Immediate Effect of Intermittent Cervical Traction in Supine versus Sitting Position on Heart Rate and Blood Pressure in Healthy Young Individuals
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 5
Abstract
Aim: To find out difference in heart rate and blood pressure between the two positions, sitting and supine after giving intermittent cervical traction. Objective: This study investigated the immediate effect on heart rate and blood pressure in supine and sitting positions after giving intermittent cervical traction in healthy young individuals. Method: A crossover study was conducted on 30 healthy male and female subjects, 20 -25 years of age by convenience sampling. Exclusion criteria were osteoporosis, malignancy, infection, cervical joint instability, carotid or vertebral artery disease and uncontrolled hypertension. Outcome measures used were heart rate and blood pressure. Baseline parameters of heart rate and blood pressure were taken. Traction force 1/8th of the body weight was given for 10 minutes in one position with neck in 20-30 degrees of cervical flexion. After 24 hours the same procedure was repeated in other position. Parameters were measured immediately after giving traction. Results: The data were analyzed using paired t test. The study shows there was statistically significant reduction in systolic pressure (SBP), in sitting position compared with supine. Mean ± SD for SBP in supine was 110.8±9.09, in sitting was 105.8±8.94, t=2.091, p=0.04. No statistically significant difference in diastolic blood pressure (DBP) was seen. In supine, mean ± SD for DBP was 74.86±5.88 and in sitting it was 73.93±7.81, t=-0.52, p=0.60. Mean ± SD for heart rate in supine was 89.13±7.49 and in sitting it was 91.80±7.32, t=1.394, p=0.169. Conclusion: The study supports the use of either the supine or sitting positions to give intermittent cervical traction, but the supine position proved to be a better option as there was less reduction in systolic blood pressure.
Authors and Affiliations
Dr. Anam A. Saiyed
Keywords
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