Short Term Effect of Cervical Mobilization vs Manipulation on Blood Pressure in Hypertensive Subjects( Randomized Control Trial)
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Cairo University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- systolic blood pressure measurement
Study Overview
Brief Summary
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
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 27 Years to 60 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
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/m
- •pregnancy.
Arms & Interventions
cervical mobilization
session will include3-5 repetitions of muscle energy technique in combination of facet joint mobilization of unilateral antro-posterior glide and extension repetitions
Intervention: cervical mobilization (Other)
cervical manipulation
patients will receive high velocity low amplitude thrust
Intervention: cervical manipulation (Other)
Outcomes
Primary Outcomes
systolic blood pressure measurement
Time Frame: it will be measured immediately before and after single session treatment
systolic pressure - the pressure when your heart pushes blood out and is measured by Mercury sphygmomanometer and stethoscope
Secondary Outcomes
- diastolic blood pressure(it will be measured immediately before and after single session treatment)
- perfusion index(it will be measured immediately before and after single session treatment)
- pain assessment(it will be measured immediately before and after single session treatment)
- oxygen saturation(it will be measured immediately before and after single session treatment)
Investigators
Alaa Mohamed El-Moatasem Mohamed
lecturer of physical therapy
Cairo University