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Shishonin A.Yu.

Complementary and Integrative Health Clinic of Dr. Shishonin

Bekkushe I.

Peoples’ Friendship University of Russia

Vetcher A.A.

Complementary and Integrative Health Clinic of Dr. Shishonin;
Peoples’ Friendship University of Russia

Pavlov V.I.

S.I. Spasokukotsky Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine

Spinal manipulation techniques in the treatment of arterial hypertension. (A literature review)

Authors:

Shishonin A.Yu., Bekkushe I., Vetcher A.A., Pavlov V.I.

More about the authors

Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;101(4): 52‑59

DOI: 10.17116/kurort202410104152

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SPINAL MANIPULATION TECHNIQUES IN THE TREATMENT OF ARTERIAL HYPERTENSION. (A LITERATURE REVIEW)
SPINAL MANIPULATION TECHNIQUES IN THE TREATMENT OF ARTERIAL HYPERTENSION. (A LITERATURE REVIEW)

To cite this article:

Shishonin AYu, Bekkushe I, Vetcher AA, Pavlov VI. Spinal manipulation techniques in the treatment of arterial hypertension. (A literature review). Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;101(4):52‑59. (In Russ.)
https://doi.org/10.17116/kurort202410104152

Подписка 2025-2 (Problems of Balneology, Physiotherapy and Exercise Therapy)
 
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«Selfish brain» theory: modern concept and practical use. (Literature review). Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(5):66-73

There is a long-observed relationship between the pathology of the spine and arterial hypertension. There are a number of explanations for this, including one based on reflex effects and obstruction of blood flow to the cerebral vasodilatory centre localized in the rhomboid fossa projection. Obstruction can be absolute and relative, preventing the increase of blood flow during stress, when the brain turns on additional energy demand (phenomenon of «selfish brain»). In conditions of insufficient blood supply anaerobic metabolism is included, requiring in the future, the addition of anaerobic glycolysis products. This leads to the persistence of an elevated level of AD and is part of the theory of centralized compensation of aerobic-anaerobic balance (theoretical aerobic-anaerobic energy concept, TAAEBC). The existing methods of manual manipulation and physical action on the spine, mainly the atlantoacral section of the cervical spine, have, according to existing publications, varying degrees of effectiveness. The modern approach to treatment of arterial hypertension and correction of metabolic disorders by A. Shishonin is promising. It is based on the TAAEBC concept and assumes a system approach and long-term effect through a consistent three-step manual and physical interventions aimed at restoring, retaining and long-term support of the vertebral blood flow.

Keywords:

cerebral blood flow obstruction
egoistic brain
verterogenic arterial hypertension
manual techniques
Shishonin method

Authors:

Shishonin A.Yu.

Complementary and Integrative Health Clinic of Dr. Shishonin

Bekkushe I.

Peoples’ Friendship University of Russia

Vetcher A.A.

Complementary and Integrative Health Clinic of Dr. Shishonin;
Peoples’ Friendship University of Russia

Pavlov V.I.

S.I. Spasokukotsky Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine

Received:

11.07.2024

Accepted:

29.07.2024

List of references:

  1. Li Z-Q, Zhao Y-P, Jia W-Y, et al. Surgical treatment of cervical spondylotic myelopathy associated hypertension—aretrospective study of 309 patients. PLoS ONE. 2015;10(7):e0133828.
  2. Peng B, Pang X, Li D, et al. Cervical spondylosis and hypertension a clinical study of 2 cases. Medicine. 2015;94(10):e618.
  3. Sasaki S, Tanda S, Hatta T, et al. Neurovascular decompression of the rostral ventrolateral medulla decreases blood pressure and sympathetic nerve activity in patients with refractory hypertension. Journal of Clinical Hypertension. 2011;13(11):818-820. 
  4. He Z-B, Lv Y-K, Chen D-C, et al. Manipulation therapy to treat 60 cases of cervicogenic hypertension with atalanto-axial dislocation. Journal of Cervicodynia and Lumbodynia. 2011;32(2):156-157. 
  5. Win NN, Jorgensen AMS, Chen YS, et al. Effects of upper and lower cervical spinalmanipulative therapy on blood pressure and heart rate variability in volunteers and patients with neck pain: a randomized controlled, cross-over,preliminary study. Journal of Chiropractic Medicine. 2015;14(1):1-9. 
  6. Bakris G, Dickholtz M, Meyer PM, et al. Atlas vertebra realignment and achievement of arterial pressure goal in hypertensive patients: a pilot study. Journal of Human Hypertension. 2007;21(5):347-352. 
  7. He ZB, Lv YK, Li H, et al. Atlantoaxial Misalignment Causes High Blood Pressure in Rats: A Novel Hypertension Model. Biomed Res Int. 2017;2017:5986957. https://doi.org/10.1155/2017/5986957
  8. Sun H-B, Zhou C-W, Liu M-H, et al. Experimental study of cervical vertebra-associated dysarteriotony. Chinese Journal of Trauma and Disability Medicine. 2007;15(3):10-12. 
  9. Cassaglia PA, Griffiths RI, Walker AM. Sympathetic nerve activity in the superior cervical ganglia increases in response to imposed increases in arterial pressure. Am J Physiol Regul Integr Comp Physiol. 2008;294(4):1255-1261. https://doi.org/10.1152/ajpregu.00332.2007
  10. Chang HH, Lee YC, Chen MF, et al. Sympathetic activation increases basilar arterial blood flow in normotensive but not hypertensive rats. Am J Physiol Heart Circ Physiol. 2012;302(5):1123-1130. https://doi.porg/10.1152/ajpheart.01016.2011
  11. Lv Y-K, He Z-B, Wu Z-J, et al. Effect of pulling cervical sympathetic ganglia on blood pressure in rabbit. Chinese Journal of Rehabilitation Theory and Practice. 2013;19(4):346-348. 
  12. Cai R-L, Wu Z-J, He Z-B. Pulling cervical sympathetic ganglia lead to blood pressure and norepinephrine in serum change of rabbit. Chinese Journal of Physical Medicine and Rehabilitation. 2012;12(34):900-902. 
  13. He Z-B, Lv Y-K, Chen D-C, et al. Manipulation therapy to treat 60 cases of cervicogenic hypertension with atalanto-axial dislocation. Journal of Cervicodynia and Lumbodynia. 2011;32(2):156-157. 
  14. He ZB, Lv YK, Li H, et al. Atlantoaxial Misalignment Causes High Blood Pressure in Rats: A Novel Hypertension Model. Biomed Res Int. 2017;2017:5986957. https://doi.org/10.1155/2017/5986957
  15. Urits I, Schwartz RH, Orhurhu V, et al. A Comprehensive Review of Alternative Therapies for the Management of Chronic Pain Patients: Acupuncture, Tai Chi, Osteopathic Manipulative Medicine, and Chiropractic Care. Adv Ther. 2021;38(1):76-89.  https://doi.org/10.1007/s12325-020-01554-0
  16. Hitze B, Hubold C, van Dyken R, et al. How the selfish brain organizes its supply and demand. Front Neuroenergetics. 2010;2:7.  https://doi.org/10.3389/fnene.2010.00007
  17. Peters A, Sprengell M, Kubera B. The principle of 'brain energy on demand' and its predictive power for stress, sleep, stroke, obesity and diabetes. Neurosci Biobehav Rev. 2022;141:104847. https://doi.org/10.1016/j.neubiorev.2022.104847
  18. Vetcher AA, Zhukov KV, Gasparyan BA, et al. Different Trajectories for Diabetes Mellitus Onset and Recovery According to the Centralized Aerobic-Anaerobic Energy Balance Compensation Theory. Biomedicines. 2023;11(8):2147. https://doi.org/10.3390/biomedicines11082147
  19. Madsen PL, Cruz NF, Sokoloff L, et al. Cerebral oxygen/ glucose ratio is low during sensory stimulation and rises above normal during recovery: excess glucose consumption during stimulation is not accounted for by lactate efflux from o raccumulation in brain tissue. J Cereb Blood Flow Metab. 1999;19:393-400. 
  20. Manchikanti L, Singh V, Datta S, et al. Comprehensive review of epidemiology, scope and impact of spinal pain. Pain Phys. 2009;12:35-70. 
  21. Diebo BG, Henry J, Lafage V, et al. Sagittal deformities of the spine: Factors influencing the outcomes and complications. Euro Spine J. 2015;24(1):S3-S15. 
  22. Wirth B, Potto T, Rosser S, et al. Physical risk factors for adolescent neck and mid back pain: A systematic review. Chiropractic Manual Therapies. 2018;28(36):1-10. 
  23. Goertz CM, Salsbury SA, Vining RD, et al. Effect of spinal manipulation of upper cervical vertebrae on blood pressure: results of a pilot sham-controlled trial. Journal of Manipulative and Physiological Therapeutics. 2015;39(5):369-380. 
  24. Yamashita T, Hiramatsu H, Sakai N, Namba H. Cerebral hemorrhage due to posterior reversible encephalopathy syndrome associated with autonomic dysreflexia in a spinal cord injury patient. Neurologia Medico-Chirurgica. 2012;52(9):640-643. 
  25. Koumbourlis AC. Scoliosis and respiratory system. Paediatric Respiratory Rev. 2006;7:152-156. 
  26. Timoshenko LO. Derivaty latinskogo slov amanus (ruka) v evropejskih yazykah. Vestnik Bashkirskogo universiteta. 2011;16(2):410-412. (In Russ.).
  27. Kirichenko AV, Tananushko KA. Drevnegrecheskij yazyk. Minsk: Izd-vo Minskoj duhovnoj akademii; 2017. (In Russ.).
  28. Gera C, Malik M, Kaur J, et al. A systematic review and meta-analysis on effect of spinal mobilization and manipulation on cardiovascular responses. Hong Kong Physiother J. 2020;40(2):75-87.  https://doi.org/10.1142/S1013702520500122
  29. Vasan RS, Beiser A, Seshadri S, Larson MG, Kannel WB, D'Agostino RB. Residual life-time risk for developing hypertension in middle aged women and men: The Framingham heart study. JAMA. 2002;287:1003-1010.
  30. Kingston L, Claydon L, Tumilty S. The effects of spinal mobilizations on the sympathetic nervous system: A systematic review. Manual Therapy. 2014;19:281-287. 
  31. Krekoukias G, Gelalis ID, Xenakis T, et al. Spinal mobilization vs conventional physiotherapy in the management of chronic low back pain due to spinal disk degeneration: a randomized controlled trial. J Manual Manipulative Therapy. 2017;25(2):66-73. 
  32. Ward J, Tyer K, Coats J, et al. Immediate effects of atlas manipulation on cardiovascular physiology. Clin Chiropractic. 2012;15:147-157. 
  33. Pastellides AN. The effect of cervical and thoracic spinal manipulations on blood pressure in normotensive males. Dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic. Durban: Durban University of Technology; 2009.
  34. Knutson GA. Significant Changes in Systolic Blood Pressure Post Vectored Upper Cervical Adjustment Vs Resting Control Groups: A Possible Effect of the Cervicosympathetic and/or Pressor Reflex. Journal of Manipulative Physiology and Therapeutics. 2001;24(2):101-109. 
  35. Patterson MM, Steinmetz JE. Long Lasting Alterations of Spinal Reflexes: Potential Basis for Somatic Dysfunction. Manual Medicine. 1986;2:38-42. 
  36. Gatterman MI. Foundations of Chiropractic Subluxation. St Louis: Mosby-Year Book Inc.; 1995.
  37. Budgell B, Polus B. The Effects of Thoracic Manipulation on Heart Rate Variability: A Controlled Crossover Trial. Journal of Manipulative and Physiological Therapeutics. 2006;29(8):603-610.
  38. Welch A, Boone R. Sympathetic and Parasympathetic Response to Specific Chiropractic Adjustments of Subluxation of the Cervical and Thoracic Spine. Journal of Chiropractic Medicine. 2008;7(3):86-93. 
  39. Sener B, Hatik SH, Ozden AV, et al. Instant Effect of Chiropractic Upper and Middle Thoracic Zone Manipulations on Autonomic Nervous System. International Journal of Traditional and Complementary Medicine Research. 2021;2(3):137-145.  https://doi.org/10.53811/ijtcmr.980061
  40. Bakris G, Dickholtz M Sr, Meyer PM, et al. Atlas vertebra realignment and achievement of arterial pressure goal in hypertensive patients: a pilot study. J Hum Hypertens. 2007;21(5):347-352.  https://doi.org/10.1038/sj.jhh.1002133
  41. Han L-B. Laozhen acupuncture combined with manipulation therapy for acute cervical small joint disorder in 50 cases. Zhejiang Journal of Traditional Chinese Medicine. 2014;10:759. 
  42. Pan Z-Q, Pan X-D. 48 years of research on cervicogenic hypertension. Proceedings of the 12th annual meeting of Committee of Cervical Spondylosis. Chinese Association of Rehabilitation Medicine; 2010.
  43. Giles PD, Hensel KL, Pacchia CF, et al. Suboccipital decompression enhances heart rate variability indices of cardiac control in healthy subjects. J Altern Complement Med. 2013;19(2):92-96.  https://doi.org/10.1089/acm.2011.0031
  44. Lee S, Lee Y. The Effect of Upper Cervical Manipulation on Autonomic Nervous System in Young Healthy Individuals. Phys Ther Rehabil Sci. 2021;10:134-140. 
  45. Shulepova AM, Tanatarova GN. Snizhenie effektivnosti antigipertenzivnoj terapii arterial'noj gipertenzii I stepeni pri vertebrogennoj patologii. Nauka i zdravoohranenie. 2014;6:68-72. (In Russ.).
  46. Hensel KL, Pacchia CF, Smith ML. Acute improvement in hemodynamic control after osteopathic manipulative treatment in the third trimester of pregnancy. Complement Ther Med. 2013;21(6):618-626.  https://doi.org/10.1016/j.ctim.2013.08.008
  47. Fink C, Bryce CH, Knight LD. Self-Chiropractic Cervical Spinal Manipulation Resulting in Fatal Vertebral Artery Dissection: A Case Report and Review of the Literature. Am J Forensic Med Pathol. 2024;45(2):172-176.  https://doi.org/10.1097/PAF.0000000000000912
  48. Baumann A, Trager RJ, Curtis D, et al. Screening for Vertebrobasilar pathology and upper cervical instability by physical therapists treating neck pain: a retrospective chart review. J Man Manip Ther. 2023;31(5):376-382.  https://doi.org/10.1080/10669817.2023.2192998
  49. Touche RL, París-Alemany WA, Mannheimer JS, et al. Does mobilization of the upper cervical spine affect pain sensitivity and autonomic nervous system function in patients with cervico-craniofacial pain? A randomized-controlled trial. Clin J Pain. 2013;29:205-215. 
  50. Younes M, Nowakowski K, Benoit Didier-Laurent B, et al. Effect of spinal manipulative treatment on cardiovascular autonomic control in patients with acute low back pain. Chiropractic Manual Therapies. 2017;25:1-9. 
  51. Ward J, Tyer K, Coats J, et al. Immediate effects of upper thoracic spine manipulation on hypertensive individuals. J Manual Manipulative Therapy. 2015;23:1-8. 
  52. Yung E, Oh C, Wong M, et al. The immediate cardiovascular response to joint mobilization of the neck — A randomized, placebo controlled trial in pain-free adults. Phys Therapy Human Mov Sci. 2017;4:1-27. 
  53. Roffers SD, Menke JM, Morris DH. A somatovisceral reflex of lowered blood pressure and pulse rate after spinal manipulative therapy in the thoracic region. Asian J Multidisciplinary Studies. 2015;3:30-36. 
  54. Patent No. 2243758 Rossijskaya Federaciya. Sposob lecheniya shejnogo osteohondroza. Shishonin AYu; No. 2003103416/14; zayavl. 06.02.2003; opubl. 10.01.2005, Byul. No. 1. (In Russ.).
  55. Patent № 2312652 Rossijskaya Federaciya. Ustrojstvo dlya lecheniya i reabilitacii svyazochno-myshechnogo apparata shei. Shishonin AYu; № 2006121002/14; zayavl. 15.06.2006; opubl. 20.12.2007. (In Russ.).
  56. Vetcher AA, Zhukov KV, Gasparuan BA, et al. The cerebellum role in arterial hypertension. Med Hypotheses. 2022;162:10835. https://doi.org/10.1016/j.mehy.2022.110835
  57. Vetcher AA, Zhukov KV, Gasparuan BA, et al. Restoration of HbA1c level for pre-diabetic patients through the restoration of arterial blood flow access to rhomboid fossa. Diabetology. 2022;3:470-476.  https://doi.org/10.3390/diabetology3030035
  58. Zhukov KV, Vetcher AA, Gasparuan BA, et al. Alteration of Relative Rates of Biodegradation and Regeneration of Cervical Spine Cartilage through the Restoration of Arterial Blood Flow Access to Rhomboid Fossa: A Hypothesis. Polymers. 2021;13:4248-4257. https://doi.org/10.3390/polym13234248
  59. Shishonin AYu, Yakovleva EV, Zhukov KV, Vecher AA, Gasparyan BA, Pavlov VI. Effektivnost' manual'noj korrekcii osteohondroza shejnogo otdela pozvonochnika v terapii sindroma arterial'noj gipertenzii i prediabeta. Voprosy kurortologii, fizioterapii i lechebnoj fizicheskoj kul'tury. 2024;101(2):12-17. (In Russ.).

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