Assessment of the Influence of Cervical Spine Traction on the Change of Heart Hemodynamic Parameters

A. Myśliwiec, E. Saulicz, M. Kuszewski, Michał Klapuch
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Abstract

Abstract Background: The vast majority of pain dysfunctions of the cervical spine is underlain by prolonged overload and one effective therapy is traction. The aim of this study is to assess the influence of cervical spine traction on changes in heart rate and arterial blood pressure in people with arterial hypertension and normotension. Material/Methods: The study involved a total of 168 patients, in whom chronic cervical spine pain syndrome of low intensity, with no radiation of symptoms and with no significant functional limitations occurred. The subjects were intentionally allocated into a group with arterial hypertension and a group with normotension. Results: The analysis of the obtained results showed that cervical spine traction does not strain the cardiovascular system. In the group of subjects with arterial hypertension, a linear value reduction of all the heart hemodynamic parameters measured in the successive trials was observed. The most significant difference between the initial and final test was observed in patients, in whom the traction procedure was only simulated. Conclusions: Cervical spine traction performed according to D. Saunders’ method does not constitute any threat to patients with arterial hypertension.
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颈椎牵引对心脏血流动力学参数变化影响的评价
背景:绝大多数颈椎疼痛功能障碍是由长期负荷引起的,牵引是一种有效的治疗方法。本研究的目的是评估颈椎牵引对动脉高血压和血压正常者心率和动脉血压变化的影响。材料/方法:本研究共纳入168例低强度、无放射症状、无明显功能限制的慢性颈椎疼痛综合征患者。受试者被故意分为动脉高血压组和血压正常组。结果:颈椎牵引对心血管系统无损伤。在动脉性高血压患者组中,观察到在连续试验中测量的所有心脏血流动力学参数呈线性降低。在仅模拟牵引过程的患者中观察到初始和最终测试之间最显着的差异。结论:采用D. Saunders方法行颈椎牵引对高血压患者无任何威胁。
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