Journal
MUSCULOSKELETAL SCIENCE AND PRACTICE
Volume 28, Issue -, Pages 71-78Publisher
ELSEVIER
DOI: 10.1016/j.msksp.2017.01.013
Keywords
Cervical spine; Clinical trials/intervention; Joint mobilization; Blood pressure; Heart rate
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Funding
- American Academy of Orthopaedic and Manual Physical Therapists (AAOMPT) OPTP Grant
- United States Government National Institute of Occupational Safety and Health (NIOSH) Education and Research Center (ERC) Grant through the NYU School of Medicine
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Background: Some normotensive patients can have a spike in resting systolic blood pressure (SBP) in response to acute neck pain. Applying the typical dosage of mobilization may potentially result in a sympatho-excitatory response, further increasing resting SBP. Therefore, there is a need to explore other dosage regimens that could result in a decrease in SBP. Objectives: To compare the blood pressure (BP) and heart rate (HR) response of pain-free, normotensive adults when receiving unilateral posterior-to-anterior mobilization (PA) applied to the neck versus its corresponding placebo (PA-P). Study design: Double-Blind, Randomized Clinical Trial. Methods: 44 (18 females) healthy, pain-free participants (mean age, 23.8 +/- 3.04 years) were randomly allocated to 1 of 2 groups. Group 1 received a PA-P in which light touch was applied to the right 6th cervical vertebra. Group 2 received a PA to the same location. BP and HR were measured prior to, during, and after the application of PA or PA-P. A mixed-effect model of repeated measure analysis was used for statistical analysis. Results: During-intervention, the PA group had a significant reduction in SBP, while the placebo group had an increase in SBP. The change in SBP during-intervention was significantly different between the PA and the placebo group (p-value = 0.003). There were no significant between-group differences found for HR and diastolic BP (DBP). The overall group-by-time interaction was statistically significant for SBP (pvalue = 0.01). Conclusions: When compared to placebo, the dosage of applied PA resulted in a small, short-lived drop in SBP not exceeding the minimal detectable change. (C) 2017 Elsevier Ltd. All rights reserved.
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