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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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High Blood Pressure

Intervention / Treatment
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* Other: Manual therapy - osteopathic techniques


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention group<br>Thoracic manipulation T1-T5 if somatic dysfunction. Intrathoracic fascia stretch x 3. Recoil sternum x 3. Cranial base release - 4 steps. | Other: Manual therapy - osteopathic techniques<br>* HVLAT if any somatic dysfunction in T1-T5 Stretch intrathoracic fascia x 3 Recoil sternum x 3 Cranial base release, 4 phases<br>|
| No Intervention: Control group<br>Supine position 10 minutes on the bench. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Systolic and diastolic blood pressure baseline | Systolic blood pressure and diastolic blood pressure | Baseline | 
| Systolic and diastolic blood pressure post 1-minute | Systolic blood pressure and diastolic blood pressure | Post 1-minute | 
| Systolic and diastolic blood pressure post 5-minute | Systolic blood pressure and diastolic blood pressure | Post 5-minute | 
| Systolic and diastolic blood pressure post 10-minute | Systolic blood pressure and diastolic blood pressure | Post 10-minute | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Hypertension, Manual techniques, Blood Pressure, Osteopathy, Treatment