Short Term Effect of Cervical Mobilization vs Manipulation on Blood Pressure in Hypertensive Subjects

Cairo University (CU)

Status: Completed

Conditions: Hypertension

Treatments: Other: cervical mobilization; Other: cervical manipulation

Study type: Interventional

Funder types: Other

Identifiers

NCT05420298

P.T.REC/012/003253

Details and patient eligibility

About

Spinal pain or misalignment is a very common disorder affecting a significant number of populations resulting in substantial disability and economic burden. Various manual therapeutic techniques such as spinal manipulations and mobilizations can be used to treat and manage pain and movement dysfunctions such as spinal malalignments and associated complications. These manual therapeutic techniques can affect the cardiovascular parameters .

Full description

Group A group (n=20). All participants will receive only single session of neck mobilization. Grade IV unilateral posteroanterior pressure and sustained extension to be applied restricted joints and muscle energy technique.

• Group B (n=20) will receive single session of neck manipulation with high-velocity, low-amplitude thrust over restricted joints (one at a time) with the goal of restoring normal range of motion in the joint.

Enrollment: 40 patients

Sex: Female

Ages: 27 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• SBP ranging from 135 to 159 mm Hg or DBP ranging from 85 to 99 mm Hg over 3 qualifying BP screening visits
• The age of participants will range from 27 to 60 years old.
• Body mass index of participants will range between < 39 kg/m².

Exclusion criteria

• cardiovascular diseases or surgery, including second- or third-degree heart block, angina pectoris, defibrillator, valvular disease, recent myocardial infarction, cardiac surgery in the past 12 months.
• history of stroke.
• body mass index (BMI) greater than 39 kg/m2.
• pregnancy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

cervical mobilization

Experimental group

Description:

session will include3-5 repetitions of muscle energy technique in combination of facet joint mobilization of unilateral antro-posterior glide and extension repetitions

Treatment:

Other: cervical mobilization

cervical manipulation

Active Comparator group

Description:

patients will receive high velocity low amplitude thrust

Treatment:

Other: cervical manipulation