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The Immediate Effect of an Osteopathic Manual Treatment on Blood Pressure in Adults With Hypertension - a Pilot Study.

I

International Academy of Osteopathy

Status

Completed

Conditions

High Blood Pressure

Treatments

Other: Manual therapy - osteopathic techniques

Study type

Interventional

Funder types

Other

Identifiers

NCT04479384
201910 EN PEDERSEN M PROTOCOL

Details and patient eligibility

About

The aim of this study was to determine if 4 manual osteopathic treatment techniques; Spinal manipulation, stretch intrathoracic fascia, sternum recoil and cranial base release has an immediate effect on blood pressure (BP) in hypertensive adults.

Full description

30 hypertensive adults (age=50.76±8.66 years, height= 1.75±0.082 m, weight=89.5±19.08 kg), were randomly assigned into one of two equally sized groups; a non- intervention and an intervention group in which patients received 4 manual techniques. Outcome measures included systolic- and diastolic BP pre-treatment and post-treatment 1-,5-, and 10-minutes. Two-way mixed ANOVA was used for statistical analysis.

Enrollment

30 patients

Sex

All

Ages

18 to 60 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Adults 18-60 years old.
  • Primary hypertension.
  • Hypertension not more than grade 2, defined as: Systolic BP from 135-174 mmHg and diastolic BP from 85-104 mmHg.

Exclusion criteria

  • Hypertension grade 3, defined as: Systolic BP from >175 mmHg and diastolic BP >105 mmHg, due to high risk of developing stroke, apoplexy and myocardial infarct.
  • Positive hepato-jugular-reflux test, as a safety-test, to test pathological conditions of the heart.
  • History of liver, kidney or known heart diseases, diagnosed by family physician as these conditions can contribute to secondary hypertension.
  • Presence of contraindications for manual treatment, such as (but not limited to); infections, neurological symptoms, inflammation, haemophilia, ankylosis, prosthesis, pregnancy, cancer, osteoporosis, trauma and the use of blood-thinning medicines or corticosteroids.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

30 participants in 2 patient groups

Intervention group
Experimental group
Description:
Thoracic manipulation T1-T5 if somatic dysfunction. Intrathoracic fascia stretch x 3. Recoil sternum x 3. Cranial base release - 4 steps.
Treatment:
Other: Manual therapy - osteopathic techniques
Control group
No Intervention group
Description:
Supine position 10 minutes on the bench.

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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