Voluntary Control of Systolic Blood Pressure During Postural Change

ABSTRACT The effects of biofeedback and voluntary control procedures on systolic blood pressure and heart rate during postural change were investigated in 30 normotensive men. Systolic pressure was measured with a continuous blood pressure tracking cuff, and blood pressure feedback was provided on a beat‐to‐beat basis. Postural changes in pressure, and corresponding heart rate changes, were examined in three experimental groups (N = 10 each). In two groups, subjects were given feedback training to increase or to decrease systolic blood pressure. In the third group, subjects were simply asked to increase their pressure but were not given feedback about their performance. Voluntary control of systolic pressure was attempted while subjects were seated and during postural change—sitting to standing. Subjects were also instructed to maintain voluntary blood pressure control in subsequent no‐feedback test trials. During postural change, voluntary control procedures caused significant alterations in tonic levels of systolic pressure, but phasic blood pressure reactivity was unaffected. With respect to postural changes in heart rate, both tonic and phasic treatment effects were observed. Implications of the findings for basic and clinical research are discussed.