Clinical Effects of Blood Pressure Biofeedback Treatment on Hypertension by Auto-shaping

Nakao, Mutsuhiro; Nomura, Shinobu; Shimosawa, Tatsuo; Yoshiuchi, Kazuhiro; Kumano, Hiroaki; Kuboki, Tomifusa; Suematsu, Hiroyuki; Fujita, Toshiro

doi:10.1097/00006842-199705000-00017

Cited by 33 publications

(19 citation statements)

References 27 publications

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“…1,2 Relaxation and stress-relieving techniques such as yoga, meditation and biofeedback have also been shown capable of lowering BP. [3][4][5][6][7][8][9][10][11][12] However, the results of these behavioural-based treatments have not been uniform and the mechanisms by which they lower BP are not clear.…”

Section: Introductionmentioning

confidence: 99%

Breathing-control lowers blood pressure

et al. 2001

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We hypothesise that routinely applied short sessions of slow and regular breathing can lower blood pressure (BP). Using a new technology BIM (Breathe with Interactive Music), hypertensive patients were guided towards slow and regular breathing. The present study evaluates the efficacy of the BIM in lowering BP. We studied 33 patients (23M/10F), aged 25-75 years, with uncontrolled BP. Patients were randomised into either active treatment with the BIM (n ‫؍‬ 18) or a control treatment with a Walkman (n ‫؍‬ 15). Treatment at home included either musically-guided breathing exercises with the BIM or listening to quiet music played by a Walkman for 10 min daily for 8 weeks. BP and heart rate were measured both at the clinic and at home with an Omron IC BP monitor. Clinic BP levels were measured at baseline, and after 4 and 8 weeks of treatment. Home

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Section: Introductionmentioning

confidence: 99%

Breathing-control lowers blood pressure

et al. 2001

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“…In this way, the patient learns to identify sensations that accompany reductions in blood pressure and, after several training sessions, the patient may be able to develop skills to maintain control of blood pressure. The type of information given to patients may differ; as well as direct blood pressure biofeedback measures, 15 other indirect indicators may be used including thermal (TBF), 16 galvanic skin response (GSR), 17 heart rate (HR) 18 and electromyographic (EMG) activity. 19 In TBF the patient is given information regarding the temperature of their finger or toe and instructed to warm their hands or feet in relation to this feedback.…”

Section: Biofeedbackmentioning

confidence: 99%

“…Intention-totreat (ITT) analyses were not specifically reported in any trial; thus, ITT was assumed in cases in which it appeared that all patients randomly assigned to one of the treatment groups were included in the final analysis whether or not they completed or received that treatment. 15 was reported, trials were frequently supported by grants from independent sources; only two trials 40,42 reported some funding support from a pharmaceutical company. The commonly cited primary outcome of the trials was the effect of the interventions on direct measures of blood pressure, although the primary outcome in two trials 58,62 was the reduction in medication from two antihypertensive drugs to one.…”

Section: Quality Assessment Of Included Trialsmentioning

confidence: 99%

“…Of the biofeedback alone trials, three 41,56,60 were included in the category of biofeedback alone versus antihypertensive medication, three 35,47,53 were included in the category of biofeedback alone versus placebo (sham biofeedback treatment) and eight 15,16,18,38,39,41,62,64 were included in the category of biofeedback alone versus nonintervention treatment. In the last category, patients in the control arm had blood pressure checks at clinics, self-monitored their own blood pressure or had no treatment beyond baseline and end of intervention blood pressure measures taken.…”

Section: Biofeedback Alonementioning

confidence: 99%

“…There is scant evidence regarding long-term efficacy. Only three trials 15,18,64 reported significant differences between the biofeedback treatment and non-intervention control groups for SBP and DBP. One of these, Achmon et al, 18 reported a significance level of p < 0.0005.…”

Section: Biofeedback Alone Versus Nonintervention Controlmentioning

confidence: 99%

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The effects of biofeedback for the treatment of essential hypertension: a systematic review

Greenhalgh

Dickson²,

Dündar³

2009

Health Technol Assess

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How to obtain copies of this and other HTA programme reports An electronic version of this publication, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable CD-ROM is also available (see below).Printed copies of HTA monographs cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our Despatch Agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in t...

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Coronary Heart Disease and Hypertension

O’Callahan

Andrews

Krantz

2003

Handbook of Psychology

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Chronic diseases of the cardiovascular system, including coronary heart disease (CHD) and hypertension, are leading causes of morbidity and mortality in the United States and other Western countries. Many physiological, environmental, and behavioral variables interact in the development of these disorders. This chapter reviews recent epidemiological findings in the field, including a description of standard risk factors, and evidence for the effects and impact of psychosocial and demographic risk factors, including race, sex, and stress. In addition, we examine the role of individual characteristics such as Type A behavior, anger/hostility, and depression in the development of CHD. Issues such as personality, salt intake, and obesity all impact the development of hypertension. The benefits of conventional treatments, including medical and surgical options, cardiac rehabilitation, and weight loss/dietary restrictions, are described, as are newer and less conventional treatments such as major lifestyle changes, increased social support, and cognitive‐behavioral approaches. This chapter highlights the need for additional research in the areas of CHD/hypertension prevention and treatment by medical professionals and health psychologists alike.

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Clinical Effects of Blood Pressure Biofeedback Treatment on Hypertension by Auto-shaping

Abstract: This treatment was effective in suppressing the pressor response to stress. Patients whose blood pressure increases with stress may be suited for biofeedback intervention.

Cited by 33 publications

References 27 publications

Breathing-control lowers blood pressure

Breathing-control lowers blood pressure

The effects of biofeedback for the treatment of essential hypertension: a systematic review

Coronary Heart Disease and Hypertension

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