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Pilot Study Comparing 2 Variations of Occipitomastoid Suture (OMS) Release and Their Effects on Blood Pressure and Pulse Rate in Prehypertensive and Hypertensive Individuals Compared With Normotensive Controls

Journal: The Journal of the American Osteopathic Association Date: 2014/01, 114(1):Pages: e3. doi: Subito , type of study: randomized controlled trial

Full text    (https://www.degruyter.com/document/doi/10.7556/jom_2014_01.0001/html)

Keywords:

blood pressure [38]
cranio-sacral osteopathy [184]
hypertension [29]
occipitomastoid suture [2]
pilot study [134]
randomized controlled trial [766]

Abstract:

Introduction: The number of hypertensive patients is increasing every year. Oftentimes hypertension (HTN) is managed using pharmacological modes of treatment (tx), but occasionally finding an effective tx can be quite challenging. When this happens, a nonpharmacologic approach to tx which focuses on a structural rather than chemical solution may be the answer. Using osteopathic manipulative treatment (OMT) is such a tx; in particular, a cranial technique called occipitomastoid suture (OMS) release technique. This technique could be used as an adjunct to current hypertensive medications in hypertensive patients. Hypothesis: The OMS release will decrease blood pressure (BP) and normalize pulse rate (PR) in prehypertensive/hypertensives, regardless of the technique version used, while not altering BP in healthy patients. The OMS release technique with more focal fingertip contact will decrease BP in the population with elevated BPs better than the version using a broader, longer contact. Finally, the OMS release in controls will lower PR in subjects without OMS dysfunction but increase PR in those where pre-existing OMS dysfunction is successfully removed. Methods: Twenty prehypertensive/hypertensive subjects and 30 control subjects were randomized into each of the 2 variations of OMS tx: (1) broad contact parallel with the OMS; (2) focused finger-pad contact at dysfunctional sites along OMS while directing fluid wave from opposite frontal region. The subjects will be enrolled for 4 weeks with their BP, and PR recorded weekly and OMT evaluation and tx once a week. Hypertensives returned 1 month after the fourth tx for outcome measurements only. Results: An overall improvement in systolic BP (P⩽.0001) and diastolic BP (P=.0005) was observed in hypertensives. Among hypertensives, it was noted that the focal fingerpad variation lowered systolic BP (P=.025) and diastolic BP better when compared to the broad contact variation. Preliminary data for pulse rates show slight increase in pulse rates immediately after tx among hypertensives, but a slight overall decrease in pulse rates over time in hypertensives. Controls did not show much overall change in pulse rates. Conclusion: OMS release techniques are successful in lowering blood pressures (predominately systolic BP) in hypertensives when treated over time. Tx 2 (fingertip) is noted to be more effective than tx 1 (broad base) at lowering BP in hypertensives. Neither tx definitively lowered pulse rates.


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