Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 20786
  Title Changes in systolic and diastolic blood pressure for a hypotensive patient receiving upper cervical specific: A case report
Journal Chiropr J Aust. 2009 Sep;39(3):118-121
Peer Review Yes
Publication Type Case Report
Abstract/Notes Objective: This case report describes blood pressure improvements for a patient receiving upper cervical specific (UCS) chiropractic adjustments. Clinical Features: A 25-year-old female presented with a history of cervicalgia and unexplained hypotension and syncope. A working diagnosis of neuromediated hypotension was formed. Intervention and Outcome: The patient consented to have her systolic (sBP), diastolic blood pressure (dBP) and pulse pressure (PP) measured over an 8-week trial period of Atlas Orthogonal (AO) adjustments. At the end of the period, she reported reductions of dizziness, lightheadedness, and cervicalgia. Marginal sBP and dBP changes were noted with a sustained improvement of mean PP. A clinically significant improvement of PP was observed when AO correction was/was not performed. Conclusion: The patient experienced both objective and subjective improvements of her hypotensive signs and symptoms following UPC adjustments. Further research into the influences of atlas alignment on hypotension and other autonomic disorders is required.

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