Spinal manipulation for the treatment of hypertension: a systematic qualitative literature review

Journal of Manipulative and Physiological Therapeutics
Kevin MangumDarcy Vavrek

Abstract

Spinal manipulative therapy (SMT) has been reported to successfully treat hypertension (HTN). The purpose of this study was to perform a qualitative literature review on the efficacy of SMT for treating HTN. The literature was systematically searched in PubMed, Medline, Allied and Complementary Medicine Database, Cumulative Index to Nursing and Allied Health Literature, and Index of Chiropractic Literature. Included articles were rated for bias using the Cochrane Collaboration's tool for assessing risk of bias. Studies reporting differing methodologies, types of SMT, frequency of treatment, and time of follow-up were considered too dissimilar for meta-analysis. Of 208 articles identified, 10 were selected as relevant and were assessed. Risk of bias scores revealed 2 studies with low risk, 3 studies with unclear risk, and 5 studies with high risk. The maximum improvement observed in any SMT group, in low risk of bias studies was -9.7 (95% confidence interval [CI], -21.1 to 1.8) systolic improvement and -9.0 (95% CI, -16.8 to -1.2) diastolic; and in unclear risk of bias studies, it was -17.2 (95% CI, -20.7 to -13.7) systolic and -13.0 (95% CI, -15.4 to -10.6) diastolic. Statistically significant decreases in blood pressure were n...Continue Reading

References

Jan 1, 1991·Journal of Clinical Monitoring·M S GorbackM L Lavine
Apr 1, 1987·British Journal of Orthodontics·F McDonald
May 26, 1984·British Medical Journal·J WebsterH G Lovell
Jan 25, 2000·Circulation·O A Carretero, S Oparil
Mar 15, 2001·Surgical Neurology·E I LevyP J Jannetta
Oct 3, 2002·Journal of Hypertension·Christine H GoertzGreg Grandits
Dec 10, 2002·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Alan C GoldhamerT Colin Campbell
May 24, 2003·Journal of Human Hypertension·A MouradP Trevillian
Nov 5, 2003·Annals of Internal Medicine·Suzanne OparilDavid A Calhoun
Jan 7, 2006·Journal of Manipulative and Physiological Therapeutics·Karen R DimmickDavid Newell
Jul 25, 2007·Archives of Internal Medicine·Barry D DickinsonUNKNOWN Council on Science and Public Health, American Medical Association
Jan 26, 2008·American Journal of Hypertension·Martin G MyersFrans H H Leenen
Sep 4, 2008·Annals of Internal Medicine·Philip D SloaneSheryl Zimmerman
Jan 30, 2009·The Journal of Nutrition·Juan LiXiang-An Li
Jun 19, 2009·The Canadian Journal of Cardiology·Jean-Eric TarrideRon Goeree
Feb 16, 2011·Journal of Clinical Nursing·Heather SkirtonEmma Young
Apr 16, 2011·Journal of Manipulative and Physiological Therapeutics·Lindie SaaymanHeidi Abrahamse
Nov 13, 2012·Phytomedicine : International Journal of Phytotherapy and Phytopharmacology·Fulya Tahan, Melih Yaman
Aug 22, 2013·The Journal of Chiropractic Education·Bart N Green, Claire D Johnson
Aug 3, 2014·The Spine Journal : Official Journal of the North American Spine Society·Esther Blanco-PerezJuan A Sanchis-Gimeno

❮ Previous
Next ❯

Citations

Dec 15, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·N S KorseC L A M Vleggeert-Lankamp
May 28, 2013·Evidence-based Complementary and Alternative Medicine : ECAM·Matthew J Rabito, Alan David Kaye
Aug 27, 2015·The Journal of Manual & Manipulative Therapy·John WardKristina Kulcak
May 16, 2015·Journal of Nursing Management·Susan SlatyerSue Davis
Oct 6, 2015·Journal of Advanced Nursing·María Reig-AlcarazCarmen Solano-Ruiz
Oct 26, 2018·International Journal of Health Care Quality Assurance·Cory R A Hallam, Carolina Contreras

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiovascular Diseases: Risk Factors

Cardiovascular disease is a significant health concern. Risk factors include hypertension, obesity, dyslipidemia and smoking. Women who are postmenopausal are at an increased risk of heart disease. Here is the latest research for risk factors of cardiovascular disease.

Antihypertensive Agents: Mechanisms of Action

Antihypertensive drugs are used to treat hypertension (high blood pressure) which aims to prevent the complications of high blood pressure, such as stroke and myocardial infarction. Discover the latest research on antihypertensive drugs and their mechanism of action here.

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.