title: Changes in presence of a segmental dysfunction pattern associated with hypertension: Part 2. A long-term longitudinal study.
abstract: The short-term portion of this study (part 1) showed an association between somatic dysfunction and the regulation of blood pressure. To study long-term relationships, follow-up examinations were made of 61 subjects studied 3 to 10 years earlier. They were heterogeneous Family Practice Clinic patients with a mean age of 45 years. By methods used in part 1 and in our previous studies of systemic interactions, palpatory examination was done to support presence or absence of a C6T2T6 pattern of segmental motion dysfunctions, and blood pressure status was established by the medical history. The C6T2T6 pattern persisted in 16 of 16 subjects with grade 2 or greater hypertension and 4 of 9 normotensive subjects who had shown the pattern initially. At follow-up, the pattern first appeared in 7 subjects who had hypertension previously diagnosed and who remained hypertensive; the pattern disappeared in 5 normotensive subjects who remained normotensive. The C6T2T6 pattern's long-term persistence in hypertensive subjects and changes in its presence corresponding to the subjects' hypertensive status indicate an important relationship between this pattern of segmental motion dysfunctions and disturbances in regulation of blood pressure.
authors.affiliation: Department of Family Medicine, Michigan State University College of Osteopathic Medicine, Lansing 48824-1316, USA.
authors.forename: W L
authors.initials: WL
authors.lastname: Johnston
authors.forename: A F
authors.initials: AF
authors.lastname: Kelso
mesh_terms: D000328:Adult; D000368:Aged; D006801:Humans; D006973:Hypertension / Q000503:physiopathology*; D008137:Longitudinal Studies; D008875:Middle Aged; D009069:Movement Disorders / Q000209:etiology