Relaxation pretraining, pulse wave velocity and thermal biofeedback in the treatment of essential hypertension.

Twelve white male subjects with a physician's diagnosis of essential hypertension participated in the study over a 3- to 4-month period (23-38 sessions). Subjects were assigned to one of four sequences of training in which the order of presentation of pulse wave velocity (PWV) or thermal feedback, and presence or absence of relaxation pretraining were varied. The overall effectiveness of the treatment program was demonstrated by average blood pressure decreases of 8.8 mm Hg/4.1 mm Hg from initial session measures to follow-up one month after completion of the program. Systolic pressures were significantly lower at follow-up but not diastolic. In addition, 3 subjects had ceased taking any blood pressure medication by follow-up, and maintained normal pressure. The effectiveness of relaxation pretraining was demonstrated by the fact that relaxation pretrained subjects attained significantly greater blood pressure decreases from baseline to the last 3 sessions of training, and by the fact that relaxation pretraining appeared critical in the acquisition of PWV feedback training.