Advanced search

Search results      


The Effect of OMT on Blood Pressure in Nonhypertensive Subjects

Journal: The Journal of the American Osteopathic Association Date: 2010/08, 110(8):Pages: 450. doi: Subito , type of study: pretest posttest design

Full text    (https://www.degruyter.com/document/doi/10.7556/jaoa.2010.110.8.445/html)

Keywords:

blood pressure [38]
hypertension [29]
OMT [3102]
osteopathic manipulative treatment [3124]
pilot study [134]
pretest posttest design [140]

Abstract:

Hypothesis: Osteopathic manipulative treatment (OMT) has been theorized to have beneficial effects on the management of hypertension. However, there is a scarcity of research studies proving OMT to be an effective treatment for hypertension. A study by Morgan et al (1985) showed no beneficial effect on blood pressure when soft tissue OMT was performed. Nevertheless, OMT is believed to normalize sympathetic tone, thereby decreasing the vascular constriction associated with a hypersympathetic state. We hypothesize that using an osteopathic treatment targeting the sympathetic nervous system will reduce blood pressure in prehypertensive and normotensive patients. We furthermore hypothesize that patients with hypertension who are not on sympathetic antagonists will have lower blood pressure after OMT due to the normalization of sympathetic tone. Background: Hypertension is one of the most prevalent diseases of nonpregnant adults. NHANES data from 1999-2000, showed there were approximately 58 to 65 million adults with hypertensive diseases. The JNC-7 guidelines define hypertension as the average of two or more readings of a systolic blood pressure (SBP) of greater than 140 mm Hg, a diastolic blood pressure (DBP) of greater than 90 mm Hg, or both on each of 2 or more office visits. While there is a vast amount of research concerning the pharmacologic treatment and management of hypertension, there is very little in the literature about the use of OMT in this population. Methods: We conducted a sham versus OMT single-blinded pilot study. We recruited patients aged 18 to 65 years that had a blood pressure no greater than 140/90 mm Hg. The study was carried out over a 6-week period in which subjects received 2 weeks of OMT versus a benign sham procedure. We measured heart rate and blood pressure prior to and following every visit. Results: Preliminary t test results and a 95% CI error plot, (n=10), showed that there was no significant difference (P value for?SBP=.696 and P value for?DBP=.207) in the use of OMT (n1=6) versus sham treatments (n2=4) in normotensive or prehypertensive subjects. Conclusions: Based on these preliminary data, we conclude that patients without significant blood pressure dysfunction are able to maintain normal homeostasis of their autonomic system with and without OMT.


Search results      

 
 
 






  • ImpressumLegal noticeDatenschutz


ostlib.de/data_qbmtewjrkgdvfapuynsx



Supported by

OSTLIB recommends