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Reducing Blood Pressure: Use of Osteopathic Manipulative Treatment (OMT) as Adjunct Therapy in Treating Uncontrolled Hypertension

Journal: The AAO Journal Date: 2024/06, 34(2):Pages: 24-25. doi: Subito , type of study: case report

Full text    (https://meridian.allenpress.com/aaoj/article/34/2/16/500954/LBORC-NUFA-Poster-Abstracts-2024-Students)

Keywords:

blood pressure [43]
case report [705]
hypertension [34]
geriatrics [111]
male [763]
OMT [3746]
osteopathic manipulative treatment [3766]

Abstract:

Introduction/Background: Hypertension (HTN) diagnosis requires a systolic blood pressure (SBP) of ≥130mmHg and/or a diastolic blood pressure (DBP) of ≥80mmHg on 2 separate occasions. First line treatment recommendations for HTN include lifestyle changes and pharmacological agents. While HTN affects almost half of Americans, only 1 in 4 Americans with HTN have their blood pressure (BP) controlled. In this case study, we highlight a patient with uncontrolled HTN whose BP is managed using Osteopathic Manipulative Treatment (OMT) as an adjunct therapy. Case: A 69-year-old male with a long-standing history of uncontrolled HTN has been seen at the clinic regularly for over 10 years. His appointments are scheduled at 12-week intervals. Current medications include multiple diuretics, an angiotensin receptor blocker, multiple beta-blockers, and aspirin. Physical exams regularly reveal somatic dysfunctions (SDs) of the head, cervical, thoracic, lumbar, sacral, pelvic, upper extremity, and lower extremity regions. The patient’s OMT regimen focuses on treating dysfunctions through the lens of the respiratory-circulatory model with the goal of reducing the patient’s BP. Frequently utilized techniques include muscle energy, counterstain, myofascial release, HVLA, and LVMA. Results: Following treatment, the patient exhibits increased range of motion with resolution of the SDs. The patient’s post-treatment BP readings are consistently lower than pre-treatment readings. He also self-reports decreased BP readings at home following treatment. Discussion: This case demonstrates the effectiveness of OMT as an adjunct treatment for HTN. Both the immediate and continued lowered BP readings of this patient suggest that OMT can be included in HTN treatment protocols. Limitations include the patient’s contributing comorbidities. Future studies should focus on outcomes when OMT is used as an adjunct treatment for HTN in a larger population.


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