0.8

− 1.9

0.7

N = 41

95% CI

63.0 - 71.8

− 5.4 - 3.8

− 3.4 - − 0.3

− 1.0 - 2.4

p values

<  0.01

0.727

0.018

0.420

Log LF-HRV (ms2)

Estimates

2.636

− 0.001

0.089

0.018

N = 41

95% CI

2.518 - 2.753

− 0.095 - 0.093

0.059 - 0.117

− 0.02 - 0.056

p values

<  0.01

0.984

<  0.01

0.360

Log LF/HF

Estimates

− 0.369

0.008

0.038

− 0.011

N = 41

95% CI

− 0.466 - − 0.271

− 0.095 - 0.111

0.006 - 0.07

− 0.048 - 0.027

p values

<  0.01

0.877

0.018

0.580

Log RMSSD (ms)

Estimates

1.666

− 0.005

0.033

0.013

N = 41

95% CI

1.591 - 1.74

− 0.063 - 0.052

0.02 - 0.045

− 0.006 - 0.032

p values

<  0.01

0.857

<  0.01

0.195

Log SDNN (ms)

Estimates

1.703

0.001

0.030

0.010

N = 41

95% CI

1.648 - 1.756

− 0.04 - 0.041

0.021 - 0.038

− 0.004 - 0.024

p values

<  0.01

0.962

<  0.01

0.188

SBP (mmHg)

Estimates

115.6

− 0.9

1.2

− 0.7

N = 30

95% CI

110.2 - 120.9

− 6.4 - 4.5

0.06 - 2.3

− 2.2 - 0.8

p values

<  0.01

0.727

0.038

0.389

DBP (mmHg)

Estimates

56.7

− 0.6

1.07

− 0.9

N = 30

95% CI

53.3 - 60.1

− 3.1 - 1.9

0.3 - 1.8

− 1.7 - 0.03

p values

<  0.01

0.639

<  0.01

0.059

MBP (mmHg)

Estimates

72.7

− 0.8

1.02

− 0.75

N = 30

95% CI

69.2 - 76.1

− 3.7 - 2.1

0.2 - 1.7

− 1.6 - 0.1

p values

<  0.01

0.579

<  0.01

0.101

LF-SBP (mm2Hg)

Estimates

1.557

0.003

0.050

0.050

N = 30

95% CI

1.252 - 1.861

− 0.272 - 0.278

− 0.02 - 0.12

− 0.048 - 0.149

p values

<  0.01

0.981

0.161

0.313

  1. Notes
  2. - Significant effects at p < 0.05 are bold faced
  3. - For RRi there were a quadratic Time trend (Estimate: − 10. p < 0.01) and Intervention by quadratic Time trend (Estimate: − 0.2. p = 0.931) terms in the model
  4. - For LF-SBP we used a gamma distribution with log link function
  5. Abbreviations:
  6. RRi intervals between normal beats; Log logarithm with base 10; HF high frequency; HF normalized unit: HF/(HF + LF) x 100; LF low frequency; RMSSD root mean square of the successive differences between normal heartbeats; SDNN standard deviation of the inter beat interval of normal sinus beats; SBP systolic blood pressure; DBP diastolic blood pressure; MBP mean blood pressure