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

Study Overview
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Brief Summary
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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 . -

Detailed Description
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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.

Official Title
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Short Term Effect of Cervical Mobilization vs Manipulation on Blood Pressure in Hypertensive Subjects( Randomized Control Trial)

Conditions
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Hypertension

Intervention / Treatment
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* Other: cervical mobilization
* Other: cervical manipulation


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 27 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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Female

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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: cervical mobilization<br>session will include3-5 repetitions of muscle energy technique in combination of facet joint mobilization of unilateral antro-posterior glide and extension repetitions | Other: cervical mobilization<br>* All participants will receive only single session of cervical mobilization<br>|
| Active Comparator: cervical manipulation<br>patients will receive high velocity low amplitude thrust | Other: cervical manipulation<br>* All participants will receive only single session of cervical manipulation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| systolic blood pressure measurement | systolic pressure - the pressure when your heart pushes blood out and is measured by Mercury sphygmomanometer and stethoscope | it will be measured immediately before and after single session treatment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| diastolic blood pressure | the pressure when your heart rests between beats is measured by Mercury sphygmomanometer and stethoscope | it will be measured immediately before and after single session treatment | 
| oxygen saturation | Oxygen saturation is a vital parameter to define blood oxygen content and oxygen delivery and is measured by pulse oximetry | it will be measured immediately before and after single session treatment | 
| perfusion index | Perfusion index is an indication of the pulse strength at the sensor site. The PI's values range from 0.02% for very weak pulse to 20% for extremely strong pulse.Perfusion index is normally monitored with pulse oximeters | it will be measured immediately before and after single session treatment | 
| pain assessment | The visual analog scale (VAS) is a tool widely used to measure pain | it will be measured immediately before and after single session treatment |