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[Case-control study on bone-setting manipulation for the treatment of isolated systolic hypertension combined with

Yu-li Chang, Xin Mu, Jian-min Wen

    Zhongguo Gu Shang = China Journal of Orthopaedics and Traumatology
    |February 26, 2016
    PubMed

    Insights

    Bone-setting manipulation effectively treats isolated systolic hypertension with cervical spondylosis. The flexion top spin and lock technique showed superior results and safety compared to rotation manipulation.

    Area of Science:

    • Orthopedics
    • Cardiology
    • Neurology

    Context:

    • Cervical spondylosis is a common degenerative condition affecting the cervical spine.
    • Isolated systolic hypertension is a prevalent form of hypertension, particularly in older adults.
    • The co-occurrence of these conditions presents a complex clinical challenge.

    Purpose:

    • To evaluate the clinical efficacy and safety of bone-setting manipulation for patients with isolated systolic hypertension and cervical spondylosis.
    • To compare two distinct bone-setting manipulation techniques: flexion top spin and lock versus rotation manipulation.
    • To assess the impact on blood pressure and cervical spine function.

    Summary:

    • A randomized controlled trial involving 320 patients compared two bone-setting manipulation techniques for isolated systolic hypertension with cervical spondylosis.
    • The flexion top spin and lock technique resulted in a significant reduction in systolic blood pressure and improved NPQ scores compared to rotation manipulation.
    • Both techniques improved diastolic blood pressure and NPQ scores, but the flexion top spin and lock method demonstrated greater overall clinical effectiveness and safety.

    Impact:

    • Bone-setting manipulation, particularly the flexion top spin and lock technique, offers a promising non-pharmacological treatment option for managing isolated systolic hypertension in patients with cervical spondylosis.
    • This study highlights the potential of targeted spinal manipulation to influence systemic conditions like hypertension.
    • Further research could explore long-term outcomes and the underlying mechanisms of action.
    Abstract

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