Effect of DNS Exercises Training on Hypertension

Not Applicable

Completed

• Conditions: Essential Hypertension
• Interventions: Other: dynamic neuromuscular stabilization training; Other: balance exercises plus diaphragmatic breathing

• Registration Number: NCT05900713
• Lead Sponsor: Cairo University

Brief Summary

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.

Detailed 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?

Study Timeline

• Study First Submitted: 2023-06-04
• Study First Submitted QC: 2023-06-04
• Study First Posted: 2023-06-12
• Study Start: 2023-07-01
• Primary Completion: 2024-01-01
• Study Completion: 2024-05-30
• Status Verified: 2024-08
• Last Update Submitted: 2024-08-18
• Last Update Posted: 2024-08-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Male
• Target Recruitment: 60

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
D. N.S	dynamic neuromuscular stabilization training	dynamic neuromuscular stabilization training methods demonstrated efficacy in improving global trunk stabilizing patterns with noted gains in extremity movement and strength
balance exercises plus diaphragmatic breathing	balance exercises plus diaphragmatic breathing	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.

Primary Outcome Measures

Name	Time	Method
balance by The Modified star excursion balance test (mSEBT)	8 weeks	• Patients will perform testing while barefoot, maintaining their hands on their hips and a series of single-limb squats using the non-stance limb to touch a point a maximum distance along designated lines on the ground
dynamic balance and functional mobility by Timed-Up-and-Go test (TUG)	8 weeks	It uses the time that a person takes to rise from a chair, walk three meters, turn around, walk back to the chair, and sit down while turning
Postural control by Biodex Balance System	8 weeks	The overall stability index (OSI), anteroposterior stability index (APSI), and mediolateral stability index (MLSI) are recorded with a Biodex Balance System, Postural stability test will be performed in the double leg standing position and in the single leg standing position on the right and left legs

Secondary Outcome Measures

Name	Time	Method
Sleep quality: using The Pittsburgh Sleep Quality Index (PSQI)	8 weeks	* It is used to determine self-reported sleep quality and sleep disturbances for the preceding month.; * It is a 19-item test and consists of seven components: (1) subjective sleep quality, (2) sleep latency, (3) sleep duration, (4) sleep efficiency, (5) sleep disturbance, (6) sleeping medication use and (7) daytime dysfunction.
Quality of life: using The 12 Item Short Form Health Survey (SF-12) Questionnaire	8 weeks	• The SF-12 consists of 12 questions that examine eight different health domains in order to determine physical and mental health. General Health (GH), Physical Functioning (PF), Role Physical (RP), and Body Pain (BP) are the physical health domains. Vitality (VT), Social Functioning (SF), Role Emotional (RE), and Mental Health (MH) are mental health-related scales

Trial Locations

Locations (1)

Faculty of Physical Therapy; 🇪🇬 Giza, Egypt