Effect of DNS Exercises Training on Hypertension

August 18, 2024 updated by: Shimaa Taha Mohamed Taha, Cairo University

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

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

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 Type

Interventional

Enrollment (Actual)

60

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Egypt
      • Giza, Egypt, 12613
        • Faculty of Physical Therapy

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Description

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 Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / 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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
balance by The Modified star excursion balance test (mSEBT)
Time Frame: 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
8 weeks
dynamic balance and functional mobility by Timed-Up-and-Go test (TUG)
Time Frame: 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
8 weeks
Postural control by Biodex Balance System
Time Frame: 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
8 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Sleep quality: using The Pittsburgh Sleep Quality Index (PSQI)
Time Frame: 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.
8 weeks
Quality of life: using The 12 Item Short Form Health Survey (SF-12) Questionnaire
Time Frame: 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
8 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Cairo University

Collaborators

STDF

Investigators

  • Study Director: Shymaa Mohamed Ali, lecturer, Cairo University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

July 1, 2023

Primary Completion (Actual)

January 1, 2024

Study Completion (Actual)

May 30, 2024

Study Registration Dates

First Submitted

June 4, 2023

First Submitted That Met QC Criteria

June 4, 2023

First Posted (Actual)

June 12, 2023

Study Record Updates

Last Update Posted (Actual)

August 20, 2024

Last Update Submitted That Met QC Criteria

August 18, 2024

Last Verified

August 1, 2024

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • exercises on hypertension

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Subscribe