{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T22:25:14Z","timestamp":1783203914411,"version":"3.54.6"},"reference-count":31,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation Research and Practice"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p>Fibromyalgia (FM) has been associated with cardiac autonomic abnormalities and pain. Heart rate variability (HRV) is reduced in FM with autonomic tone dominated by sympathetic activity. The purpose of this study was to evaluate the effects of one session of a posteroanterior glide technique on both autonomic modulation and pain in woman with FM. This was a controlled trial with immediate followup; twenty premenopausal women were allocated into 2 groups: (i) women diagnosed with FM<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mo stretchy=\"false\">(<\/mml:mo><mml:mi>n<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>10<\/mml:mn><mml:mo stretchy=\"false\">)<\/mml:mo><\/mml:math>and (ii) healthy women<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mo stretchy=\"false\">(<\/mml:mo><mml:mi>n<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>10<\/mml:mn><mml:mo stretchy=\"false\">)<\/mml:mo><\/mml:math>. Both groups received one session of Maitland mobilization grade III posteroanterior central pressure glide, at 2\u2009Hz for 60\u2009s at each vertebral segment. Autonomic modulation was assessed by HRV and pain by a numeric pain scale before and after the intervention. For HRV analyses, heart rate and RR intervals were recorded for 10 minutes. FM subjects demonstrated reduced HRV compared to controls. Although the mobilization technique did not significantly reduce pain, it was able to improve HRV quantified by an increase in rMSSD and SD1 indices, reflecting an improved autonomic profile through increased vagal activity. In conclusion, women with FM presented with impaired cardiac autonomic modulation. One session of Maitland spine mobilization was able to acutely improve HRV.<\/jats:p>","DOI":"10.1155\/2014\/898763","type":"journal-article","created":{"date-parts":[[2014,5,29]],"date-time":"2014-05-29T21:13:52Z","timestamp":1401398032000},"page":"1-6","source":"Crossref","is-referenced-by-count":4,"title":["Effects of Posteroanterior Thoracic Mobilization on Heart Rate Variability and Pain in Women with Fibromyalgia"],"prefix":"10.1155","volume":"2014","author":[{"given":"Michel Silva","family":"Reis","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, School of Medicine, Federal University of Rio de Janeiro, 8\u00b0 Floor 3 (8E-03), Prof Rodolpho Paulo Rocco Street, 21941-913 Rio de Janeiro, RJ, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o Luiz Quagliotti","family":"Durigan","sequence":"additional","affiliation":[{"name":"Physical Therapy Division, University of Bras\u00edlia, QNN 14 \u00c1rea Especial, Ceil\u00e2ndia Sul, 72220-140 Bras\u00edlia, DF, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross","family":"Arena","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and Integrative Physiology Laboratory, College of Applied Health Sciences, University of Illinois, 1919 W. Taylor Street (MC 898), Chicago, IL 60612, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno Rafael Orsini","family":"Rossi","sequence":"additional","affiliation":[{"name":"Healthy-School Unit, Federal University of Sao Carlos, 235\u2009Km. Washington Luis Rodovia, 13565-905 Sao Carlos, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renata Gon\u00e7alves","family":"Mendes","sequence":"additional","affiliation":[{"name":"Laboratory of Cardiopulmonary Physiotherapy, Federal University of Sao Carlos, 235\u2009Km. Washington Luis Rodovia, 13565-905 Sao Carlos, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Borghi-Silva","sequence":"additional","affiliation":[{"name":"Laboratory of Cardiopulmonary Physiotherapy, Federal University of Sao Carlos, 235\u2009Km. Washington Luis Rodovia, 13565-905 Sao Carlos, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"98","reference":[{"issue":"2","key":"1","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1002\/art.1780330203","volume":"33","year":"1990","journal-title":"Arthritis and Rheumatism"},{"issue":"4","key":"2","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/S0049-0172(00)80010-4","volume":"29","year":"2000","journal-title":"Seminars in Arthritis and Rheumatism"},{"issue":"3","key":"3","first-page":"581","volume":"28","year":"2001","journal-title":"Journal of Rheumatology"},{"issue":"4","key":"4","first-page":"714","volume":"24","year":"1997","journal-title":"Journal of Rheumatology"},{"issue":"4","key":"5","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/S0049-0172(00)80008-6","volume":"29","year":"2000","journal-title":"Seminars in Arthritis and Rheumatism"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2013.03.004"},{"issue":"11","key":"7","first-page":"2660","volume":"27","year":"2000","journal-title":"Journal of Rheumatology"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.01377.2010"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2010.09.012"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.2217\/17460816.3.5.475"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1097\/RHU.0b013e3181a1083d"},{"issue":"5","key":"12","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1161\/01.CIR.93.5.1043","volume":"93","year":"1996","journal-title":"Circulation"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1186\/1746-1340-18-3"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2011.05.006"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000000008"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2004.07.008"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbmt.2009.06.005"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2002.02103.x"},{"issue":"6","key":"19","first-page":"484","volume":"11","year":"1988","journal-title":"Journal of Manipulative and Physiological Therapeutics"},{"key":"20","year":"2000"},{"key":"21","year":"1998"},{"key":"22","first-page":"59","volume":"28","year":"1995","journal-title":"Journal of Electrocardiology"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1177\/0269215510375909"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2011.05.007"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2009.02.023"},{"issue":"6","key":"26","first-page":"321","volume":"102","year":"2002","journal-title":"Journal of the American Osteopathic Association"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/561753"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.1054\/math.2000.0378"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1054\/math.1995.0244"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.1067\/mmt.2000.109677"},{"key":"32","doi-asserted-by":"publisher","DOI":"10.1152\/ajpheart.00903.2005"}],"container-title":["Rehabilitation Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/rerp\/2014\/898763.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/rerp\/2014\/898763.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/rerp\/2014\/898763.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,22]],"date-time":"2017-06-22T14:03:54Z","timestamp":1498140234000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/rerp\/2014\/898763\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":31,"alternative-id":["898763","898763"],"URL":"https:\/\/doi.org\/10.1155\/2014\/898763","relation":{},"ISSN":["2090-2867","2090-2875"],"issn-type":[{"value":"2090-2867","type":"print"},{"value":"2090-2875","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014]]}}}