Clinical Features: A 22-year-old male with a history of fatigability and a medical diagnosis of arrhythmia underwent a course of spinal manipulative therapy.
Intervention and Outcome:-The patient received a course of spinal manipulation to the upper cervical and upper thoracic regions. No adjunctive therapies were employed. During the course of treatment, his symptoms improved, and there were changes in ECG and heart rate variability.
Conclusion: Spinal manipulative therapy may be a useful modality in some instances of arrhythmia and may exert its effects through modification of the activity of the autonomic nervous system.
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