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Treatment of hypertension according to the method of Schischonin: An analysis of the approach
Introduction
High blood pressure (arterial hypertension) is one of the most common chronic diseases worldwide and a major risk factor for cardiovascular disease, stroke and kidney failure. In addition to conventional treatment approaches, which include drugs, Diet and physical activity, there exist alternative methods. One of them is the after the Russian physician Alexander Schischonin named method, which relies primarily on special neck and spine exercises.
Pathophysiological basis of the approach
Schischonin assumes that a significant part of the blood press through a narrowing of the blood vessels in the neck is caused, in particular, the vertebral arteries and carotid arteries. Causes of muscle tension, poor posture and degenerative changes of the cervical spine (e.g., Cervical Spondylarthrosis) be. This narrowing of the lead according to his theory to a decreased blood flow to the brain stem and the brain triggers on sympathetic nervous system activation, a rise in blood pressure — a mechanism that is referred to as zervikogener high blood pressure.
Description of the method
Diest method of Schischonin consists of a complex of gentle, conscious movements and grip exercises for the neck and the upper back. The key elements are:
Gentle rotations and inclinations of the head: Slow, controlled movements in all directions to release tension in the neck area.
Isometric Exercises: Lightweight resistance against the Hand (for example, against the forehead or temple to the press, while the head remains constant), in order to strengthen the neck muscles without overloading you.
Breathing exercises in combination with exercise: synchronization of breath and movement to activate the vagus Nerve and the parasympathetic nervous system to stimulate (which leads to a decrease in blood pressure).
Regularity and long-term nature of The Exercises are designed to be daily over a period of at least 3-6 months, were carried out in order to achieve a lasting improvement in the posture and blood circulation.
Potential Mechanisms Of Action
A reduction in blood pressure by this method could be done in several ways:
Reduction of muscle tension: loosening the muscles in the neck can reduce the pressure on blood vessels and nerves.
Activation of the vagus nerve: deep breathing and relaxation, the para-sympathetic promote fibrinolytic activity, which leads to a slowing down of the heartbeat and a reduction in peripheral vascular resistance.
Improved posture: correction of incorrect posture relieves the cervical spine and can improve blood circulation in the brain stem.
Stress reduction, Regular Exercise, and mindfulness can lower the overall stress level, which has a positive effect on blood pressure.
Critical evaluation and Evidence
Although many patients report an improvement in their symptoms, the absence of large-scale, randomized controlled trials demonstrating the effectiveness of the method of Schischonin scientifically. The hypothesis of the cervicogenic high blood pressure is not recognized in Western medicine as the main cause of hypertension. Most cases of hypertension are multifactorial and include genetic, metabolic and lifestyle-related factors.
Conclusion
The method of Schischonin can be considered as a complementary method for the treatment of hypertension, particularly in patients, which in addition to the increased blood pressure also discomfort in the neck and shoulder area. However, it should never serve as a replacement for conventional therapy (medication, lifestyle change). An individual consultation with a medically qualified doctor is necessary to develop the appropriate treatment strategy and avoid any possible risks.
Glossary
High blood pressure — arterial hypertension
Cervical Spine — Cervical Vertebral Column
Vertebral artery — vertebral artery
Carotid artery — common carotid
Sympathetic nervous system — sympatheticus
Parasympathetic nervous system — para sympatheticus
Vagus nerve — vagus nerve

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