Effect of DNS Exercises Training on Hypertension

Cairo University (CU)

Status: Completed

Conditions: Essential Hypertension

Treatments: Other: balance exercises plus diaphragmatic breathing; Other: dynamic neuromuscular stabilization training

Study type: Interventional

Funder types: Other

Identifiers

NCT05900713

exercises on hypertension

Details and patient eligibility

About

Purpose of the study This study will be conducted to investigate any significant effect of dynamic neuromuscular stabilization training on postural control in patients with essential hypertension.

Full description

PURPOSE:

This study will be conducted to investigate any significant effect of dynamic neuromuscular stabilization training on postural control in patients with essential hypertension.

BACKGROUND:

The most recent global estimates suggested that hypertension (HTN) affected 1.13 billion people worldwide.

Raised blood pressure (BP) has emerged as the most important risk factor for global morbidity and mortality.

Hypertensive individuals present slower processing speed, reduced static and dynamic balance, decreased functional mobility during both single and dual tasking and higher fear of falling in comparison to normotensive individuals. These findings expand the body of knowledge about the effects of HTN on physical functions like prolonged processing time, disturbed balance and reduced mobility functions, which may guide clinicians in including preventive and rehabilitative strategies to their therapy protocols in order to improve the quality of life of the individuals with HTN.

HYPOTHESES:

Null Hypothesis: there will be no significant effect of dynamic neuromuscular stabilization training on postural control in patients with essential hypertension.

RESEARCH QUESTION: Will be any significant effect of dynamic neuromuscular stabilization training on postural control in patients with essential hypertension?

Enrollment: 60 patients

Sex: Male

Ages: 50 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Sixty men patients with stage two essential HTN (more than 140/90 mm hg).
2. Their age will be ranged from 50-60 years old.
3. Body mass index (BMI) from 25 to 34.9 kg/m2.
4. Low levels of physical activity (using the International Physical Activity Questionnaire-Short Version) (The Arabic version of the questionnaire will be used)

Exclusion criteria

1. Uncontrolled HTN.
2. Diabetes mellitus.
3. Heavy Smoker.
4. Neurological or musculoskeletal conditions that interfere with gait
5. Vertebrobasilar insufficiency (VBI).
6. Use of psychotropic drugs.
7. Impaired vision and/or hearing.
8. Unstable medical conditions.
9. Patients who are unable to follow verbal instructions.
10. Participation in regular exercise training of any type in the previous 3 months.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

D. N.S

Experimental group

Description:

dynamic neuromuscular stabilization training methods demonstrated efficacy in improving global trunk stabilizing patterns with noted gains in extremity movement and strength

Treatment:

Other: dynamic neuromuscular stabilization training

balance exercises plus diaphragmatic breathing

Experimental group

Description:

balance exercises plus diaphragmatic breathing The balance exercises is balance training while standing and walking and The patient assume a semi-Fowler's position and perform diaphragmatic breathing.

Treatment:

Other: balance exercises plus diaphragmatic breathing