LA MANIPULACIÓN CON IMPULSO EN C7 APLICADA EN PACIENTES CON HIPERTENSIÓN ARTERIAL PRIMARIA ¿ES SEGURA?

  • Pedro Manuel Ruiz Fernández PT, PhD, Director Clínica Fisioruiz, Don Benito (España)
  • Antonio Moro Pantoja Fisioterapeuta (PT, PhD), Clínica Salux, Badajoz (España)
  • Cesar Luis Díaz Muñoz Fisioterapeuta (PT, PhD), Profesor, Departamento de Terapéutica Médico-Quirúrgica, Universidad de Extremadura, Badajoz (España)
Palabras clave: Palabras clave: Cuello, dolor, columna vertebral, manipulación espinal, hipertensión

Resumen

Background: High blood pressure is one of the most prevalent global cardiovascular risk factors. In Spain, 35 – 40% of population suffers from high blood pressure, which also carries high brain vascular, cardiovascular, and renal mortality and morbidity. Therefore the need arised to find new therapeutic directions aimed at efficiency and safety.Objectives: Determining if the manipulation of high speed and short amplitude of C7 in hypertensive patients is safe and reduces blood pressure after the intervention.

Material and Methods: Experimental randomized, blinded and controlled clinical trial. Fifty eight (n = 58) patients with hypertension were randomly distributed into two groups: experimental (n = 31) and control (n = 27). An initial (pre-intervention) and a final (post-intervention) assessment analyzing the blood pressure changes were carried out. The previous test applied were those by Mitchell, Jackson and Klein. Intervention technique applied was C7-D1 thrust maneuver in prone for vertebral dysfunction.

Results: In patients within the experimental group, we observed a significant reduction in the left arm systolic and diastolic blood pressure after the experimental manipulation. On the other hand, we found no significant differences before and after the treatment on right arm blood pressure.

Conclusions:The thrust technique on the cervical segment C7-D1 applied in hypertensive patients is safe and significantly reduces blood pressure values.

Key Words:Neck, pain, spine, spinal manipulation, hypertension.

Publicado
2019-04-01