Effect of DNS Exercises Training on Hypertension

Sponsor

Cairo University (Other)

Overall Status

Not yet recruiting

CT.gov ID

NCT05900713

Collaborator

STDF (Other)

Enrollment

Location

Arms

Anticipated Duration (Months)

11.9

Patients Per Site Per Month

Study Details

Study Description

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.

Condition or Disease	Intervention/Treatment	Phase
Essential Hypertension	Other: dynamic neuromuscular stabilization training Other: balance exercises plus diaphragmatic breathing	N/A

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 Design

Study Type:

Interventional

Anticipated Enrollment :

60 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

parallel study is a type of clinical study in which two or more groups of participants receive different interventions.parallel study is a type of clinical study in which two or more groups of participants receive different interventions.

Masking:

Double (Participant, Outcomes Assessor)

Masking Description:

Double blind

Primary Purpose:

Treatment

Official Title:

Effect of Dynamic Neuromuscular Stabilization Training on Postural Control in Patients With Essential Hypertension

Anticipated Study Start Date :

Jul 1, 2023

Anticipated Primary Completion Date :

Oct 1, 2023

Anticipated Study Completion Date :

Dec 1, 2023

Arms and Interventions

Arm	Intervention/Treatment
Experimental: D. N.S dynamic neuromuscular stabilization training methods demonstrated efficacy in improving global trunk stabilizing patterns with noted gains in extremity movement and strength	Other: dynamic neuromuscular stabilization training DNS methods demonstrated efficacy in improving global trunk stabilizing patterns with noted gains in extremity movement and strength
Experimental: 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.	Other: balance exercises plus diaphragmatic breathing The balance exercises is balance exercises while standing and walking The patient assume a semi-Fowler's position and perform diaphragmatic breathing.

Arm

Intervention/Treatment

Experimental: D. N.S

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

Other: dynamic neuromuscular stabilization training

DNS methods demonstrated efficacy in improving global trunk stabilizing patterns with noted gains in extremity movement and strength

Experimental: 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.

Other: balance exercises plus diaphragmatic breathing

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

Outcome Measures

Primary Outcome Measures

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 with the eyes open and closed and in the single leg standing position with the eyes open and closed on the right and left legs
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

Secondary Outcome Measures

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

Eligibility Criteria

Criteria

Ages Eligible for Study:

50 Years to 60 Years

Sexes Eligible for Study:

Male

Accepts Healthy Volunteers:

Inclusion Criteria:

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

Exclusion Criteria:

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

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Faculty of Physical Therapy	Giza		Egypt	12613

Sponsors and Collaborators

Cairo University
STDF

Investigators

Study Director: Shymaa Mohamed Ali, lecturer, Cairo University

Study Documents (Full-Text)

None provided.

More Information

Publications

Responsible Party:

Shimaa Taha Mohamed Taha, principal investigator, Cairo University

ClinicalTrials.gov Identifier:

NCT05900713

Other Study ID Numbers:

exercises on hypertension

First Posted:

Jun 12, 2023

Last Update Posted:

Jun 15, 2023

Last Verified:

Jun 1, 2023

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Additional relevant MeSH terms:

Hypertension

Essential Hypertension

Study Results

No Results Posted as of Jun 15, 2023