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Updated: Sep 20, 2026

Quantitative Autonomic Testing
Published on: July 19, 2011
Effects of two gravity inversion methods on heart rate, systolic brachial pressure, and ophthalmic artery pressure
1Program in Physical Therapy, School of Applied Health Professions, University of Connecticut, Storrs 06268.
Abstract:
The purpose of this study was to investigate the effects of two static gravity inversion methods with either ankle or thigh suspension on heart rate (HR), systolic brachial pressure (SBP), and ophthalmic artery pressure (OAP). Twenty healthy subjects were assigned randomly to one of two treatment groups of 10 subjects each. Each group completed a 25-minute protocol with two 5-minute inversion periods. The research attempted to control for treatment anxiety and for the effects of ocular plethysmography (the procedure used to measure OAP). A 2 X 2 multivariate analysis of variance for repeated measures was used to analyze the differences of cardiovascular change between the two inversion methods. The hypothesis that the subjects' HRs, SBPs, and OAPs would not differ between ankle and thigh suspension methods for five minutes of inversion was not rejected. Leg position did not affect the HR or arterial responses during full static inversion. Gravity inversion produced no significant changes in HR and SBP between 2.5 and 5 minutes of inversion. Arterial pressures measured at 5 minutes of static inversion did not differ from arterial pressures measured between 2.5 and 5 minutes, but because of increases in OAP during inversion, ocular safeguards are recommended for subjects during inversion.
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Sites for measuring blood pressure
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Prepare for the Procedure:
Assessment of blood pressure in brachial artery(two-step method)
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Pre-Procedural Guidelines for Assessing Blood Pressure
Measurement of Blood Pressure

